Use of Resident Handling Equipment by Nursing Aides in Long-Term Care: Associations with Work Organization and Individual Level Characteristics.

Alicia Kurowski, Rebecca Gore, Nadine Mpolla, Laura Punnett
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Abstract

Low back pain is prevalent among nursing home personnel. Safe resident handling programs (SRHP) reduce injuries and costs. Previously, we reported variability in effectiveness and sought to identify reasons for differences among workers in resident handling equipment (RHE) use. In 8 nursing homes, nursing aides' (NAs) frequency of RHE use and reasons for inconsistent use were assessed by questionnaire up to 4 times after SRHP implementation. Ordered multinomial models examined correlates of RHE-usage frequency. At least two-thirds of NAs reported "often" or "always" lift use. Higher RHE use was related to higher SRHP commitment, higher prior SRHP expectations, older age, higher health self-efficacy, and lower supervisor support. "Device not available when needed" and "residents dislike" were major reasons consistently cited for not using RHE. While this program has been effective, attention to device availability, education of residents and family members on SRHP importance, and worker empowerment might increase usage further.

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护理助理在长期护理中使用居民搬运设备:与工作组织和个人水平特征的联系。
下背痛在养老院工作人员中很普遍。安全居民处理计划(SRHP)减少了伤害和成本。以前,我们报告了有效性的可变性,并试图确定工人在居民处理设备(RHE)使用方面存在差异的原因。在8家养老院,采用问卷调查的方式对护理人员使用RHE的频率和使用不一致的原因进行了多达4次的评估。有序多项模型检验了rhee使用频率的相关关系。至少三分之二的NAs报告“经常”或“总是”使用电梯。较高的RHE使用与较高的SRHP承诺、较高的先前SRHP期望、年龄、较高的健康自我效能感和较低的主管支持相关。“设备在需要时无法使用”和“居民不喜欢”是不使用RHE的主要原因。虽然该计划已经有效,但对设备可用性的关注,对居民和家庭成员的SRHP重要性的教育,以及工人授权可能会进一步增加使用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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