Evidence-based practices for safe patient handling and movement

Springer Science and Business Media LLC - Tập 4 Số 1 - Trang 55-69 - 2006
Nelson, Audrey1, Baptiste, Andrea S.1
1James A. Haley Veterans Hospital, Tampa

Tóm tắt

Efforts to reduce injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The purpose of this article is to summarize current evidence for interventions designed to reduce caregiver injuries, a significant problem for decades. Despite strong evidence, published over three decades, the most commonly used strategies have demonstrated that they are ineffective. There is a growing body of evidence to support newer interventions that are effective or show promise in reducing musculoskeletal pain and injuries in care providers. The authors have organized potential solutions into three established ergonomic solution types: engineering-based, administrative, and behavioral. For each intervention, the level of evidence to support its use is provided.

Tài liệu tham khảo

citation_title=Comprehensive back injury program: An ergonomics approach for controlling back injuries in healthcare facilities; citation_inbook_title=Trends in ergonomics/human factors V.; citation_publication_date=1988; citation_id=CR1; citation_author=J.W. Aird; citation_author=P. Nyran; citation_author=G. Roberts; citation_publisher=Elselvier (North Holland Division) citation_journal_title=Professional Safety; citation_title=The effectiveness of back belts on occupational back injuries and worker perception; citation_author=A. Alexander, S.M. Woolley, M. Bisesi; citation_volume=10; citation_publication_date=1995; citation_pages=22-26; citation_id=CR2 American Nurses Association (ANA). (2003). Position Statement on Elimination of Manual Patient Handling to Prevent Work-Related Musculoskeletal Disorders. Retrieved July 20, 2004, from the world wide web at: www.nursingworld.org/readroom/position/workplac/pathand.pdf citation_title=Back pain and occupation; citation_inbook_title=The lumbar spine and back pain; citation_publication_date=1980; citation_id=CR4; citation_author=J. Anderson; citation_publisher=Pitman Medical Ltd. Ballard, J. (1994, November/December). District nurses—who's looking after them? Occupational Health Review, pp. 10–16. citation_title=Patient lifting devices in hospitals; citation_publication_date=1984; citation_id=CR6; citation_author=F. Bell; citation_publisher=Croom Helm citation_journal_title=International Journal of Nursing Studies; citation_title=Ergonomic aspects of equipment; citation_author=F. Bell; citation_volume=24; citation_publication_date=1987; citation_pages=331-337; citation_id=CR7 citation_journal_title=Ergonomics; citation_title=Hospital ward patient-lifting tasks; citation_author=F. Bell, M. Dalgity, M. Fennell, R. Aitken; citation_volume=22; citation_issue=11; citation_publication_date=1979; citation_pages=1257-1273; citation_id=CR8 citation_journal_title=International Journal of Occupational Safety and Ergonomics; citation_title=Manual handling injuries in health care workers; citation_author=N. Bewick, D. Gardner; citation_volume=6; citation_publication_date=2000; citation_pages=209-221; citation_id=CR9 citation_journal_title=British Journal of Nursing; citation_title=Moving and handing practice in neurodisability nursing; citation_author=S.L. Billin; citation_volume=7; citation_issue=10; citation_publication_date=1998; citation_pages=571-8; citation_id=CR10 citation_journal_title=Orthopaedic Nursing; citation_title=Preventing back injury among nurses; citation_author=C.L. Blue; citation_volume=15; citation_publication_date=1996; citation_pages=9-22; citation_id=CR11 citation_journal_title=Applied Ergonomics; citation_title=Physiological effects of back belt wearing during asymmetric lifting; citation_author=T.G. Bobick, J.L. Beland, H. Hsiao, J.T. Wassell; citation_volume=32; citation_issue=6; citation_publication_date=2001; citation_pages=541-547; citation_id=CR12 citation_journal_title=Archive of Physical Medicine Rehabilitation; citation_title=Horizontal transfers between adjacent surfaces: forces required using different methods; citation_author=R. Bohannon; citation_volume=80; citation_publication_date=1999; citation_pages=851-853; citation_id=CR13 citation_journal_title=Journal of Rehabilitation Research and Development; citation_title=Reduced push forces accompany device use during transfers of seated subjects; citation_author=R. Bohannon, P. Grevelding; citation_volume=38; citation_publication_date=2001; citation_pages=135-139; citation_id=CR14 citation_title=Manual lifting and related fields. An annotated