Implementation and adoption of mechanical patient lift equipment in the hospital setting: the importance of organizational and cultural factors.
Schoenfisch AL; Myers DJ; Pompeii LA; Lipscomb HJ
Am J Ind Med 2011 Dec; 54(12):946-954
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.
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
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
American Journal of Industrial Medicine