Analysis of a Transfer Device for Horizontal Transfers and Repositioning on an ICU: Effects on the Quality of Care and the Quality of Work

Abstract

A new patient lifting device has been developed in close cooperation with the University Medical Center Groningen. This specially designed, transfer sheet (TS) for horizontal transfers and repositioning can stay under the patient at all times and is easily connected to a ceiling- or mobile lifter to facilitate quick and comfortable transfer- and repositioning activities which can be relevant in the complex environment of an ICU. Assumptions are that the device significantly improves the quality of care for patients and the quality of work for nurses. In addition to this, pilot studies indicate that the nursing time required for the transfers is significantly reduced. This, in turn, results in a decrease of occupational hazards and an increased efficiency and productivity of nursing work. Further research is necessary and this study intends to fill this need. In this paper the outline of the study is described (prospective, single center case study with a pre-post design in a clinical setting) and the first results. The post-intervention data are currently being collected and will be presented. The results of the biomechanical part of the study are available and indicate that the TS does result in a significant decrease in physical exposure for nurses by 1. reducing the physical load associated with specified transfers and 2. by eliminating the need for some specified transfers altogether. The effects are more positive when the TS is used in combination with a traverse ceiling-lifter system as opposed to either a single track ceiling-lifter system or a floor lifter.