bibliography; citation_publication_date=1972; citation_id=CR15; citation_author=J. Brown; citation_publisher=Labor Safety Council of Ontario citation_journal_title=International Journal of Nursing Studies; citation_title=Epidemiological aspects of back within the nursing profession; citation_author=P. Buckle; citation_volume=24; citation_issue=4; citation_publication_date=1987; citation_pages=319-324; citation_id=CR16 Bureau of Labor Statistics (BLS). (2002, December 19). Survey of occupational inquiries and illnesses, 2001. U.S. Department of Labor. Caska, B.A., & Patnode, R.E. (2000, September 26). Reducing lower back injuries in VAMC nursing personnel. Research Report No. 94-136 to the Veterans Health Administration. citation_journal_title=AAOHN Journal; citation_title=Feasibility of nurse staffed lift team; citation_author=B.A. Caska, R.E. Patnode, D. Clickner; citation_volume=46; citation_issue=6; citation_publication_date=1998; citation_pages=283-288; citation_id=CR19 Centers for Disease Control and Prevention (CDC): National Institute for Occupational Safety and Health (NIOSH) (1997). Elements of ergonomic programs. Retrieved July 8, 2004, from the world wide web at: www.ede.gov/niosh/third. citation_journal_title=AAOHN Journal; citation_title=The lifting team: Second year data reported (News); citation_author=W. Charney; citation_volume=40; citation_issue=10; citation_publication_date=1992; citation_pages=503-503; citation_id=CR21 citation_journal_title=AAOHN Journal; citation_title=The lifting team method for reducing back injuries: A 10 hospital study; citation_author=W. Charney; citation_volume=45; citation_issue=6; citation_publication_date=1997; citation_pages=300-304; citation_id=CR22 citation_journal_title=Journal of Healthcare Safety, Complicance, and Infection Control; citation_title=Reducing back injury in nursing: A case study using mechanical equipment and a hospital transport team as a lift team; citation_author=W. Charney; citation_volume=4; citation_issue=3; citation_publication_date=2000; citation_pages=117-120; citation_id=CR23 citation_journal_title=AAOHN Journal; citation_title=The lifting team: A design method to reduce lost time back injury in nursing; citation_author=W. Charney, K. Zimmerman, E. Walara; citation_volume=39; citation_issue=5; citation_publication_date=1991; citation_pages=231-234; citation_id=CR24 citation_journal_title=Injury Prevention; citation_title=An evaluation of “Best Practices” musculoskeletal injury prevention program in nursing homes; citation_author=J.W. Collins, L. Wolf, J. Bell, B. Evanoff; citation_volume=10; citation_publication_date=2004; citation_pages=206-211; citation_id=CR25 citation_title=Occupational back pain in nursing. Development, implementation and evaluation of a comprehensive prevention program; citation_publication_date=1990; citation_id=CR26; citation_author=M. Collins; citation_publisher=Worksafe Australia, National Occupational Health and Safety Commission citation_title=The guide to handling patients; citation_publication_date=1993; citation_id=CR27; citation_author=E.N. Corlett; citation_author=P.V. Lloyd; citation_author=C. Tarling; citation_author=J.D.G. Troup; citation_author=B. Wright; citation_publisher=National Back Pain Association and the Royal College of Nursing citation_journal_title=The New England Journal of Medicine; citation_title=A controlled trial of an educational program to prevent low back injuries; citation_author=L. Daltroy; citation_volume=337; citation_publication_date=1997; citation_pages=322-328; citation_id=CR28 citation_journal_title=Journal of Healthcare Safety, Compliance and Infection Control; citation_title=Birth of a lift team: Experience and statistical analysis; citation_author=A. Davis; citation_volume=5; citation_issue=1; citation_publication_date=2001; citation_pages=15-18; citation_id=CR29 citation_journal_title=Nursing Times; citation_title=Lifting and moving patient's revision training programme; citation_author=J. Daws; citation_volume=77; citation_issue=48; citation_publication_date=1981; citation_pages=2067-2069; citation_id=CR30 citation_journal_title=Applied Ergonomics; citation_title=Biomechanical analysis of peak and cumulative spinal loads during patient handling activities: a sub-study of a randomized controlled trial to prevent lift and transfer injury health care workers; citation_author=D. Daynard, A. Yassi, J.E. Cooper, R. Tate, R. Norman, R. Wells; citation_volume=32; citation_publication_date=2001; citation_pages=199-214; citation_id=CR31 citation_journal_title=Scandinavian Journal of Rehabilitation Medicine; citation_title=Back symptoms in nursing assistants