背景:与工作相关的肌肉骨骼疾病在医护人员(HCWs)中很常见,但可以通过风险评估和进一步促进职业安全与健康来预防。这项研究的目的是调查风险评估仪器Tiltherometer是否可用于识别与患者处理和移动(PHM)一起工作的HCW中身体暴露的风险特征。进一步的目的是描述HCWs使用Tilthermometer的看法和经验。
方法:本可行性研究采用混合设计方法。总的来说,来自17个瑞典护理单位的54名医护人员参加了TilThermometer并进行了风险评估。从风险评估中收集的数据用于识别身体暴露的风险概况。从活动日志中收集使用Tiltherometer的HCW经验,并进行定性分析。三个问卷被用来评估感知的可接受性,适当性,风险评估的可行性,八个研究特定问题被用于感知有用性。
结果:通过评估每个护理接受者,在护理单位使用了Tiltherometer,在组级别编译数据时,可以提供护理单元的风险概况。据报告,在两项工作任务中,身体暴露的风险很高;在坐下来为护理接受者洗澡时,没有护理单位使用高低可调节座椅,13%的人在穿上压缩长袜时使用了推荐的辅助设备。然而,99%的人在照顾和沐浴护理接受者躺下时使用高低可调辅助设备。Tilthermometer被描述为易于使用,进行团队反思,并提供护理单位接受者和工作量的概述,但也报告了流动性群体分类的困难。Tilthermometer是,在五点量表上,被认为是可接受的(平均3.93),适当(平均3.9),且可行(平均值3.97)。这些分数符合评估有用性的问题。
结论:风险评估提供的风险概况有可能有助于护理单位发展安全的患者处理和移动实践。研究结果表明,Tiltherometer可用于评估与患者在医院和疗养院的护理单位中的处理和运动有关的身体暴露风险。
BACKGROUND: Work-related musculoskeletal disorders are common among healthcare workers (HCWs) but might be prevented by risk assessment and further promotion of occupational safety and health. The aim of this study was to investigate if the risk assessment instrument TilThermometer can be used to identify risk profiles of physical exposure in HCWs working with patient handling and movement (PHM). Further aims were to describe HCWs\' perceptions and experiences of using the TilThermometer.
METHODS: This feasibility study has a mixed design methodology. In total, 54 HCWs from 17 Swedish care units participated and performed risk assessments with the TilThermometer. Data collected from the risk assessments were used to identify risk profiles of physical exposure. HCWs\' experiences of using the TilThermometer were collected from activity logs and analysed qualitatively. Three questionnaires were used to assess perceived acceptability, appropriateness, and feasibility of the risk assessment, and eight study specific questions were used for perceived usefulness.
RESULTS: The TilThermometer was used at the care units by assessing each care recipient, and when compiling the data at a group level, a summarized risk profile for the care unit could be provided. Risk for physical exposure was reported as high in two work tasks; no care unit used the high-low adjustable seat when showering care recipients sitting down, and 13% used the recommended assistive devices when putting compression stockings on. However, 99% used high-low adjustable assistive devices when caring and bathing care recipients lying down. TilThermometer was described as easy to use, enabling team reflections and providing an overview of the care units\' recipients and workload, but difficulties in categorizing for mobility groups were also reported. The TilThermometer was, on a five-point scale, perceived as acceptable (mean 3.93), appropriate (mean 3.9), and feasible (mean 3.97). These scores are in line with questions evaluating usefulness.
CONCLUSIONS: The risk assessment provided risk profiles with potential to contribute to care units\' development of a safe patient handling and movement practice. The findings suggest that the TilThermometer can be used to assess risks for physical exposure in relation to patient handling and movement in care units at hospital and nursing homes.