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Médecine du travail du personnel hospitalier

Implementation and adoption of mechanical patient lift equipment in the hospital setting: The importance of organizational and cultural factors

Auteur     Ashley L. Schoenfisch
Auteur     Douglas J. Myers
Auteur     Lisa A. Pompeii
Auteur     Hester J. Lipscomb
Résumé     BACKGROUND: Work focused on understanding implementation and adoption of interventions designed to prevent patient-handling injuries in the hospital setting is lacking in the injury literature and may be more insightful than more traditional evaluation measures. METHODS: Data from focus groups with health care workers were used to describe barriers and promoters of the adoption of patient lift equipment and a shift to a « minimal-manual lift environment » at two affiliated hospitals. RESULTS: Several factors influencing the adoption of the lift equipment and patient-handling policy were noted: time, knowledge/ability, staffing, patient characteristics, and organizational and cultural aspects of work. The adoption process was complex, and considerable variability by hospital and across units was observed. CONCLUSIONS: The use of qualitative data can enhance the understanding of factors that influence implementation and adoption of interventions designed to prevent patient-handling injuries among health care workers.
Publication     American Journal of Industrial Medicine
Volume     54
Numéro     12
Pages     946-954
Date     12/2011

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doi:10.1002/ajim.21001

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