Participatory Ergonomics Intervention in Acute Care Hospitals: A Pilot Study.
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| Názov: | Participatory Ergonomics Intervention in Acute Care Hospitals: A Pilot Study. |
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| Autori: | Rinsky-Halivni L; From the Harvard T.H. Chan School of Public Health, Boston, MA (L.R.-H.); Faculty of Medicine, The Hebrew University, Jerusalem, Israel (L.R.-H.); Reuth Rehabilitation Hospital, Tel-Aviv, Israel (S.P.-S.);Department of Physical Therapy, Zefat Academic College, Zefat, Israel. (D.A.-N.); and Department of Environmental and Occupational Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel (D.A.-N.)., Peleg-Shani S, Alperovitch-Najenson D |
| Zdroj: | Journal of occupational and environmental medicine [J Occup Environ Med] 2025 Nov 01; Vol. 67 (11), pp. e799-e806. Date of Electronic Publication: 2025 Jul 11. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9504688 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-5948 (Electronic) Linking ISSN: 10762752 NLM ISO Abbreviation: J Occup Environ Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Baltimore, MD : Williams & Wilkins, c1995- |
| Výrazy zo slovníka MeSH: | Ergonomics*/methods , Moving and Lifting Patients*/methods , Moving and Lifting Patients*/statistics & numerical data , Moving and Lifting Patients*/adverse effects , Nursing Staff, Hospital*/psychology, Humans ; Pilot Projects ; Male ; Female ; Prospective Studies ; Middle Aged ; Adult ; Surveys and Questionnaires ; Musculoskeletal Diseases/prevention & control ; Musculoskeletal Diseases/etiology ; Focus Groups ; Aged ; Self Efficacy |
| Abstrakt: | Competing Interests: Conflict of interest: None declared. Objective: The aim of the study was to evaluate a short-term participatory ergonomics intervention using behavioral models to enhance patient lift usage in geriatric units within an acute care hospital. Methods: This prospective intervention involved 90 nursing staff in geriatric (intervention) and internal medicine wards (control), guided by protection motivation theory, incorporating staff training, focus groups, and managerial support to address perceived severity, response efficacy, self-efficacy, and barriers. Lift usage logs and questionnaires assessed musculoskeletal complaints, perceptions, and lift usage frequency. Results: Lift usage increased (2-76 per month) in the intervention group, while the control remained stable (19-20 per month). The intervention group showed a positive change in staff perceptions. Perceived barriers, lift availability, and perception shifts predicted increased usage, while longer tenure correlated with lower adoption. Conclusions: Behavioral strategies and organizational commitment can increase patient lift utilization. (Copyright © 2025 American College of Occupational and Environmental Medicine.) |
| References: | Wåhlin C, Stigmar K, Nilsing Strid E. A systematic review of work interventions to promote safe patient handling and movement in the healthcare sector. Int J Occup Saf Ergon 2022;28:2520–2532. Alperovitch-Najenson D, Treger I, Kalichman L. Physical therapists versus nurses in a rehabilitation hospital: comparing prevalence of work-related musculoskeletal complaints and working conditions. Arch Environ Occup Health 2014;69:33–39. Jun Power JD, Perruccio AV, Paterson JM, et al. Healthcare utilization and costs for musculoskeletal disorders in Ontario, Canada. J Rheumatol 2022;49:740–747. Sun W, Yin L, Zhang T, Zhang H, Zhang R, Cai W. Prevalence of work-related musculoskeletal disorders among nurses: a meta-analysis. Iran J Public Health 2023;52:463–475. Khairallah GM, Mowafi H, Al-Hajj S, Brackett A, Sakr CJ. Barriers and facilitators for the use of patient lifts by healthcare workers: a scoping review. Int J Environ Res Public Health 2024;21:1659. Verbeek JH, Martimo KP, Mikkola H. Participatory ergonomics for preventing work-related musculoskeletal disorders: Cochrane systematic review update. Occup Med 2022;72:305–311. Hansen AF, Hasle P, Caroly S, et al. Participatory ergonomics: what works for whom and why? A realist review. Ergonomics 2024;67:13–33. Rogers RW. A protection motivation theory of fear appeals and attitude change1. J Psychol 1975;91:93–114. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977;84:191–215. Maddux JE, Rogers RW. Protection motivation and self-efficacy: a revised theory of fear appeals and attitude change. J Exp Soc Psychol 1983;19:469–479. Rickett B, Orbell S, Sheeran P. Social-cognitive determinants of hoist usage among health care workers. J Occup Health Psychol 2006;11:182–196. Thomas LJ, Ayoub J, Good L. Barriers to safe patient handling and mobility programs: a qualitative study of acute care settings. Nurs Outlook 2021;69:63–74. Oakman J, Macdonald W, Bartram T, Keegel T, Kinsman N. Workplace risk management practices to prevent musculoskeletal and mental health disorders: what are they, and are they effective? Safety Science 2018;101:220–230. Rivilis I, Van Eerd D, Cullen K, et al. Effectiveness of participatory ergonomic interventions on health outcomes: a systematic review. Appl Ergon 2008;39:342–358. Jakobsen MD, Aust B, Kines P, Madeleine P, Andersen LL. Participatory organizational intervention for improved use of assistive devices in patient transfer: a single-blinded cluster randomized controlled trial. Scand J Work Environ Health 2019;45:146–157. Jun GT, Canham A, Altuna-Palacios A, et al. A participatory systems approach to design for safer integrated medicine management. Ergonomics 2018;61:48–68. Caspi CE, Dennerlein JT, Kenwood C, et al. Results of a pilot intervention to improve health and safety for health care workers. J Occup Environ Med 2013;55:1449–1455. 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. Boyer J, Galizzi M, Cifuentes M, et al. Promoting Healthy Safe Employment (PHASE) in healthcare team. Ergonomic and socioeconomic risk factors for hospital workers' compensation injury claims. Am J Ind Med 2009;52:551–562. |
| Contributed Indexing: | Keywords: ergonomics; health care; prevention; protection motivation theory; work-related musculoskeletal disorders; workplace safety |
| Entry Date(s): | Date Created: 20250711 Date Completed: 20251103 Latest Revision: 20251121 |
| Update Code: | 20251122 |
| DOI: | 10.1097/JOM.0000000000003499 |
| PMID: | 40643370 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Conflict of interest: None declared.<br />Objective: The aim of the study was to evaluate a short-term participatory ergonomics intervention using behavioral models to enhance patient lift usage in geriatric units within an acute care hospital.<br />Methods: This prospective intervention involved 90 nursing staff in geriatric (intervention) and internal medicine wards (control), guided by protection motivation theory, incorporating staff training, focus groups, and managerial support to address perceived severity, response efficacy, self-efficacy, and barriers. Lift usage logs and questionnaires assessed musculoskeletal complaints, perceptions, and lift usage frequency.<br />Results: Lift usage increased (2-76 per month) in the intervention group, while the control remained stable (19-20 per month). The intervention group showed a positive change in staff perceptions. Perceived barriers, lift availability, and perception shifts predicted increased usage, while longer tenure correlated with lower adoption.<br />Conclusions: Behavioral strategies and organizational commitment can increase patient lift utilization.<br /> (Copyright © 2025 American College of Occupational and Environmental Medicine.) |
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| ISSN: | 1536-5948 |
| DOI: | 10.1097/JOM.0000000000003499 |