Risk observation and load perception in the handling of patients dependent on a hospital unit
-
Carla Sílvia Fernandes
,
Germano Couto
,
Rogério Carvalho
,
Daniela Gomes Fernandes
,
Lídia Rosa Brito
,
Patrícia Carvalho
,
Patrícia Fernandes Ferreira
Abstract
Background & Aim: There is a high incidence of work-related musculoskeletal injuries in health professionals, namely nurses and nursing assistants, especially associated with the handling and transfer of dependent patients. The present study intends to evaluate the risks of injuries of the health professionals through the observation of the handling of dependent patients.
Materials & Methods: A descriptive and correlational study was performed using the observation of the care provided by nurses and nursing assistants. This study was developed in a hospital of the City of Gondomar-Portugal, data collection was carried out between January and March 2018. 149 Professionals were selected by convenience. The data collected were analysed using IBM SPSS® Statistics version 24.0.
Results: The sample consisted of 149 participants, mostly female. Concerning the assessment of the burden associated with the handling of dependent patients, it was considered excessive by 74.5% of the professionals. Regarding the application of the Graça Risk Assessment Scale (2008), only 7% of the activities were considered low risk.Risk behaviours associated with inadequate space during the procedure, equipment not properly positioned, almost non-use of mobility aids, and failure to use the patient's collaboration to reduce the effort associated with the procedure were observed.
Conclusion: The knowledge obtained through this study will allow the implementation of strategies to reduce the likelihood of pain and musculoskeletal injury related to work.
Serranheira F, Sousa-Uva M, Sousa-Uva A. Hospital nurses tasks and work-related musculoskeletal disorders symptoms: A detailed analysis. Work. 2015;51(3):401-9.
Serranheira F, Cotrim T, Rodrigues V, Nunes C, Sousa-Uva A. Lesões musculoesqueléticas ligadas ao trabalho em enfermeiros portugueses:«ossos do ofício» ou doenças relacionadas com o trabalho? Revista Portuguesa de Saúde Pública. 2012;30(2):193-203.
Yasobant S, Rajkumar P. Work-related musculoskeletal disorders among health care professionals: A cross-sectional assessment of risk factors in a tertiary hospital, India. Indian journal of occupational and environmental medicine. 2014;18(2):75.
Yasobant S, Rajkumar P. Health of the healthcare professionals: A risk assessment study on work-related musculoskeletal disorders in a tertiary hospital, Chennai, India. International Journal of Medicine and Public Health. 2015;5(2).
Neves M, Serranheira F. A formação de profissionais de saúde para a prevenção de lesões musculoesqueléticas ligadas ao trabalho a nível da coluna lombar: uma revisão sistemática. Revista Portuguesa de Saúde Pública. 2014;32(1):89-105.
Carneiro P, Martins J, Torres M. Musculoskeletal disorder risk assessment in home care nurses. Work. 2015;51(4):657-65.
Azizpour Y, Delpisheh A, Montazeri Z, Sayehmiri K. Prevalence of low back pain in Iranian nurses: a systematic review and meta-analysis. BMC Nursing. 2017;16(1):50.
Davis KG, Kotowski SE. Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: a comprehensive review. Human factors. 2015;57(5):754-92.
Long MH, Bogossian FE, Johnston V. The prevalence of work-related neck, shoulder, and upper back musculoskeletal disorders among midwives, nurses, and physicians: a systematic review. Workplace health & safety. 2013;61(5):223-9.
Yassi A, Lockhart K. Work-relatedness of low back pain in nursing personnel: a systematic review. International journal of occupational and environmental health. 2013; 19(3):223-44.
Anderson SP, Oakman J. Allied health professionals and work-related musculoskeletal disorders: a systematic review. Safety and health at work. 2016;7(4):259-67.
Abedini R, Choobineh A, Hasanzadeh J. Patient manual handling risk assessment among hospital nurses. Work. 2015; 50(4):669-75.
Carneiro P, Braga AC, Barroso M. Work-related musculoskeletal disorders in home care nurses: Study of the main risk factors. International Journal of Industrial Ergonomics. 2017;61:22-8.
Grant MP, Okechukwu CA, Hopcia K, Sorensen G, Dennerlein JT. An Inspection Tool and Process to Identify Modifiable Aspects of Acute Care Hospital Patient Care Units to Prevent Work-Related Musculoskeletal Disorders. Workplace health & safety. 2018;66(3):144-58.
Graça M, Alvarelhão J, Oliveira A, Almeida R, Martín I. Relação entre percepção de carga e risco de manuseio em idosos dependentes. Psicologia, Saúde & Doenças. 2013;14(1):53-63.
Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. International journal of nursing studies. 2015;52(2):635-48.
Leal GMA, Oliveira MRT, de Souza Bastos VC, Barros MdFA, de Carvalho AGC, Campos SL, et al. Study of musculoskeletal disorders in physical therapists: correlation with routine work. Manual Therapy, Posturology & Rehabilitation Journal. 2014;12:191.
Fernandes FMB, Moreira MR. Considerações metodológicas sobre as possibilidades de aplicação da técnica de observação participante na Saúde Coletiva. Physis: Revista de Saúde Coletiva. 2013;23:511-29.
Perazzo PF. Pressupostos epistemológicos e metodológicos da pesquisa participativa: da observação participante à pesquisa-ação. Estudios sobre las culturas contemporáneas. 2017(3):161-90.
Radovanovic CA, Alexandre NM. Validation of an instrument for patient handling assessment. Applied Ergonomics. 2004;35(4):321-8.
Kanaskie ML, Snyder C. Nurses and nursing assistants decision-making regarding use of safe patient handling and mobility technology: A qualitative study. Applied Nursing Research. 2018;39:141-7.
Lee SJ, Lee JH. Safe patient handling behaviors and lift use among hospital nurses: A cross-sectional study. Int J Nurs Stud. 2017;74:53-60.
Noble NL, Sweeney NL. Barriers to the use of assistive devices in patient handling. Workplace health & safety. 2018; 66(1):41-8.
| Files | ||
| Issue | Vol 5 No 4 (2018): Autumn | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/10.18502/npt.v5i4.117 | |
| Keywords | ||
| nurses musculoskeletal diseases risk reduction behaviour moving and lifting patients | ||
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