The Experts below are selected from a list of 195 Experts worldwide ranked by ideXlab platform
Niklas Krause - One of the best experts on this subject based on the ideXlab platform.
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musculoskeletal pain among critical care nurses by availability and use of Patient Lifting equipment an analysis of cross sectional survey data
International Journal of Nursing Studies, 2013Co-Authors: Julia Faucett, Marion Gillen, Niklas KrauseAbstract:BACKGROUND: Patient handling is a major risk factor for musculoskeletal injuries among nurses. Lifting equipment is a main component of safe Patient handling programs that aim to prevent musculoskeletal injury. However, the actual levels of lift availability and usage are far from optimal. OBJECTIVE: To examine the effect of Patient Lifting equipment on musculoskeletal pain by level of lift availability and lift use among critical-care nurses. DESIGN AND PARTICIPANTS: A cross-sectional postal survey of a random sample of 361 critical-care nurses in the United States. METHODS: The survey collected data on low-back, neck, and shoulder pain, lift availability, lift use, physical and psychosocial job factors, and sociodemographics. Musculoskeletal pain was assessed by three types of measures: any pain, work-related pain, and major pain. Multivariable logistic regressions were used to examine the associations between musculoskeletal pain and lift variables, controlling for demographic and job factors. RESULTS: Less than half (46%) of respondents reported that their employer provided lifts. Of 168 nurses who had lifts in their workplace, the level of lift availability was high for 59.5%, medium for 25.0%, and low for 13.7%; the level of lift use was high for 32.1%, medium for 31.5%, and low for 31.5%. Significant associations were found between lift availability and work-related low-back and shoulder pain. Compared to nurses without lifts, nurses reporting high-level lift availability were half as likely to have work-related low-back pain (OR=0.50, 95% CI 0.26-0.96) and nurses reporting medium-level lift availability were 3.6 times less likely to have work-related shoulder pain (OR=0.28, 95% CI 0.09-0.91). With respect to lift use, work-related shoulder pain was three times less common among nurses reporting medium-level use (OR=0.33, 95% CI 0.12-0.93); any neck pain was three times more common among nurses reporting low-level use (OR=3.13, 95% CI 1.19-8.28). CONCLUSIONS: Greater availability and use of lifts were associated with less musculoskeletal pain among critical-care nurses. These findings suggest that for lift interventions to be effective, lifts must be readily available when needed and barriers against lift use must be removed.
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the prevalence of and risk factors for back pain among home care nursing personnel in hong kong
American Journal of Industrial Medicine, 2006Co-Authors: Kin Cheung, Julia Faucett, Marion Gillen, Niklas KrauseAbstract:Background There is a large gap in research with regard to back pain (BP) among home care nursing personnel (HCNP); only seven studies have been conducted worldwide. There is a need to identify the magnitude of and risk factors for BP that are unique to Hong Kong (HK) HCNP. Methods A total population sampling technique was employed in this cross-sectional questionnaire-based study. Hierarchical multiple logistic regression analyses were used to control for potentially confounding variables. Results The 12-month prevalence of upper and lower BP was 71.2% (n = 265). Three predictors were identified: physical risk factors in the office (OR = 3.57, 95% CI = 1.55–8.24), static postures (OR = 1.41, 95% CI = 1.04–1.90), and psychological job demands (OR = 1.11, 95% CI = 1.01–1.22). Conclusion HCNP in HK have a high prevalence of BP. BP in HK HCNP is independently attributable to physical work factors in the office, static postures, and psychological job demands, and is not primarily associated with Patient Lifting and transferring which are traditionally identified as risk factors for BP in hospital nursing personnel. Am. J. Ind. Med. 49:14–22, 2006. © 2005 Wiley-Liss, Inc.
Bradley A. Evanoff - One of the best experts on this subject based on the ideXlab platform.
