An Ergonomic Protocol for Patient Transfer That Can Be Successfully Taught Using Simulation Methods

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• 作者：John M. O'Donnell ; CRNA ; MSN ; DrPH^a ; ^b ; ^{jod01@pitt.edu} ; Joseph S. Goode Jr. ; CRNA ; MSN^a ; ^c ; Richard A. Henker ; CRNA ; PhD^a ; Sheryl Kelsey ; PhD^d ; Nicholas Bircher ; MD^c ; ^e ; Pamela Peele ; PhD^d ; ^f ; Judith Bradle ; BA^c ; Richard Engberg ; BS^a ; John Close ; MA ; PMSD^g ; Kim Sutton-Tyrrell ; RN ; DrPH^d
• 关键词：simulation ; hierarchical task analysis ; back injury ; ergonomics
• 刊名：Clinical Simulation in Nursing
• 出版年：2012
• 出版时间：January 2012
• 年：2012
• 卷：8
• 期：1
• 页码：e3-e14
• 全文大小：946 K

文摘

Introduction

Nursing personnel injury related to patient transfer is epidemic, and reduction of injury rates is a national priority. Hierarchical task analysis (HTA) was chosen to address this issue.

Method

HTA methods were used to create an optimum task set and protocol which consisted of Internet-based education, simulation practice, and debriefing. Participants (N = 71) were randomly assigned to teams to perform simulated transfers. Pre- to postintervention transfer success was evaluated by ergonomic experts.

Results

Each team improved significantly from pre- to postintervention (N = 19), with every protocol step demonstrating improvement (N = 10). Interrater reliability of the evaluation instrument was calculated (.43-.83).

Conclusion

Simulation was used successfully to improve transfer success. This approach shows promise in reduction of transfer-related nursing injury.