Link Between Safe Patient Handling and Patient Outcomes in Long-Term Care
This study examined the relationship between safe patient handling and quality of care measures. A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111...
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| Veröffentlicht in: | Rehabilitation nursing 2008-01, Vol.33 (1), p.33-43 |
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| creator | Nelson, Audrey Collins, James Siddharthan, Kris Matz, Mary Waters, Tom |
| description | This study examined the relationship between safe patient handling and quality of care measures. A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111 residents living on 24 units in six Veterans Administration nursing homes using a general linear regression model with repeated measures clustered within time and adjusted for age. After implementation, we found lower levels of depression, improved urinary continence, higher engagement in activities, lower fall risk, and higher levels of alertness during the day. Additionally, four areas showed a decline in function: pain, combativeness, locomotion, and cognition. Findings from this study may be useful in enhancing organizational support for safe patient‐handling programs and could be used to build a business case for improving caregiver safety. |
| doi_str_mv | 10.1002/j.2048-7940.2008.tb00190.x |
| format | Article |
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A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111 residents living on 24 units in six Veterans Administration nursing homes using a general linear regression model with repeated measures clustered within time and adjusted for age. After implementation, we found lower levels of depression, improved urinary continence, higher engagement in activities, lower fall risk, and higher levels of alertness during the day. Additionally, four areas showed a decline in function: pain, combativeness, locomotion, and cognition. 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A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111 residents living on 24 units in six Veterans Administration nursing homes using a general linear regression model with repeated measures clustered within time and adjusted for age. After implementation, we found lower levels of depression, improved urinary continence, higher engagement in activities, lower fall risk, and higher levels of alertness during the day. Additionally, four areas showed a decline in function: pain, combativeness, locomotion, and cognition. 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Collins, James ; Siddharthan, Kris ; Matz, Mary ; Waters, Tom</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4690-b5b867de0ddda5eb06618797e393e8909fc8ee9cbbad9820384f0c22e4d1c7853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Accidental Falls - statistics & numerical data</topic><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Cognition Disorders - epidemiology</topic><topic>Cognition Disorders - prevention & control</topic><topic>Depression - epidemiology</topic><topic>Depression - prevention & control</topic><topic>ergonomics</topic><topic>Ergonomics - methods</topic><topic>Evidence-Based Medicine</topic><topic>Female</topic><topic>Humans</topic><topic>Lifting - adverse effects</topic><topic>Linear Models</topic><topic>Long-Term Care - organization & administration</topic><topic>Male</topic><topic>Nursing</topic><topic>Nursing Evaluation Research</topic><topic>Nursing Homes - organization & administration</topic><topic>Outcome Assessment (Health Care) - organization & administration</topic><topic>Pain - epidemiology</topic><topic>Pain - prevention & control</topic><topic>Program Evaluation</topic><topic>quality of care measures</topic><topic>Quality of Health Care - organization & administration</topic><topic>Retrospective Studies</topic><topic>safe patient handling</topic><topic>Safety Management - organization & administration</topic><topic>United States - epidemiology</topic><topic>United States Department of Veterans Affairs</topic><topic>Urinary Incontinence - epidemiology</topic><topic>Urinary Incontinence - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nelson, Audrey</creatorcontrib><creatorcontrib>Collins, James</creatorcontrib><creatorcontrib>Siddharthan, Kris</creatorcontrib><creatorcontrib>Matz, Mary</creatorcontrib><creatorcontrib>Waters, Tom</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Rehabilitation nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nelson, Audrey</au><au>Collins, James</au><au>Siddharthan, Kris</au><au>Matz, Mary</au><au>Waters, Tom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Link Between Safe Patient Handling and Patient Outcomes in Long-Term Care</atitle><jtitle>Rehabilitation nursing</jtitle><addtitle>Rehabil Nurs</addtitle><date>2008-01</date><risdate>2008</risdate><volume>33</volume><issue>1</issue><spage>33</spage><epage>43</epage><pages>33-43</pages><issn>0278-4807</issn><eissn>2048-7940</eissn><abstract>This study examined the relationship between safe patient handling and quality of care measures. A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111 residents living on 24 units in six Veterans Administration nursing homes using a general linear regression model with repeated measures clustered within time and adjusted for age. After implementation, we found lower levels of depression, improved urinary continence, higher engagement in activities, lower fall risk, and higher levels of alertness during the day. Additionally, four areas showed a decline in function: pain, combativeness, locomotion, and cognition. Findings from this study may be useful in enhancing organizational support for safe patient‐handling programs and could be used to build a business case for improving caregiver safety.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18236890</pmid><doi>10.1002/j.2048-7940.2008.tb00190.x</doi><tpages>11</tpages></addata></record> |
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| ispartof | Rehabilitation nursing, 2008-01, Vol.33 (1), p.33-43 |
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| source | MEDLINE; Wiley Online Library Journals |
| subjects | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Activities of Daily Living Aged Cognition Disorders - epidemiology Cognition Disorders - prevention & control Depression - epidemiology Depression - prevention & control ergonomics Ergonomics - methods Evidence-Based Medicine Female Humans Lifting - adverse effects Linear Models Long-Term Care - organization & administration Male Nursing Nursing Evaluation Research Nursing Homes - organization & administration Outcome Assessment (Health Care) - organization & administration Pain - epidemiology Pain - prevention & control Program Evaluation quality of care measures Quality of Health Care - organization & administration Retrospective Studies safe patient handling Safety Management - organization & administration United States - epidemiology United States Department of Veterans Affairs Urinary Incontinence - epidemiology Urinary Incontinence - prevention & control |
| title | Link Between Safe Patient Handling and Patient Outcomes in Long-Term Care |
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