Interventions to reduce injuries when transferring patients: A critical appraisal of reviews and a realist synthesis

Show simple item record Thomas, David en Thomas, YLN en 2014-09-05T05:15:25Z en 2014 en
dc.identifier.citation International Journal of Nursing Studies, 2014, 51 (10), pp. 1381 - 1394 en
dc.identifier.issn 0020-7489 en
dc.identifier.uri en
dc.description.abstract Objectives: There has been extensive investment in programmes to reduce injuries among health care staff caused by moving and handling patients or residents. Given conflicting evidence regarding the effectiveness of such programmes, the present paper conducted a critical appraisal of systematic reviews assessing the effectiveness of interventions in reducing back pain and injuries among healthcare staff. A realist synthesis was conducted on a second set of reports to identify best practices for moving and handling programmes. Design: A critical appraisal of systematic reviews and a realist synthesis to identify best practices for moving and handling programmes. Data sources: A literature search of five databases (Medline, EMBASE, CINAHL, PsycINFO and ScienceDirect) located 150 reports assessing programme outcomes published in refereed journals between 2000 and 2013. Review methods: The critical appraisal included six systematic reviews. The realist synthesis included 47 studies that provided escriptive information about programme mechanisms. Results: Five of the six systematic reviews covered interventions involving either staff training or training and equipment supply. One review covered multi-component interventions. All concluded that training staff by itself was ineffective. There were differing conclusions regarding the effectiveness of training and equipment interventions and multi-component programmes. The reviews provided little information about the content of programme components. The realist synthesis noted the need for management commitment and support, and six core programme components; a policy requiring safe transfer practices, ergonomic assessment of spaces where people are transferred, transfer equipment including lifts, specific risk assessment protocols, adequate training of all care staff, and coordinators coaches or resource staff. These programme components are likely to be synergistic; omitting one component weakens the impact of the other components. Conclusions: Five systematic reviews provided little information regarding the core components of effective programmes. Given the absence of experimental trials for multi-component programmes, the best available evidence for the effectiveness of multi-component programmes is from pre-post studies and large-scale surveys. The realist synthesis provided detailed information about the core components for effective programmes. Further studies, which include qualitative data, are needed to provide evidence about the specific mechanisms through which components contribute to effective patient handling programmes en
dc.relation.ispartofseries International Journal of Nursing Studies en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title Interventions to reduce injuries when transferring patients: A critical appraisal of reviews and a realist synthesis en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.ijnurstu.2014.03.007 en
pubs.issue 10 en
pubs.begin-page 1381 en
pubs.volume 51 en
dc.description.version AM - Accepted Manuscript en
dc.identifier.pmid 24767612 en
pubs.end-page 1394 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 438316 en
pubs.record-created-at-source-date 2014-09-01 en
pubs.dimensions-id 24767612 en

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