Differential effectiveness of the Minnesota Safe Patient Handling Act by health care setting: An exploratory study

2021 ◽  
Author(s):  
Christina E. Rosebush ◽  
Katherine E. Schofield ◽  
Marizen Ramirez ◽  
Brian Zaidman ◽  
Darin J. Erickson ◽  
...  
Keyword(s):  
Health Care ◽  
Exploratory Study ◽  
Care Setting ◽  
Health Care Setting ◽  
Patient Handling ◽  
Differential Effectiveness ◽  
Safe Patient Handling

scholarly journals Differential Effectiveness of the Minnesota Safe Patient Handling Act by Health Care Setting

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 847-847
Author(s):  
Christina Rosebush ◽  
Katherine Schofield
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Care Setting ◽  
Negative Binomial ◽  
Injury Rate ◽  
Health Care Setting ◽  
Care Recipient ◽  
Patient Handling ◽  
Safe Patient Handling ◽  
Over Time

Abstract The Minnesota Safe Patient Handling (SPH) Act requires nursing homes, hospitals, and outpatient facilities to develop comprehensive SPH programs and acquire mechanical lifts. The law was designed to prevent the adverse outcomes of manual patient handling among workers (e.g., musculoskeletal injuries) and care recipients (e.g., falls, skin tears). Reducing manual handling is of particular concern in nursing homes where residents’ care needs necessitate frequent lifts and transfers. To date, research has focused on the effects of SPH laws separately in nursing homes and hospitals. Our study aimed to assess whether change in worker injury rate differed between nursing homes and other health care settings following enactment of the 2007 Minnesota law. We used 2005-2017 claims data from a large workers’ compensation insurer and assessed the effects of time, health care setting, and their interaction on claim rate using negative binomial regression models. The claim rate for patient handling injuries was highest in nursing homes (2.8/million payroll), followed by hospitals (1.4/million payroll), and outpatient facilities (0.04/million payroll). Across settings, patient handling claims declined by 38% (95% CI 19-53%) between pre-law (2005-2007) and post-implementation (2014-2017). The decline in claims over time did not differ by health care setting (Wald χ2 for interaction=3.40, p=0.758). Our results suggest that nursing homes are successfully addressing the unique mobility needs of their residents in their mandated SPH programs. Future work should seek to describe the magnitude and nature of care recipient injuries caused by lifting and transferring and evaluate trends in care recipient injuries over time.

scholarly journals Exploring types of individual unlearning by local health-care managers: an original empirical approach

2013 ◽  
Vol 1 (2) ◽  
pp. 1-126 ◽  
Author(s):  
CR Coombs ◽  
D Hislop ◽  
J Holland ◽  
SLC Bosley ◽  
E Manful
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Exploratory Study ◽  
Care Setting ◽  
Health Care Setting ◽  
Local Health ◽  
Health Care Managers ◽  
Academic Literature ◽  
Care Managers ◽  
Local Health Care

