Competency-based training for patient handling

被引:20
作者
Hignett, Sue [1 ]
Crumpton, Emma [1 ]
机构
[1] Loughborough Univ Technol, Dept Human Sci, Healthcare Ergonom & Patient Safety Res Unit, Loughborough LE11 3TU, Leics, England
关键词
training; nursing; safety culture;
D O I
10.1016/j.apergo.2006.02.004
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
A technique-training approach has traditionally been used to address the problem of back pain associated with patient handling. This project aimed to investigate whether different levels of safety culture, based on competency-based training, resulted in different behaviour (physical and cognitive) for patient handling tasks. Sixteen healthcare organisations in the UK participated from the acute and primary healthcare sectors. Archival data for each organisation were benchmarked against the Royal College of Nursing competencies for manual handling. Behavioural data were collected on two patient handling tasks: (1) sitting-to-standing and (2) repositioning-in-sitting using observations (postural analysis) and interviews (verbal protocol analysis). The data were analysed for each organisation and then grouped by task and method into larger data sets. These data sets were triangulated using the key decision-making points (from the interview data) as the framework. The results showed that in organisations with a more positive safety culture the nursing staff demonstrated more complex decision-making about the patient handling tasks and had lower levels of associated postural risk. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:7 / 17
页数:11
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