Changes in functional independence measure ratings associated with a safe patient handling and movement program

Area of Science:

• Rehabilitation Medicine
• Occupational Safety
• Healthcare Management

Background:

• Safe patient handling and movement (SPHM) programs are crucial for reducing healthcare worker injuries.
• A significant barrier to SPHM implementation is the perception that equipment increases patient dependence and negatively impacts functional outcomes, especially in acute inpatient rehabilitation.
• This perception is particularly concerning in facilities prioritizing patient functional independence.

Purpose of the Study:

• To evaluate the perception that SPHM equipment adversely affects functional outcomes in patients undergoing rehabilitation.
• To compare the functional independence of stroke patients before and after the implementation of an SPHM program.

Main Methods:

• A retrospective cohort study design was employed.
• Functional Independence Measure (FIM) ratings were collected for 94 stroke patients.
• Patients were divided into two groups: Group 1 (n=47) treated before SPHM implementation and Group 2 (n=47) treated after SPHM implementation.

Main Results:

• Group 2, who received care with SPHM equipment, achieved FIM discharge mobility ratings that were equal to or better than Group 1, who did not use SPHM equipment.
• The results indicate no adverse effect of SPHM programs on patient functional outcomes.

Conclusions:

• SPHM programs do not impede functional independence in stroke patients.
• The study challenges the perception that SPHM equipment negatively impacts patient functional outcomes in acute inpatient rehabilitation settings.
• Implementing SPHM programs can be achieved without compromising the primary goal of functional independence.