Details:

Alternative Title:
J Healthc Risk Manag
Personal Author:
Kurotvski, Alicia ; Gore, Rebecca ; Buchholz, Bryan ; Punnett, Laura
Kurotvski, Alicia ; Gore, Rebecca ; Buchholz, Bryan ; Punnett, Laura Less -
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.
Subjects:
[+]
Article Efficiency, Organizational Ergonomics Female Humans Job Satisfaction Male Nursing Homes Organizational Case Studies Organizational Culture Organizational Policy Outcome And Process Assessment (Health Care) Patient Safety Prospective Studies Risk Management Surveys And Questionnaires Workload
Source:
J Healthc Risk Manag. 32(1):35-51.
Pubmed ID:
22833329
Pubmed Central ID:
PMC5884082
Document Type:
Journal Article
Funding:
U19 OH008857/OH/NIOSH CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:bbfc0bfa13906c71adc91c0c7f4cddf62119bb3cc7414f915bbfdb719c98d87a
Download URL:
https://stacks.cdc.gov/view/cdc/53151/cdc_53151_DS1.pdf
File Type:

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