in a geriatric hospital; citation_author=O. Dehlin, B. Hedenrud, J. Horal; citation_volume=8; citation_issue=2; citation_publication_date=1976; citation_pages=47-53; citation_id=CR32 citation_journal_title=Scandinavian Journal of Work. Environment & Health; citation_title=Effect of individually chosen bed-height adjustments on the low-back stress of nurses; citation_author=M.P. Looze, E. Zinzen, D. Caboor; citation_volume=20; citation_publication_date=1994; citation_pages=427-434; citation_id=CR33 citation_journal_title=Journal of Healthcare Safety, Compliance and Infection Control; citation_title=Lift team intervention: A six year picture; citation_author=A.W. Donaldson; citation_volume=4; citation_issue=2; citation_publication_date=2000; citation_pages=65-68; citation_id=CR34 citation_journal_title=Ergonomics; citation_title=Physical workload of ambulance assistants; citation_author=M. Doormaal, A. Driessen, J. Landeweerd, M.R. Drost; citation_volume=38; citation_issue=2; citation_publication_date=1995; citation_pages=361-376; citation_id=CR35 citation_journal_title=Safety Science; citation_title=Back injuries among nursing personnel—identification of work conditions with cluster analysis; citation_author=I-L. Engkvist, A. Kjellberg, H.E. Wigaeus, M. Hagberg, E. Menckel, L. Ekenvall; citation_volume=37; citation_publication_date=2001; citation_pages=1-18; citation_id=CR36 citation_journal_title=American Journal of Industrial Medicine; citation_title=Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace; citation_author=B. Evanoff, L. Wolf, E. Aton, J. Canos, J. Collins; citation_volume=44; citation_publication_date=2003; citation_pages=451-457; citation_id=CR37 citation_journal_title=Revue Du Rhumatisme (Eng. Ed.); citation_title=Evaluation of an educational low back pain prevention program for hospital employees; citation_author=S. Fanello, V. Frampas-Chotard, Y. Roquelaure; citation_volume=66; citation_issue=12; citation_publication_date=1999; citation_pages=711-716; citation_id=CR38 citation_journal_title=Journal of Occupational Medicine; citation_title=The back injury prevention project pilot study: Assessing the effectiveness of back attack, an injury prevention program among nurses, aides, and orderlies; citation_author=A. Feldstein, B. Valanis, W. Vollmer, N. Stevens, C. Overton; citation_volume=35; citation_publication_date=1993; citation_pages=114-120; citation_id=CR39 citation_journal_title=AAOHN Journal; citation_title=Addressing occupational strains and sprains: musculoskeletal injuries in hospitals; citation_author=G. Fragala, L.P. Bailey; citation_volume=51; citation_issue=6; citation_publication_date=2003; citation_pages=252-259; citation_id=CR40 citation_journal_title=Journal of Occupational Health & Safety—Australia & New Zealand; citation_title=Injuries to ambulance officers caused by patient handling tasks; citation_author=S. Furber, H. Moore, M. Williamson, J. Barry; citation_volume=13; citation_issue=3; citation_publication_date=1997; citation_pages=259-265; citation_id=CR41 citation_journal_title=Ergonomics; citation_title=Mechanical work and energy transfers while turning patients in bed; citation_author=M. Gagnon, F. Akre, A. Chehade, F. Kemp, M. Lortie; citation_volume=30; citation_publication_date=1987; citation_pages=1515-1530; citation_id=CR42 citation_journal_title=Ergonomics; citation_title=Lumbo-sacral loads and selected muscle activity while turning patients in bed; citation_author=M. Gagnon, A. Chehade, F. Kemp, M. Lortie; citation_volume=30; citation_publication_date=1987; citation_pages=1013-1032; citation_id=CR43 citation_journal_title=La Travail Humain; citation_title=Evolution of the execution parameters on a patient handling task; citation_author=M. Gagnon, D. Roy, M. Lortie, R. Roy; citation_volume=51; citation_publication_date=1988; citation_pages=193-210; citation_id=CR44 citation_journal_title=AORN Journal; citation_title=Reducing employee back injuries in the perioperative setting; citation_author=J.R. Garb, C.A. Dockery; citation_volume=61; citation_issue=6; citation_publication_date=1995; citation_pages=1046-1052; citation_id=CR45 citation_journal_title=Ergonomics; citation_title=Reducing back stress to nursing personnel: An ergonomic intervention in a nursing home; citation_author=A. Garg, B. Owen; citation_volume=35; citation_issue=11; citation_publication_date=1992; citation_pages=1353-1375; citation_id=CR46 citation_journal_title=Ergonomics; citation_title=A biomechanical and ergonomic evaluation of patient transferring tasks: Bed to wheelchair and wheelchair to