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Assessment of the impact of Lifting device use on low back pain and musculoskeletal injury claims among nurses
Occupational and environmental medicine, 2013Co-Authors: Alex Burdorf, Elin Koppelaar, Bradley A. EvanoffAbstract:Objectives The aims of this study were: (1) to evaluate the effect of manually Lifting Patients on the occurrence of low back pain (LBP) among nurses, and (2) to estimate the impact of Lifting device use on the prevention of LBP and musculoskeletal disorder (MSD) injury claims. Methods A literature search of PubMed, Embase and Web of Science identified studies with a quantitative assessment of the effect of manually Lifting Patients on LBP occurrence and studies on the impact of introducing Lifting devices on LBP and MSD injury claims. A Markov decision analysis model was constructed for a health impact assessment of Patient Lifting device use in healthcare settings. Results The best scenario, based on observational and experimental studies, showed a maximum reduction in LBP prevalence from 41.9% to 40.5% and in MSD injury claims from 5.8 to 5.6 per 100 work-years. Complete elimination of manually Lifting Patients would reduce the LBP prevalence to 31.4% and MSD injury claims to 4.3 per 100 work-years. These results were sensitive to the strengths of the association between manually Patient Lifting and LBP as well as the prevalence of manual Lifting of Patients. A realistic variant of the baseline scenario requires well over 25 000 healthcare workers to demonstrate effectiveness. Conclusions This study indicates that good implementation of Lifting devices is required to noticeably reduce LBP and injury claims. This health impact assessment may guide intervention studies as well as implementation of programmes to reduce manual Lifting of Patients in healthcare settings.
Julia Faucett - One of the best experts on this subject based on the ideXlab platform.
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musculoskeletal pain among critical care nurses by availability and use of Patient Lifting equipment an analysis of cross sectional survey data
International Journal of Nursing Studies, 2013Co-Authors: Julia Faucett, Marion Gillen, Niklas KrauseAbstract:BACKGROUND: Patient handling is a major risk factor for musculoskeletal injuries among nurses. Lifting equipment is a main component of safe Patient handling programs that aim to prevent musculoskeletal injury. However, the actual levels of lift availability and usage are far from optimal. OBJECTIVE: To examine the effect of Patient Lifting equipment on musculoskeletal pain by level of lift availability and lift use among critical-care nurses. DESIGN AND PARTICIPANTS: A cross-sectional postal survey of a random sample of 361 critical-care nurses in the United States. METHODS: The survey collected data on low-back, neck, and shoulder pain, lift availability, lift use, physical and psychosocial job factors, and sociodemographics. Musculoskeletal pain was assessed by three types of measures: any pain, work-related pain, and major pain. Multivariable logistic regressions were used to examine the associations between musculoskeletal pain and lift variables, controlling for demographic and job factors. RESULTS: Less than half (46%) of respondents reported that their employer provided lifts. Of 168 nurses who had lifts in their workplace, the level of lift availability was high for 59.5%, medium for 25.0%, and low for 13.7%; the level of lift use was high for 32.1%, medium for 31.5%, and low for 31.5%. Significant associations were found between lift availability and work-related low-back and shoulder pain. Compared to nurses without lifts, nurses reporting high-level lift availability were half as likely to have work-related low-back pain (OR=0.50, 95% CI 0.26-0.96) and nurses reporting medium-level lift availability were 3.6 times less likely to have work-related shoulder pain (OR=0.28, 95% CI 0.09-0.91). With respect to lift use, work-related shoulder pain was three times less common among nurses reporting medium-level use (OR=0.33, 95% CI 0.12-0.93); any neck pain was three times more common among nurses reporting low-level use (OR=3.13, 95% CI 1.19-8.28). CONCLUSIONS: Greater availability and use of lifts were associated with less musculoskeletal pain among critical-care nurses. These findings suggest that for lift interventions to be effective, lifts must be readily available when needed and barriers against lift use must be removed.
