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Adverse risk: a ‘dynamic interaction model of patient moving and handling’ / Thomas, Griffiths

Journal of Nursing Management, Volume: 20, Issue: 6, Pages: 713 - 736

Swansea University Author: Thomas, Griffiths

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Abstract

Aim  The aim of the paper was to examine patient adverse events associated with sub‐optimal patient moving and handling.Background  There are not many studies which have examined the patient’s perspective on adverse risk during manual handling episodes.Evaluation  A narrative review was undertaken l...

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Published in: Journal of Nursing Management
ISSN: 09660429
Published: Blackwell Science Ltd 2012
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URI: https://cronfa.swan.ac.uk/Record/cronfa38188
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Abstract: Aim  The aim of the paper was to examine patient adverse events associated with sub‐optimal patient moving and handling.Background  There are not many studies which have examined the patient’s perspective on adverse risk during manual handling episodes.Evaluation  A narrative review was undertaken leading to ‘Dynamic Interaction Model of Patient Moving and Handling’ from peer‐reviewed publications published in English between 1992 and 2010.Key issues  Five themes emerged from the narrative review: ‘patient’s require information about analgesics prior to movement/ambulation’; ‘comfort care’; ‘patient's mastery of and acceptance of using mobility aids and equipment’; 'adjustment to fear of falling'; and ‘requirement to move to prevent tissue pressure damage’.Conclusion:  Quality care indicators such as prevalence of patient discomfort, pain, falls, pressure sores in addition of use of direct observation instrument to observe patient handling such as Direct Instrument Nursing Observation (DINO) tool can be used by back care adviser. Implications for Nursing Management:  Nurse managers need to consider quality of care for their service users. ‘Dynamic Interaction Model of Nurse‐Patient Moving and Handling’ provides back care advisers, clinical risk managers and occupational health managers with an alternative perspective to clinical risk.
Keywords: Dynamic Interaction Model of Patient Moving and Handling; narrative literature review; patient adverse events; patient manual handling; work technique.
College: College of Human and Health Sciences
Issue: 6
Start Page: 713
End Page: 736