bed; citation_author=A. Garg, B. Owen, D. Beller, J. Banaag; citation_volume=34; citation_publication_date=1991; citation_pages=289-312; citation_id=CR47 citation_journal_title=Ergonomics; citation_title=A biomechanical and ergonomic evaluation of patient transferring tasks: wheelchair to shower chair and shower chair to wheelchair; citation_author=A. Garg, B. Owen, D. Beller, J. Banaag; citation_volume=34; citation_publication_date=1991; citation_pages=407-419; citation_id=CR48 citation_journal_title=Transactions of the Orthopedic Research Society; citation_title=Investigation of the effect of intra-abdominal pressure on the load bearing of the spine; citation_author=L.G. Gilbertons, M.H. Krag, M.H. Pope; citation_volume=8; citation_publication_date=1983; citation_pages=177-177; citation_id=CR49 citation_journal_title=Spine; citation_title=The mechanism of the lumbar spine; citation_author=S. Gracovetsky, H.F. Farfan, C. Lamy; citation_volume=6; citation_publication_date=1981; citation_pages=249-262; citation_id=CR50 citation_journal_title=British Journal of Nursing; citation_title=Study of the moving and handling practices on two medical wards; citation_author=C. Green; citation_volume=5; citation_publication_date=1996; citation_pages=303-311; citation_id=CR51 citation_journal_title=American Journal of Industrial Medicine; citation_title=Personal history, training and worksite as predictors of back pain of nurses; citation_author=P. Harper, L. Pena, P. Hsu, E. Billet, D. Greer, K. Kim; citation_volume=25; citation_publication_date=1994; citation_pages=519-526; citation_id=CR52 citation_journal_title=Physiotherapy; citation_title=Ergonomics and back pain; citation_author=C. Hayne; citation_volume=70; citation_issue=1; citation_publication_date=1984; citation_pages=9-13; citation_id=CR53 citation_title=Transfer and lifts for caregivers; citation_publication_date=1986; citation_id=CR54; citation_publisher=HCOSHA Publications citation_journal_title=Scandinavian Journal of Rehabilitation Medicine; citation_title=Intra-abdominal pressure and trunk muscle activity during lifting; citation_author=B. Hemborg, U. Moritz; citation_volume=17; citation_publication_date=1985; citation_pages=5-13; citation_id=CR55 citation_journal_title=Journal of Advanced Nursing; citation_title=Work-related back pain in nurses; citation_author=S. Hignett; citation_volume=23; citation_issue=6; citation_publication_date=1996; citation_pages=1238-1246; citation_id=CR56 citation_journal_title=Nursing Standard; citation_title=Evidence-based patient handling: systematic review; citation_author=S. Hignett, E. Crumpton, S. Ruszala, P. Alexander, M. Fray, B. Fletcher; citation_volume=17; citation_issue=33; citation_publication_date=2003; citation_pages=33-36; citation_id=CR57 citation_journal_title=AAOHN Journal; citation_title=The impact of new lifting technology in long-term care; citation_author=P.J. Holliday, G.R. Fernie, S. Plowman; citation_volume=42; citation_publication_date=1994; citation_pages=582-589; citation_id=CR58 citation_journal_title=Nursing Standard; citation_title=Back pain in nursing and associated factors: A study; citation_author=R. Hollingdale, J. Warin; citation_volume=11; citation_issue=39; citation_publication_date=1997; citation_pages=35-38; citation_id=CR59 citation_journal_title=Applied Ergonomics; citation_title=Evaluation of physiological work demands and low back neuromuscular fatigue on nurses working in geriatric wards; citation_author=L. Hui, G.Y.F. Ng, S.S.M. Yeung, C.W.Y. Hui-Chan; citation_volume=32; citation_publication_date=2001; citation_pages=479-483; citation_id=CR60 citation_journal_title=Ergonomics; citation_title=Prevalence of back pain and characteristics of the physical workload of community nurses; citation_author=J.J. Knibbe, R.D. Friele; citation_volume=39; citation_publication_date=1996; citation_pages=186-198; citation_id=CR61 citation_title=Postural load of nurses during bathing and showering of patients; citation_publication_date=1995; citation_id=CR62; citation_author=N. Knibbe; citation_author=J.J. Knibbe; citation_publisher=Locomotion Health Consultancy citation_journal_title=The American Journal of Occupational Therapy; citation_title=Healthcare concerns related to lifting: An inside look at intervention strategies; citation_author=K. Laflin, D. Aja; citation_volume=1; citation_publication_date=1994; citation_pages=63-72; citation_id=CR63 citation_journal_title=AAOHN Journal; citation_title=Evaluation of a 3-year education and training program for nursing personnel at a Swedish hospital; citation_author=M. Lagerstrom, M. Hagberg; citation_volume=45; citation_publication_date=1997; citation_pages=83-92; citation_id=CR64 