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Abstract：
Background: Safe patient handling practices reduce injury risk for healthcare workers (HCW) and patients, but may conflict with goals of rehabilitation and person-centred care by minimizing (a) active participation in transfers and (b) autonomy and dignity while using mechanical lifts. Active assist transfer devices (AATDs) have potential to address both safety and support needs for appropriate clients.Purpose: What is the scope and nature of the evidence to support the use of AATD for improving transfer safety for patients and caregivers in both hospital and community settings?Methods: Scoping review of peer-reviewed and Gray literature, using systematic search strategies and multiple reviewers for identifying papers and extracting data.Findings: Twenty-nine peer-reviewed publications, and 12 other documents (policy, technical) were included in the review. Half focused on HCW safety in the hospital setting, with only seven addressing patient safety in the community. Generally, literature was of low quality, with no controlled trials to support the benefit of this equipment, and often represented a nursing care perspective. However, positive outcomes reported included safety, satisfaction, and equipment utilization.Implications: There is a need for rigorous research on use of AATDs in the community comparing rehabilitation outcomes across other forms of transfer equipment. Other important targets include injury risk for family caregivers, and potential to support early discharge. At present, utilization of AATDs within the rehabilitation field will continue to rely on best judgement of the care team. Implementation of AATDs should be considered a compelling target for practice-based research and quality improvements.Implications for rehabilitationThe use of active assist transfer devices is associated with their availability in the in-patient hospital setting.The use of active assist transfer devices is associated with positive patient experience, such as increased patient satisfaction and dignity. Improved patient adherence and cooperation with healthcare workers during mobilization and rehabilitation may follow.Most current evidence is focused on caregiver safety outcomes and is in support of decreased injury rates with increased active assist transfer device use. There is a limited amount of evidence focusing on the rehabilitation outcomes with active assist transfer device use.With current evidence, the use of AATDs should be used at the discretion of the care team.
摘要：
背景：安全的患者处理实践可降低医护人员（HCW）和患者的受伤风险，但可能与康复和以人为本的护理目标相冲突，因为它尽量减少(a)积极参与转移和(b)使用机械升降机时的自主性和尊严。主动辅助传输设备（AATD）有可能满足适当客户的安全和支持需求。目的：支持使用AATD改善医院和社区环境中患者和护理人员转移安全性的证据的范围和性质是什么？方法：同行评审和灰色文献的范围综述，使用系统的搜索策略和多个审稿人来识别论文和提取数据。调查结果：29份同行评审的出版物，和12份其他文件(政策，技术)被包括在审查中。一半专注于医院环境中的HCW安全，只有七个解决社区患者安全问题。一般来说,文学质量低下，没有对照试验来支持这种设备的好处，通常代表护理的观点。然而,报告的积极结果包括安全性，满意,和设备利用率。含义：需要对社区中AATD的使用进行严格的研究，以比较其他形式的转移设备的康复结果。其他重要目标包括家庭照顾者的受伤风险，以及支持提前出院的潜力。目前,康复领域内AATDs的利用将继续依赖于护理团队的最佳判断。实施AATD应被视为基于实践的研究和质量改进的令人信服的目标。对康复的影响主动辅助转移装置的使用与其在住院医院环境中的可用性相关。主动辅助转移装置的使用与积极的患者体验相关，例如增加患者的满意度和尊严。在动员和康复期间，可以提高患者的依从性并与医护人员合作。当前的大多数证据都集中在护理人员的安全结果上，并且支持增加主动辅助转移装置的使用来降低受伤率。关于使用主动辅助转移装置的康复结果的证据有限。根据目前的证据,AATDs的使用应由护理团队自行决定.
