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1.5 CE Test Hours

Original Research

Patient Handling and Mobility Course Content

A National Survey of Nursing Programs

Contrada, Emily

AJN The American Journal of Nursing: November 2018 - Volume 118 - Issue 11 - p 32,45
doi: 10.1097/01.NAJ.0000547637.85284.50
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Patient Handling and Mobility Course Content: A National Survey of Nursing Programs

GENERAL PURPOSE:

To present the details of a cross-sectional descriptive study done to understand what nursing programs teach students about lifting, turning, transferring, repositioning, and mobilizing patients.

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LEARNING OBJECTIVES/OUTCOMES:

After completing this continuing education activity, you should be able to

  • outline findings from the authors’ review of the literature.
  • identify the results of the authors’ study and implications for practice.
  1. Science that applies theory, principles, data, and methods to design in order to optimize human well-being and overall system performance is called
    1. safe patient handling.
    2. body mechanics.
    3. ergonomics.
  2. Safe mobilization involves considering the task to be performed, the mobility capabilities of the patient, and the
    1. outcomes of the procedure.
    2. use of assistive technology.
    3. availability of additional staff.
  3. In an Ohio study of nursing home workers, an investment in ergonomic equipment of $500 per worker was associated with a reduction in back injury of
    1. 7%.
    2. 14%.
    3. 21%.
  4. An evaluation by Hodgson and colleagues of the Veterans Health Administration's safe patient handling and mobility (SPHM) program from 2006 to 2011 found that patient handling injuries declined by
    1. about 20%.
    2. nearly 30%.
    3. more than 40%.
  5. Evaluations of the Veterans Health Administration's SPHM program found that components associated with decreased injury rates included
    1. peer leader training.
    2. patient participation.
    3. outcome accountability.
  6. Nelson and colleagues reported that, besides reducing staff injuries, SPHM programs have contributed to which of the following patient outcomes?
    1. higher satisfaction scores
    2. improved mobility
    3. fewer infections
  7. According to Menzel and colleagues, barriers to SPHM curricula in nursing schools include
    1. students’ resistance to learning new course content.
    2. too few licensing examination questions about manual handling.
    3. a lack of SPHM equipment in clinical skills laboratories.
  8. Although a current fundamentals textbook by Yoost and Crawford includes ergonomically based recommendations for equipment use when moving and transferring patients, it also includes photographs of nurses
    1. repositioning patients in bed using draw sheets.
    2. attempting single-person transfers with gait belts.
    3. transferring patients using nonpowered stretchers.
  9. In the authors’ study, nursing faculty respondents reported covering which of the following manual handling topics most often?
    1. manually assisting patients with standing, pivoting, transfers, and ambulation
    2. performing two-person manual lifts between bed and chair
    3. using draw sheets for repositioning patients in bed
  10. In the authors’ study, the respondents reported covering which of the following SPHM content areas most often?
    1. strategies for maintaining patient dignity
    2. using patient handling equipment
    3. assessing patient mobility
  11. Which of the following SPHM content areas did the respondents cover least often?
    1. safe patient handling and mobility
    2. student evaluation
    3. vendor support
  12. The respondents reported that all or most of their affiliated clinical facilities had
    1. no mechanical lifts.
    2. floor-based lifts.
    3. ceiling-mounted lifts.
  13. When asked whether the affiliated facility had a comprehensive SPHM program that included equipment, policy, education, peer leaders, and champions, what percentage of respondents replied that their facility had all those components?
    1. 7%
    2. 11.4%
    3. 20.2%
  14. The most common pieces of equipment that respondents reported having in skills labs were
    1. gait belts.
    2. draw sheets.
    3. lateral transfer sliding boards.
  15. The least common pieces of equipment that respondents reported having in skills labs were
    1. powered wheelchair movers.
    2. adjustable-height shower chairs.
    3. powered transport devices.
  16. In a survey by Kneafsey and colleagues, which of the following groups of students reported having more supervision when moving patients and being more assertive about adhering to safe practices?
    1. nursing students
    2. medical students
    3. physical therapy students
  17. According to the authors, which of the following professional groups is known for bringing a holistic, “24/7” perspective to patient care?
    1. nurses
    2. physical therapists
    3. occupational therapists
  18. Along with nurses, which health care workers have among the highest rates of nonfatal occupational injuries requiring days away from work?
    1. nursing assistants
    2. occupational therapists
    3. emergency medical technicians
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