BackgroundThe ability of health-care managers or organisations to adapt and respond to change is vital if they are to succeed in the contemporary health-care environment. Change involves the learning of new behaviours and giving up, or abandoning, some established ones – more formally defined as unlearning. However, research on unlearning is lacking. This original exploratory study investigates UK NHS health-care managers' engagement with behavioural unlearning and cognitive unlearning, and also considers the related concept of fading. The study also investigates the impact of individual unlearning on participating health-care managers' decision-making.Research questions(1) To what extent do health-care managers engage with the process of unlearning and what impact does the engagement with this process have on health-care managers' decision-making? (2) What are the barriers and enablers that influence the engagement of health-care managers with the process of unlearning? (3) To what extent does the health-care setting affect the level of engagement with the process of unlearning by health-care managers?MethodsThe study investigated these questions through an examination of the academic literature. Several management (Business Source Complete, Emerald), psychological (PsycINFO), health (MEDLINE) and education [Education Resources Information Center (ERIC)] electronic databases were searched for English-language articles that were published between January 2000 and March 2012. The literature provided the basis for original exploratory research that investigated local health-care managers' experiences of unlearning. A case study approach was adopted for empirical data collection, using qualitative interviews to investigate experiences of unlearning in two secondary care NHS trusts (an acute trust and a mental health trust). A total of 85 episodes of unlearning were identified from a purposive sample of 29 health-care managers. The sample participants varied in terms of clinical/non-clinical background, type of department/unit and length of time as a manager.ResultsThe findings show that the health-care managers who participated in this study engaged with unlearning and fading. The engagement is triggered through either an individual experience or a change event. There was little evidence to indicate that health-care setting or professional background had a strong influence over health-care managers' engagement with unlearning, although this finding is limited by the exploratory nature of the study, sample size and range of settings examined. Participants identified a variety of barriers to individual unlearning including personal behaviour and staff resistance to change. Enablers such as personal skills, attitudes and relationships were more commonly cited than organisational enablers such as policies, procedures and work circumstances. The findings also suggest that unlearning does influence the decision-making of health-care managers, encouraging a more discovery-orientated approach.LimitationsThis study has a number of limitations. It is an exploratory study involving a small number of participants drawn from two NHS trusts, which limits the depth of insight that it can provide regarding specific aspects of unlearning processes. Further, because of the relatively low numbers of participants in our study, the findings provide limited insights regarding theextentto which managers engage with processes of unlearning across different health-care settings and theimpacton their decision-making. Finally, the study is able to provide only a limited interpretation of the nature of fading, although the empirical data do provide evidence that fading should not be conceptualised as a type of individual unlearning.ConclusionsThe study has enhanced the theory of individual unlearning by reconceptualising existing unlearning models and developing a new typology that distinguishes between four separate types of individual unlearning. The findings demonstrate that health-care managers who participated in this study engaged with unlearning processes and that this engagement impacted on their decision-making processes. After engaging with individual unlearning, several managers moved away from idea imposition approaches to decision-making in favour of more discovery-focused approaches, which have been reported in academic literature to be more successful. Future work that investigates a greater number of health-care managers' experiences of unlearning in a wider range of settings is necessary to establish the significance of health-care setting to individual unlearning experiences and provide greater generalisability to the findings of this study.FundingThe National Institute for Health Services and Delivery Research programme.

Person-specific health promotion in the health-care setting: an exploratory study

The Lancet ◽  
2013 ◽  
Vol 382 ◽  
pp. S83
Author(s):  
Salman Razzaki ◽  
Alexis Theodorou ◽  
Panagiotis Maghsoudlou ◽  
Evangelia Protopapa ◽  
Huw Beynon
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Exploratory Study ◽  
Care Setting ◽  
Health Care Setting ◽  
Specific Health

Impact of California Safe Patient Handling Legislation: Health Care Workers’ Perspectives

2021 ◽  
Vol 69 (3) ◽  
pp. 124-133
Author(s):  
Soo-Jeong Lee ◽  
Laura Stock ◽  
Victoria Michalchuk ◽  
Kelsie Adesoye ◽  
Kathleen Mullen
Keyword(s):  
Health Care ◽  
San Francisco ◽  
Health Care Workers ◽  
Qualitative Content Analysis ◽  
Management Support ◽  
Patient Handling ◽  
Safe Patient Handling ◽  
Care Workers ◽  
Policies And Programs ◽  
Safe Practices

Background: Musculoskeletal injuries from patient handling are significant problems among health care workers. In California, legislation requiring hospitals to implement safe patient handling (SPH) programs was enacted in 2011. This qualitative study explored workers’ experiences and perceptions about the law, their hospital’s SPH policies and programs, patient handling practices, and work environment. Methods: Three focus groups were conducted with 21 participants (19 nurses and 2 patient handling specialists) recruited from 12 hospitals located in the San Francisco Bay Area and San Joaquin Valley. Qualitative content analysis was used for data analysis. Results: Multiple themes emerged from diverse experiences and perceptions. Positive perceptions included empowerment to advocate for safety, increased awareness of SPH policies and programs, increased provision of patient handling equipment and training, increased lift use, and improvement in safety culture. Perceived concerns included continuing barriers to safe practices and lift use such as difficulty securing assistance, limited availability of lift teams, understaffing, limited nursing employee input in the safety committee, blaming of individuals for injury, increased workload, and continuing injury concerns. Participants indicated the need for effective training, sufficient staffing, and management support for injured workers. Conclusions/Application to Practice: This study identified improvements in hospitals’ SPH programs and practices since the passage of California’s SPH law, as well as continuing challenges and barriers to safe practices and injury prevention. The findings provide useful information to understanding the positive impacts of the SPH law but also notes the potential limitations of this legislation in the view of health care workers.

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