Individual and organisational determinants of use of ergonomic devices in healthcare.
Individual and organisational determinants of use of ergonomic devices in healthcare.
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DOI：
10.1136/oem.2010.055939
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发表时间：
2011-09
影响因子：
4.9
通讯作者：
Burdorf A
中科院分区：
文献类型：
--
作者：
Koppelaar E;Knibbe JJ;Miedema HS;Burdorf A
本研究的目的是确定个人和组织的决定因素与使用人体工程学设备在病人处理活动。这项横断面研究在19家疗养院和19家医院进行。通过在工作场所的实时观察来评估人体工程学设备的使用。通过与护士的结构化访谈确定了人体工程学设备使用的个人障碍，并通过主管和管理人员完成的问卷调查确定了组织障碍。使用具有重复测量广义估计方程的多变量逻辑分析来估计人体工程学设备使用的决定因素。247名护士进行了670项需要使用人体工程学设备的患者处理活动。在疗养院和医院中，人体工程学设备被认为有必要使用的次数分别为68%和59%。使用移位装置的决定因素是护士的动机（OR 1.96），过去12个月内背部投诉的存在（OR 1.77）和护理方案中对人体工程学装置使用要求的严格指导（OR 2.49）。 组织因素的便利性和容易获得，管理支持和支持性的管理气氛与这些决定因素。未发现与其他人体工程学器械相关。养老院使用起重设备的比例高于医院。个人和组织因素似乎在医疗保健中成功实施起重设备方面发挥了重要作用。
This study aims to identify individual and organisational determinants associated with the use of ergonomic devices during patient handling activities. This cross-sectional study was carried out in 19 nursing homes and 19 hospitals. The use of ergonomic devices was assessed through real-time observations in the workplace. Individual barriers to ergonomic device use were identified by structured interviews with nurses and organisational barriers were identified using questionnaires completed by supervisors and managers. Multivariate logistic analysis with generalised estimating equations for repeated measurement was used to estimate determinants of ergonomic device use. 247 nurses performed 670 patient handling activities that required the use of an ergonomic device. Ergonomic devices were used 68% of the times they were deemed necessary in nursing homes and 59% in hospitals. Determinants of lifting device use were nurses' motivation (OR 1.96), the presence of back complaints in the past 12 months (OR 1.77) and the inclusion in care protocols of strict guidance on the required use of ergonomic devices (OR 2.49). The organisational factors convenience and easily accessible, management support and supportive management climate were associated with these determinants. No associations were found with other ergonomic devices. The use of lifting devices was higher in nursing homes than in hospitals. Individual and organisational factors seem to play a substantial role in the successful implementation of lifting devices in healthcare.
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影响因子：
4.2
作者：
Bejia, I;Younes, M;Bergaoui, N
通讯作者：
Bergaoui, N
影响因子：
4.9
作者：
Ando, S;Ono, Y;Takeuchi, Y
通讯作者：
Takeuchi, Y
影响因子：
2.4
作者：
URLINGS, IJM;NIJBOER, ID;DUL, J
通讯作者：
DUL, J
影响因子：
3.5
作者：
Evanoff, B;Wolf, L;Collins, J
通讯作者：
Collins, J
影响因子：
3.5
作者：
Pompeii, Lisa A.;Lipscomb, Hester J.;Dement, John M.
通讯作者：
Dement, John M.