citation_journal_title=Applied Ergonomics; citation_title=An ergonomic evaluation of a patient handling device: The elevate and transfer vehicle; citation_author=C. Bon, C. Forrester; citation_volume=28; citation_publication_date=1997; citation_pages=365-374; citation_id=CR65 citation_journal_title=Ergonomics; citation_title=The effect of abdominal muscle fatigue and training on the intra-abdominal pressure developed during lifting; citation_author=S.J. Legg; citation_volume=24; citation_publication_date=1981; citation_pages=191-195; citation_id=CR66 Lloyd, J., & Baptiste, A. (2004). Biomechanical evaluation of friction-reducing devices for lateral patient transfers. Research Rehabilitation & Development Journal. citation_journal_title=AIHAJ: Journal for the Science of Occupational & Environmental Health & Safety; citation_title=Short-term efficacy of back injury intervention project for patient care providers at one hospital; citation_author=R.M. Lynch, A. Freund; citation_volume=61; citation_publication_date=2000; citation_pages=290-294; citation_id=CR68 Manual Handling Operations Regulations, (1992). London: The Stationery Office. citation_journal_title=Ergonomics; citation_title=A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques; citation_author=W.S. Marras, K.G. Davis, B.C. Kirking, P.K. Bertsche; citation_volume=42; citation_issue=7; citation_publication_date=1999; citation_pages=904-926; citation_id=CR70 citation_journal_title=Spine; citation_title=Measurements of loads on the lumbar spine under isometric and isokinetic conditions; citation_author=W.S. Marras, A.I. King, R.L. Joynt; citation_volume=9; citation_issue=2; citation_publication_date=1984; citation_pages=176-187; citation_id=CR71 citation_journal_title=Spine; citation_title=The role of the dynamic three-dimensional trunk motion in occupationally-related low back disorders; citation_author=W.S. Marras, S.A. Lavender, S.E. Leurgans; citation_volume=18; citation_issue=5; citation_publication_date=1993; citation_pages=617-628; citation_id=CR72 citation_journal_title=Proceedings of the IEA 2000/HFES 2000 Congress, The Human Factors and Ergonomics Society, California: Santa Monica; citation_title=The contribution of ergonomics to the prevention of musculoskeletal lesions among ambulance technicians; citation_author=R. Massad, C. Gambin, L. Duval; citation_volume=4; citation_publication_date=2000; citation_pages=201-204; citation_id=CR73 citation_journal_title=Spine; citation_title=Partitioning of the L4/L5 dynamic moment into disc, ligamentous and muscular components during lifting; citation_author=S.M. McGill, R.W. Norman; citation_volume=11; citation_issue=7; citation_publication_date=1986; citation_pages=666-678; citation_id=CR74 citation_journal_title=Nursing Standard; citation_title=An assessment of moving and handling practices among Scottish nurses; citation_author=T. McGuire, J. Dewar; citation_volume=9; citation_publication_date=1995; citation_pages=35-39; citation_id=CR75 citation_journal_title=Nursing Standard; citation_title=An evaluation of mechanical aids used within NHS; citation_author=T. McGuire, J. Moody, M. Hanson; citation_volume=11; citation_publication_date=1996; citation_pages=33-38; citation_id=CR76 citation_journal_title=Nursing Standard; citation_title=Managers attitudes towards mechanical aids; citation_author=T. McGuire, J. Moody, M. Hanson; citation_volume=11; citation_publication_date=1997; citation_pages=33-38; citation_id=CR77 citation_title=Slings to accompany mobile domestic hoists; citation_publication_date=1994; citation_id=CR78; citation_publisher=HMSO citation_journal_title=Journal of Healthcare Safety, Compliance and Infection Control; citation_title=The effect of focusing ergonomic risk factors on a patient transfer team to reduce incidents among nurses associated with patient care; citation_author=E.J. Meittunen, K. Matzke, H. McCormack, S.C. Sobczak; citation_volume=2; citation_issue=7; citation_publication_date=1999; citation_pages=306-312; citation_id=CR79 citation_journal_title=Pflege Aktuell; citation_title=Patient lifter in a practical test. A spine-saving aid or bulk in the storage room?; citation_author=E. Meyer; citation_volume=49; citation_publication_date=1995; citation_pages=597-600; citation_id=CR80 citation_journal_title=Nursing Standard; citation_title=A study of nurses' attitudes towards mechanical aids; citation_author=J. Moody, T. McGuire, M. Hanson; citation_volume=11; citation_publication_date=1996; citation_pages=37-42; citation_id=CR81 citation_title=The registered nurse population: Findings from the national