Reality of Safe Patient Handling Policies and Programs in Hospitals Across the United States

Source avec lien : International Journal of SPHM, 9(2), Jun-19.

Les établissements ont continué d’acheter de l’équipement pour le déplacement sécuritaire des bénéficiaires, mais ils ne se conforment pas toujours aux normes. Cette étude américaine combinait des entrevues sur les équipements, tâches et politiques PDSB avec des données sur les blessures, les coûts et les absences obtenues des dossiers des établissements. Selon l’étude : (1) le repositionnement du bénéficiaire était de loin la tâche la plus risquée ; (2) les infirmières souffrent le plus de blessures dans les hôpitaux ; (3) le coût moyen d’une blessure déclarée est d’environ 22 100 $ ; (4) les unités médicales/chirurgicales ont le plus de blessures ; (5) peu d’infirmières (~2%) connaissent réellement les politiques et procédures pour le déplacement sécuritaire des bénéficiaires.

Safe patient handling and mobility (SPHM) equipment has continued to be purchased with inconsistent compliance on the part of healthcare facilities. Face-to-face interviews about SPHM equipment and the perceived difficulties with SPHM tasks and SPHM policies were completed during this study which included 1,328 nurses across 49 hospitals. Additional data about injury rates, incurred costs, and lost and restricted workdays were obtained from company records. There were 5 major findings from the study: (1) Repositioning of the patient was by far the riskiest task performed; (2) nurses suffer the most injuries in hospitals; (3) the average cost of a reported injury is about $22,100 with an average of 22 lost or restricted days and was independent of hospital size; (4) medical/surgical units have the most injuries; and (5) few nurses (~2%) actually had any knowledge of the safe patient handling policy and procedures in their facility. Taken altogether, there appears to be strong levels of inconsistency in the way many hospitals implement their SPHM policies and procedures that are designed to ensure proper usage of the SPHM equipment they purchased. The SPHM program needs to address this issue of compliance to be successful and concentrate efforts on repositioning handling activities. Hospitals should recognize the added risk to nurses and put additional focus on protecting them as well as the other caregivers.

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