Differences among nursing homes in outcomes of a safe resident handling program

Details

• Personal Author:
  Buchholz B ; Gore R ; Kurowski A ; Punnett, Laura
• Description:
  A large nursing home corporation implemented a safe resident handling program (SRHP) in 2004-2007. We evaluated its efficacy over a 2-year period by examining differences among 5 centers in program outcomes and potential predictors of those differences. We observed nursing assistants (NAs), recording activities and body postures at 60-second intervals on personal digital assistants at baseline and at 3-month, 12-month, and 24-month follow-ups. The two outcomes computed were change in equipment use during resident handling and change in a physical workload index that estimated spinal loading due to body postures and handled loads. Potential explanatory factors were extracted from post-observation interviews, investigator surveys of the workforce, from administrative data, and employee satisfaction surveys. The facility with the most positive outcome measures was associated with many positive changes in explanatory factors and the facility with the fewest positive outcome measures experienced negative changes in the same factors. These findings suggest greater SRHP benefits where there was lower NA turnover and agency staffing; less time pressure; and better teamwork, staff communication, and supervisory support. [Description provided by NIOSH]
• Subjects:
  Biomechanical Phenomena Ergonomics Health Care Facilities Workforce And Services Health Personnel Musculoskeletal System Occupational Health Safety
• Keywords:
  Biomechanics Body Mechanics Health Care Facilities Injuries Injury Prevention Manual Lifting Musculoskeletal System Nurses Patient Handling Posture Total Worker Health

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• ISSN:
  1074-4797
• Publisher:
  American Society for Healthcare Risk Management
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  35-51
• Volume:
  32
• Issue:
  1
• NIOSHTIC Number:
  nn:20041875
• Citation:
  J Healthc Risk Manag 2012 Jul; 32(1):35-51
• Contact Point Address:
  Alicia Kurowski, University of Massachusetts Lowell, One University Ave., Lowell, MA 01854
• Federal Fiscal Year:
  2012
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Journal of Healthcare Risk Management
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:074f03ddfe075003cb6bc981d2373db64557169c601da2643b23b1f162144536d1ac22c296eabfc422c377d1f1c7b9fe49c276ff0c6dc5a949f7c41488fac7d8
• Download URL:
  https://stacks.cdc.gov/view/cdc/194305/cdc_194305_DS1.pdf
• File Type:
  [PDF - 142.73 KB ]