Clinical Pediatrics and Medicine

Biography

Biography: Brittney R. Dahlen, Samantha Lambert & Kristen M. Haack

Abstract

Statement of the Problem: In 2016, Francis 2C, a general and plastic surgery in-patient unit, had an increased number of staff exertion injuries.  After review of injury incident reports, it can be concluded all exertion injuries in 2016 could have been prevented by utilizing available lift equipment.  According to an ANA survey, “…almost 60% of nurses list disabling back injuries as one of the top three health safety issues” (Stenger, Montgomery, & Briesemeister, 2007).  Utilization of lift equipment was found to decrease injury rates, but a change in nursing culture is also necessary to promote maximum safety (Zadvinskis & Salsbury, 2010).  The purpose of this study was to determine if staff education (including leadership and culture education) as well as unit safety advocates would decrease exertion injuries through increased safe patient handling equipment use.  Methodology & Theoretical Orientation:  This quality improvement project was conducted by obtaining pre- and post-survey data of staff knowledge and cultural perceptions of safe patient handling equipment.  Safe patient handling education using ceiling lifts and slings was developed and presented to staff in four hour sessions, during which staff had the opportunity to practice working with the sling and lift equipment.  Staff committed to changing five behaviors in their daily practice to increase ceiling lift utilization and overall reduce exertion injuries.  Findings: To date, Francis 2C has seen an 80% decrease in exertion injuries since 2016.  Post-implementation surveys have been sent out to staff and further results are expected in December 2017.  Conclusion & Significance:  This project is ongoing with expected completion date of February 2018.  Conclusions and significance will then be determined.  Recommendations:  Although this project is ongoing, it has been noted that staff education, buy-in, and culture change are integral factors to success in reducing exertion injuries, not just available safe patient handling equipment.