sample survey of registered nurses; citation_publication_date=1992; citation_id=CR82; citation_publisher=U.S. Department of Health and Human Services, U.S. Public Health Service, Division of Nursing Musculoskeletal injury: A practical guide to resident handling (2003). Retrieved September 2, 2004 from the world wide web at www.interiorhealth.ca/Information/Documents/Documents?MSIP+Manual.htm. National Audit Office (NAO) (2003). A safer place to work: Improving the management of health and safety risks to staff in NHS trusts. Retrieved July 20, 2004, from www.nao.gov/uk/publications/nao_reports/02-03/0203623.pdf. National Institute of Occupational Safety & Health (NIOSH). (2001). National research agenda (NORA), 2001. Atlanta, GA: DHHS (NIOSH) Publication No. 2001-147. citation_title=Workplace use of back belts: Review and recommendations; citation_publication_date=1994; citation_id=CR86; citation_publisher=National Institute for Occupational Safety and Health citation_title=Unpublished research data from pilot study; citation_publication_date=1996; citation_id=CR87; citation_author=A. Nelson; citation_publisher=James A. Haley Veterans Administration Medical Center citation_title=Patient care ergonomics resource guide: Safe patient handling and movement; citation_publication_date=2001; citation_id=CR88; citation_publisher=Veterans Administration Patient Safety Center of Inquiry citation_title=Equipment for safe patient handling and movement; citation_inbook_title=Back injury among healthcare workers; citation_publication_date=2004; citation_pages=121-135; citation_id=CR89; citation_author=A.L. Nelson; citation_author=G. Fragala; citation_publisher=Lewis Publishers citation_journal_title=American Journal of Nursing; citation_title=Myths and facts about back injuries in Nursing; citation_author=A.L. Nelson, G. Fragala, N. Menzel; citation_volume=103; citation_publication_date=2003; citation_pages=32-40; citation_id=CR90 citation_journal_title=AAOHN Journal; citation_title=Preventing nursing back injuries: Redesigning patient handling tasks; citation_author=A.L. Nelson, J. Lloyd, N. Menzel, C. Gross; citation_volume=51; citation_issue=3; citation_publication_date=2003; citation_pages=126-134; citation_id=CR91 citation_journal_title=American Journal of Nursing; citation_title=Safe Patient Handling & Movement; citation_author=A.L. Nelson, B. Owen, J. Lloyd; citation_volume=103; citation_issue=3; citation_publication_date=2003; citation_pages=32-43; citation_id=CR92 citation_journal_title=Occupational Health (London); citation_title=Work-related back pain; citation_author=S. Newman, C. Callaghan; citation_volume=45; citation_publication_date=1993; citation_pages=201-205; citation_id=CR93 citation_title=An ergonomic evaluation into fabric slings used during the hoisting of patients; citation_publication_date=2000; citation_id=CR94; citation_author=L. Norton; citation_publisher=University of Nottingham citation_journal_title=International Journal of Industrial Ergonomics; citation_title=Effects of training in modifying working methods during common patienthandling activities; citation_author=M.A. Nussbaum, N. Torres; citation_volume=27; citation_publication_date=2001; citation_pages=33-41; citation_id=CR95 citation_title=An investigation of the use of ceiling mounted hoists for disabled people; citation_publication_date=1992; citation_id=CR96; citation_author=G. Olsson; citation_author=A. Brandt; citation_publisher=Danish Centre for Technical Aids for Rehabilitation and Education Owen, B. (1987). The need for application of ergonomic principles in nursing. Trends in Ergonomics: Human Factors IV, pp. 831–838. citation_journal_title=Western Journal of Nursing Research; citation_title=The magnitude of low-back problems in nursing; citation_author=B. Owen; citation_volume=11; citation_publication_date=1989; citation_pages=234-242; citation_id=CR98 citation_journal_title=AORN Journal; citation_title=Preventing injuries using an ergonomic approach; citation_author=B. Owen; citation_volume=72; citation_issue=6; citation_publication_date=2000; citation_pages=1031-1036; citation_id=CR99 citation_journal_title=AAOHN Journal; citation_title=Reducing risk for back pain in nursing personnel; citation_author=B. Owen, A. Garg; citation_volume=39; citation_publication_date=1991; citation_pages=24-33; citation_id=CR100 citation_journal_title=Surgical Services Management; citation_title=Decreasing the back injury problem in nursing personnel; citation_author=B.D. Owen; citation_volume=5; citation_issue=7; citation_publication_date=1999; citation_pages=15-21; citation_id=CR101 citation_journal_title=Journal