American journal of safe patient handling & movement最新文献

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Revisiting the Limits of the 35 Pound Limit. 重新审视35磅的极限。

American journal of safe patient handling & movement

Pub Date : 2016-06-01

Traci Galinsky, Ming-Lun Lu

引用次数: 0

Use of Resident Handling Equipment by Nursing Aides in Long-Term Care: Associations with Work Organization and Individual Level Characteristics. 护理助理在长期护理中使用居民搬运设备：与工作组织和个人水平特征的联系。

American journal of safe patient handling & movement

Pub Date : 2016-03-01

Alicia Kurowski, Rebecca Gore, Nadine Mpolla, Laura Punnett

Low back pain is prevalent among nursing home personnel. Safe resident handling programs (SRHP) reduce injuries and costs. Previously, we reported variability in effectiveness and sought to identify reasons for differences among workers in resident handling equipment (RHE) use. In 8 nursing homes, nursing aides' (NAs) frequency of RHE use and reasons for inconsistent use were assessed by questionnaire up to 4 times after SRHP implementation. Ordered multinomial models examined correlates of RHE-usage frequency. At least two-thirds of NAs reported "often" or "always" lift use. Higher RHE use was related to higher SRHP commitment, higher prior SRHP expectations, older age, higher health self-efficacy, and lower supervisor support. "Device not available when needed" and "residents dislike" were major reasons consistently cited for not using RHE. While this program has been effective, attention to device availability, education of residents and family members on SRHP importance, and worker empowerment might increase usage further.

下背痛在养老院工作人员中很普遍。安全居民处理计划（SRHP）减少了伤害和成本。以前，我们报告了有效性的可变性，并试图确定工人在居民处理设备（RHE）使用方面存在差异的原因。在8家养老院，采用问卷调查的方式对护理人员使用RHE的频率和使用不一致的原因进行了多达4次的评估。有序多项模型检验了rhee使用频率的相关关系。至少三分之二的NAs报告“经常”或“总是”使用电梯。较高的RHE使用与较高的SRHP承诺、较高的先前SRHP期望、年龄、较高的健康自我效能感和较低的主管支持相关。“设备在需要时无法使用”和“居民不喜欢”是不使用RHE的主要原因。虽然该计划已经有效，但对设备可用性的关注，对居民和家庭成员的SRHP重要性的教育，以及工人授权可能会进一步增加使用率。

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引用次数: 0

What Elements of the 2013 American Nurses Association Safe Patient Handling and Mobility Standards are Reflected in State Legislation? 2013年美国护士协会安全病人处理和行动标准的哪些要素反映在州立法中?

American journal of safe patient handling & movement

Pub Date : 2015-03-01

Gail Powell-Cope, Deborah Rugs

Many professional organizations have endorsed and provided guidance on the implementation of safe patient handling and mobility (SPHM) programs. In 2013, the American Nurses Association published the interprofessional standards of SPHM. Eleven states have passed laws to implement statewide SPHM programs. This article describes the evaluation of the quality of SPHM legislation against the ANA standards. Information gleaned from this analysis could be used to strengthen existing legislation, craft new bills in the 39 states without SPHM legislation, and provide direction for national legislation.

许多专业组织已经认可并提供了实施安全病人处理和移动(SPHM)计划的指导。2013年，美国护士协会发布了SPHM的跨专业标准。11个州已经通过法律，在全州范围内实施SPHM项目。本文描述了根据ANA标准对SPHM立法质量的评估。从这一分析中收集到的信息可以用来加强现有的立法，在没有SPHM立法的39个州制定新的法案，并为国家立法提供方向。

引用次数: 0

Ergonomic Assessment of Floor-based and Overhead Lifts. 地面升降机和架空升降机的人机工程学评估。

American journal of safe patient handling & movement

Pub Date : 2012-12-01

Thomas R Waters, Robert Dick, Brian Lowe, Dwight Werren, Kelley Parsons

Manual full-body vertical lifts of patients have high risk for developing musculoskeletal disorders. Two primary types of battery-powered lift assist devices are available for these tasks: floor-based and overhead-mounted devices. Studies suggest that the operation of floor-based devices may require excessive pushing and pulling forces and that overhead-mounted devices are safer and require lower operating forces. This study evaluated required operating hand forces and resulting biomechanical spinal loading for overhead-mounted lifts versus floor-based lifts across various floor surfaces and patient weight conditions. We did not examine differences in how operators performed the tasks, but rather focused on differences in required operating forces and estimated biomechanical loads across various exposure conditions for a typical operator. Findings show that the floor-based lifts exceeded recommended exposure limits for pushing and pulling for many of the floor/weight conditions and that the overhead-mounted lifts did not. As expected, forces and spinal loads were greater for nonlinoleum floor surfaces compared with linoleum floors. Based on these findings, it is suggested that overhead-mounted devices be used whenever possible, particularly in instances where carpeted floors would be encountered.

手工全身垂直提升患者发生肌肉骨骼疾病的风险高。有两种主要类型的电池供电的电梯辅助设备可用于这些任务：地面和头顶安装的设备。研究表明，地面装置的操作可能需要过大的推拉力，而头顶装置更安全，需要更小的操作力。本研究评估了在不同地板表面和患者体重条件下，头顶升降与地板升降所需的操作手力和由此产生的生物力学脊柱负荷。我们没有研究操作人员如何执行任务的差异，而是关注典型操作人员在不同暴露条件下所需操作力和估计生物力学负荷的差异。调查结果显示，在许多地板/重量情况下，落地式升降机超过了推拉的建议暴露限值，而架空式升降机则没有。不出所料，与油毡地板相比，非油毡地板表面的力和脊柱负荷更大。根据这些调查结果，建议尽可能使用头顶装置，特别是在遇到地毯地板的情况下。

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