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CE: Original Research: Patient Handling and Mobility Course Content: A National Survey of Nursing Programs
Gail Powell-Cope1, Deborah Rugs, Anna Ialynytchev
1Gail Powell-Cope is codirector of the Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans' Hospital, Tampa, FL, where Deborah Rugs and Debbie Devine are health services researchers. Anna Ialynytchev is a senior health policy and data analytics specialist at the Verden Group, Nyack, NY. Kelsey McCoskey is the SPHM coordinator at the Army Public Health Center in Gunpowder, MD. Yuan Zhang is an assistant professor in the University of Massachusetts Lowell School of Nursing. Lena Deter is a clinical specialist in patient safety and education at DELHEC, LLC, in Hermitage, TN. This article is based on research supported by a Center of Innovation Award (CIN 13-409), U.S. Department of Veterans Affairs Health Services Research and Development Program. The contents do not represent the views of the U.S. Department of Veterans Affairs, U.S. Department of the Army, U.S. Department of Defense, or the United States Government. Contact author: Gail Powell-Cope, gail.powell-cope@va.gov. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
: Purpose: Despite the evidence supporting safe patient handling and mobility (SPHM) practices, anecdotal evidence suggests that such practices are not universally taught in academic nursing programs. The primary goal of this cross-sectional descriptive study was to understand what nursing programs teach students about lifting, turning, transferring, repositioning, and mobilizing patients.
Methods:
Faculty from baccalaureate and associate's degree nursing programs in the United States were invited via e-mail to complete a 64-item survey questionnaire, which was accessible through an online link. Participants were also invited to send documents related to SPHM course content to the research team.
Results:
Faculty from 228 baccalaureate and associate's degree nursing programs completed the questionnaire. Most curricula included outdated manual techniques, taught reliance on body mechanics to reduce the risk of musculoskeletal injuries, and made use of nonergonomic aids such as draw sheets. Elements of SPHM in the curricula were less common, and nearly half of the respondents didn't know whether their affiliated clinical facilities had an SPHM program.
Conclusions:
The survey results suggest many possibilities for improvement-such as partnering with faculty in physical and occupational therapy departments, clinical partnering, and working with equipment vendors-to better incorporate evidence-based SPHM principles and practices into nursing curricula.
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