of Healthcare Safety, Compliance, and Infection Control; citation_title=Patient handling tasks perceived to be most stressful by hospital nursing personnel; citation_author=B.D. Owen, K. Keene, S. Olson; citation_volume=5; citation_issue=1; citation_publication_date=2000; citation_pages=19-25; citation_id=CR102 citation_journal_title=International Journal of Nursing Studies; citation_title=An ergonomic approach to reducing back/shoulder stress in hospital nursing personnel: A five year follow up; citation_author=B.D. Owen, K. Keene, S. Olson; citation_volume=39; citation_issue=3; citation_publication_date=2002; citation_pages=295-302; citation_id=CR103 citation_title=An ergonomic approach to reducing back stress while carrying out patient handling tasks with a hospitalized patient; citation_inbook_title=Occupational Health for Health Care Workers; citation_publication_date=1995; citation_id=CR104; citation_author=B.D. Owen; citation_author=K. Keene; citation_author=S. Olson; citation_author=A. Garg; citation_publisher=ECOMED citation_journal_title=Home Healthcare Nursing Manual; citation_title=Approaches to decreasing back stress in homecare; citation_author=B.D. Owen, K. Staehler; citation_volume=21; citation_issue=3; citation_publication_date=2003; citation_pages=180-186; citation_id=CR105 Paraprofessional Health Institute (2003). Workforce strategies: Introducing peer mentoring in long-term care settings. Retrieved September 2, 2004 from the world wide web at www.paraprofessional.org/publications/Workforce Strategies2.pdf. citation_title=Occupational low back pain: Assessment, treatment and prevention; citation_publication_date=1991; citation_id=CR107; citation_author=M.H. Pope; citation_author=G.B. Andersson; citation_author=J.W. Frymoyer; citation_author=D.B. Chaffin; citation_publisher=Mosby-Year Book citation_journal_title=Journal of Advanced Nursing; citation_title=Manual handling activities and injuries among nurses: An Australian hospital study; citation_author=A. Retsas, J. Pinikahana; citation_volume=31; citation_publication_date=2000; citation_pages=875-883; citation_id=CR108 citation_journal_title=AAOHN Journal; citation_title=Effectiveness of installing overhead ceiling lifts; citation_author=L.A. Ronald, A. Yassi, J. Spiegel, R.B. Tate, D. Tait, M.R. Mozel; citation_volume=50; citation_publication_date=2002; citation_pages=120-126; citation_id=CR109 citation_title=RCN Code of Practice for Patient Handling; citation_publication_date=1996; citation_id=CR110; citation_publisher=Royal College of Nursing Schibye, B., & Skotte, J. (2000) The mechanical loads on the low back during different patient handling tasks. Proceedings of the IEA2000/HFES 2000 Congress, The Human Factors and Ergonomics Society, pp. 785–788. Santa Monica, CA. citation_journal_title=The Journal of Continuing Education in Nursing; citation_title=Comparison of classroom instruction and independent study in body mechanics; citation_author=M. Scopa; citation_volume=24; citation_issue=4; citation_publication_date=1993; citation_pages=170-3; citation_id=CR112 citation_journal_title=Dimensions of Health Service; citation_title=Creating back care awareness; citation_author=R Shaw; citation_volume=58; citation_issue=3; citation_publication_date=1981; citation_pages=32-33; citation_id=CR113 Shepherd, C. (2001), Summer), Dimensions of care: Ergonomics for the hospital setting. Occupational Health Tracker, 4(2). Retreived July 8, 2004, from the world wide web at: www.systoc.com/Tracker/Summer01/ErgonHosp.asp. citation_journal_title=Nursing; citation_title=Patient handling in the community; citation_author=C. Skarplik; citation_volume=3; citation_issue=30; citation_publication_date=1988; citation_pages=13-16; citation_id=CR115 citation_journal_title=Occupational and Environmental Medicine; citation_title=Manual handling activities and risk of low back pain in nurses; citation_author=J. Smedley, P. Egger, C. Cooper, D. Coggon; citation_volume=52; citation_publication_date=1995; citation_pages=160-165; citation_doi=10.1136/oem.52.3.160; citation_id=CR116 citation_journal_title=Journal of Occupational Medicine; citation_title=A study of three preventative approaches to low back injury; citation_author=S. Snook, R. Campanelli, J. Hart; citation_volume=20; citation_issue=7; citation_publication_date=1978; citation_pages=478-481; citation_id=CR117 citation_journal_title=Ergonomics; citation_title=Training in handling an evaluative study; citation_author=M. St. Vincent, C. Tellier, M. Lortie; citation_volume=32; citation_issue=2; citation_publication_date=1989; citation_pages=191-210; citation_id=CR118 