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the prevalence of and risk factors for back pain among home care nursing personnel in hong kong
American Journal of Industrial Medicine, 2006Co-Authors: Kin Cheung, Julia Faucett, Marion Gillen, Niklas KrauseAbstract:Background There is a large gap in research with regard to back pain (BP) among home care nursing personnel (HCNP); only seven studies have been conducted worldwide. There is a need to identify the magnitude of and risk factors for BP that are unique to Hong Kong (HK) HCNP. Methods A total population sampling technique was employed in this cross-sectional questionnaire-based study. Hierarchical multiple logistic regression analyses were used to control for potentially confounding variables. Results The 12-month prevalence of upper and lower BP was 71.2% (n = 265). Three predictors were identified: physical risk factors in the office (OR = 3.57, 95% CI = 1.55–8.24), static postures (OR = 1.41, 95% CI = 1.04–1.90), and psychological job demands (OR = 1.11, 95% CI = 1.01–1.22). Conclusion HCNP in HK have a high prevalence of BP. BP in HK HCNP is independently attributable to physical work factors in the office, static postures, and psychological job demands, and is not primarily associated with Patient Lifting and transferring which are traditionally identified as risk factors for BP in hospital nursing personnel. Am. J. Ind. Med. 49:14–22, 2006. © 2005 Wiley-Liss, Inc.
Geoff R. Fernie - One of the best experts on this subject based on the ideXlab platform.
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A biomechanical assessment of floor and overhead lifts using one or two caregivers for Patient transfers
Applied ergonomics, 2011Co-Authors: Tilak Dutta, Pamela J. Holliday, Susan M. Gorski, Mohammad Sadegh Baharvandy, Geoff R. FernieAbstract:This study investigated the differences in peak external hand forces and external moments generated at the L5/S1 joint of the low back due to maneuvering loaded floor-based and overhead-mounted Patient Lifting devices using one and two caregivers. Hand forces and external moments at the L5/S1 joint were estimated from ground reaction forces and motion capture data. Caregivers gave ratings of perceived exertion as well as their opinions regarding overhead vs. floor lifts. Use of overhead lifts resulted in significantly lower back loads than floor lifts. Two caregivers working together with a floor lift did not reduce loads on the primary caregiver compared to the single-caregiver case. In contrast, two-caregiver operation of an overhead lift did result in reduced loads compared to the single-caregiver case. Therefore, overhead lifts should be used whenever possible to reduce the risk of back injury to caregivers. The use of two caregivers does not compensate for the poorer performance of floor lifts.
John M. Dement - One of the best experts on this subject based on the ideXlab platform.
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Evaluation of direct workers' compensation costs for musculoskeletal injuries surrounding interventions to reduce Patient Lifting
Occupational and environmental medicine, 2011Co-Authors: Hester J. Lipscomb, Douglas J. Myers, Ashley L. Schoenfisch, Lisa A. Pompeii, John M. DementAbstract:Objectives We evaluated costs for workers9 compensation (WC) injuries of a musculoskeletal (MS) nature in a large tertiary care hospital and an affiliated community hospital in the 13 years surrounding an institution-wide shift to a ‘minimal manual Patient-Lifting environment’ supported with inPatient mechanical lift equipment. Methods Negative binomial regression was used to model adjusted and discounted payment rates based on full-time equivalents (FTEs), and payment ratios. The risk of higher cost was assessed based on type of injury (Patient-handling vs non-Patient-handling), hospital, job, age, gender, institutional tenure and time since the implementation of lift equipment. Lagging was used to evaluate the latency of the intervention effect. Results Patient-handling injuries (n=1543) were responsible for 72% of MS injuries and 53% of compensation costs among Patient care staff. Mean costs per claim were 5 times higher for those over age 45 than those Conclusions The observed patterns of changes in cost likely reflect the effects of activities other than use of lift equipment, including targeted efforts to close WC claims and an almost simultaneous policy that shifted cost responsibility to the budgets of managers on individual units. Inference was facilitated through the use of longitudinal data on the workgroups and an internal injury comparison.