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Implementation and adoption of mechanical patient lift equipment in the hospital setting: the importance of organizational and cultural factors.

Authors
Schoenfisch-AL; Myers-DJ; Pompeii-LA; Lipscomb-HJ
Source
Am J Ind Med 2011 Dec; 54(12):946-954
NIOSHTIC No.
20040249
Abstract
Background: Work focused on understanding implementation and adoption of interventions designed to prevent patient-handling injuries in the hospital setting is lacking in the injury literature and may be more insightful than more traditional evaluation measures. Methods: Data from focus groups with health care workers were used to describe barriers and promoters of the adoption of patient lift equipment and a shift to a ''minimal-manual lift environment'' at two affiliated hospitals. Results: Several factors influencing the adoption of the lift equipment and patienthandling policy were noted: time, knowledge/ability, staffing, patient characteristics, and organizational and cultural aspects of work. The adoption process was complex, and considerable variability by hospital and across units was observed. Conclusions The use of qualitative data can enhance the understanding of factors that influence implementation and adoption of interventions designed to prevent patient-handling injuries among health care workers.
Keywords
Ergonomics; Health-care; Health-engineering; Hospital-equipment; Hoisting-equipment; Injuries; Injury-prevention; Nurses; Nursing; Work-practices; Work-operations; Safety-equipment; Safety-practices; Medical-equipment; Safety-climate; Behavior; Group-behavior; Manual-lifting; Health-care-personnel; Author Keywords: mechanical lift equipment; patient handling; occupational injury prevention; intervention adoption; nursing culture
Contact
Ashley L. Schoenfisch, MSPH, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, 2200 West Main Street, Suite 400, Durham, NC 27705, USA
CODEN
AJIMD8
Publication Date
20111201
Document Type
Journal Article
Email Address
ashley.schoenfisch@duke.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-number-R01-OH-003979
Issue of Publication
12
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
NC; TX
Performing Organization
Duke University
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