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Link between safe patient handling and patient outcomes in long-term care.

Authors
Nelson-A; Collins-J; Siddharthan-K; Matz-M; Waters-T
Source
Rehabil Nurs 2008 Jan-Feb; 33(1):33-43
NIOSHTIC No.
20033251
Abstract
This study examined the relationship between safe patient handling and quality of care measures. A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111 residents living on 24 units in six Veterans Administration nursing homes using a general linear regression model with repeated measures clustered within time and adjusted for age. After implementation, we found lower levels of depression, improved urinary continence, higher engagement in activities, lower fall risk, and higher levels of alertness during the day. Additionally, four areas showed a decline in function: pain, combativeness, locomotion, and cognition. Findings from this study may be useful in enhancing organizational support for safe patient-handling programs and could be used to build a business case for improving caregiver safety.
Keywords
Health-care-facilities; Health-care-personnel; Nurses; Nursing; Manual-lifting; Ergonomics; Musculoskeletal-system-disorders; Medical-facilities; Medical-personnel; Author Keywords: ergonomics; quality of care measures; safe patient handling
Contact
Audrey Nelson, Patient Safety Center of Inquiry, James A Haley Veterans Administration Medical Center, Tampa FL 33612, USA
Publication Date
20080101
Document Type
Journal Article
Email Address
audrey.nelson@va.gov
Fiscal Year
2008
NTIS Accession No.
NTIS Price
Issue of Publication
1
ISSN
0278-4807
NIOSH Division
DART; DSR
Source Name
Rehabilitation Nursing
State
OH; FL; WV
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