citation_journal_title=Ergonomics; citation_title=Back pain in the nursing profession II. The effectiveness of training; citation_author=D. Stubbs, P. Buckle, M. Hudson, P. Rivers; citation_volume=26; citation_issue=8; citation_publication_date=1983; citation_pages=767-779; citation_id=CR119 citation_title=The lifting behavior of nurses—in their own words; citation_inbook_title=Proceedings 7th Cont. NZ Ergonomics Soc. 2–3 August 1996; citation_publication_date=1993; citation_pages=33-43; citation_id=CR120; citation_author=S. Switzer; citation_author=J.M. Porter; citation_publisher=New Zealand Ergonomics Society citation_journal_title=Ergonomics; citation_title=The handling of patients on geriatric wards; citation_author=E.P. Takala, R. Kukkonen; citation_volume=18; citation_publication_date=1987; citation_pages=17-17; citation_id=CR121 The state of the CDC, fiscal year 2003 (2nd ed.). (n.d.). Retrieved from the world wide web on September 2, 2004 from www.cdc.gov/CDC.pdf citation_journal_title=International Journal of Nursing Studies; citation_title=Ergonomics and training; citation_author=J.D. Troup, H.H. Rauhala; citation_volume=24; citation_issue=4; citation_publication_date=1987; citation_pages=325-330; citation_id=CR123 citation_journal_title=Geriaction; citation_title=Why manual handling should be eliminated for resident and career safety; citation_author=K. Tuohy-Main; citation_volume=15; citation_publication_date=1997; citation_pages=10-14; citation_id=CR124 U.S. Department of Health & Human Services, (1999, 23 November). Federal Register, Part II, Department of Labor, Occupational Safety and Health Administration, 29 CFR Part 1910; Ergonomics Program: Proposal Rule. U.S. Department of Labor, Occupational Safety and Health Administration. (2002). Ergonomics Guidelines for Nursing Homes. Retrieved June 22, 2003 from the world wide web at: www.osha.gov/ergonomics/guidelines/nursing home/final_nh_guidelines.html. citation_journal_title=AAOHN Journal; citation_title=Back injury prevention among nursing personnel; citation_author=P. Venning; citation_volume=36; citation_issue=8; citation_publication_date=1988; citation_pages=327-333; citation_id=CR127 citation_journal_title=Spine; citation_title=Low back pain in nurses and some loading factors of work; citation_author=T. Videman, T. Nurminen, S. Tolas, I. Kuorinka, H. Vanharanta, J. Troup; citation_volume=9; citation_issue=4; citation_publication_date=1984; citation_pages=400-404; citation_id=CR128 Villeneuve, J. (1988, January). The ceiling lift: an efficient way to prevent injuries to nursing staff. Journal of Healthcare Safety, Compliance & Infection Control, pp. 19–23. Virginia Polytechnic Institute and State University, Environmental Health and Safety Services. Workplace ergonomics: Engineering controls. Retrieved July 8, 2004, from www. ehss.vt.edu/Programs/OHIH/Ergo/08_Engineering Controls.htm. citation_title=Registered nurses' lifting behaviour in the hospital setting; citation_inbook_title=Trends in Ergonomics/Human Factors IV; citation_publication_date=1987; citation_id=CR131; citation_author=J.E. Wachs; citation_author=J.E. Parker; citation_publisher=Elsevier Science Publishers, B.V. citation_journal_title=Journal of the American Medical Association; citation_title=A prospective study of back belts for prevention of back pain and injury; citation_author=J.T. Wassell, L.I. Gardner, D.P. Landsittel, J.J. Johnston, J.M. Johnston; citation_volume=284; citation_issue=21; citation_publication_date=2000; citation_pages=2727-2732; citation_id=CR132 citation_journal_title=British Journal of Perioperative Nursing; citation_title=Manual handling in the perioperative environment; citation_author=P. Wicker; citation_volume=10; citation_issue=5; citation_publication_date=2000; citation_pages=255-259; citation_id=CR133 citation_journal_title=Spine; citation_title=Design and evaluation of a back injury prevention program within a geriatric hospital; citation_author=D. Wood; citation_volume=12; citation_publication_date=1987; citation_pages=77-82; citation_id=CR134 citation_journal_title=Spine; citation_title=A randomized controlled trial to prevent patient lift and transfer injuries of healthcare workers; citation_author=A. Yassi, J.E. Cooper, R.B. Tate; citation_volume=26; citation_publication_date=2001; citation_pages=1739-1746; citation_id=CR135 citation_journal_title=The American Journal of Occupational Therapy; citation_title=Minimal forces to move patients; citation_author=J.P. Zelenka, A.E. Floren, J.J. Jordan; citation_volume=50; citation_publication_date=1996; citation_pages=354-361; citation_id=CR136