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Background and Aim To address knowledge gaps in safe patient handling and mobility methods (SPHMM) among rehabilitation professionals in Sweden, a national knowledge center, HMC, provides training on SPHMM. The study's aim was to report on outcomes at 3 months after training in terms of self-perceived competence in SPHMM and self-perceived utility of acquired competence in SPHMM. Methods Training participants (occupational therapists and physiotherapists) completed a study-specific questionnaire, with 1065 doing so at 3 weeks before the training and 389 at 3 months after training. Linear mixed models were used for analyses. Results Self-perceived competence improved significantly at 3 months after training (p < 0.001). Occupational therapists, specifically, and rehabilitation professionals generally with less clinical experience reported greater improvement compared to physiotherapists and those with longer experience (p < 0.001). Rehabilitation professionals overall with shorter clinical experience also reported higher self-perceived utility of the acquired SPHMM competence (p < 0.001), but occupational therapists and physiotherapists did not differ significantly (p = 0.369). Conclusion Among rehabilitation professionals, greater self-perceived competence and self-perceived utility of the acquired competence in SPHMM is possible after HMC training. Improvements were greater for those with shorter clinical experience. By enhancing competence among rehabilitation professionals, HMC training has the potential to advance working person-centered and efficient transfer practices in interdisciplinary care settings.

Background and Aim To address knowledge gaps in safe patient handling and mobility methods (SPHMM) among rehabilitation professionals in Sweden, a national knowledge center, HMC, provides training on SPHMM. The study's aim was to report on outcomes at 3 months after training in terms of self‐perceived competence in SPHMM and self‐perceived utility of acquired competence in SPHMM. Methods Training participants (occupational therapists and physiotherapists) completed a study‐specific questionnaire, with 1065 doing so at 3 weeks before the training and 389 at 3 months after training. Linear mixed models were used for analyses. Results Self‐perceived competence improved significantly at 3 months after training (p < 0.001). Occupational therapists, specifically, and rehabilitation professionals generally with less clinical experience reported greater improvement compared to physiotherapists and those with longer experience (p < 0.001). Rehabilitation professionals overall with shorter clinical experience also reported higher self‐perceived utility of the acquired SPHMM competence (p < 0.001), but occupational therapists and physiotherapists did not differ significantly (p = 0.369). Conclusion Among rehabilitation professionals, greater self‐perceived competence and self‐perceived utility of the acquired competence in SPHMM is possible after HMC training. Improvements were greater for those with shorter clinical experience. By enhancing competence among rehabilitation professionals, HMC training has the potential to advance working person‐centered and efficient transfer practices in interdisciplinary care settings.

BACKGROUNDHuman papillomavirus (HPV) self-testing is an emerging cervical cancer screening strategy, yet few mail-based HPV self-testing programs have been implemented in the United States. We report the results of a pilot study of a mail-based program, the Health Outcomes through Motivation and Education Project. METHODSIn 2015 to 2016, we recruited 103 women from Appalachian Ohio who were aged 30 to 65 years and had not received a Papanicolaou (Pap) test in at least 3 years. Women were mailed an HPV self-test and randomized to receive either (a) self-test instructions developed by the device manufacturer and a standard information brochure about cervical cancer (control group) or (b) self-test instructions developed by the Health Outcomes through Motivation and Education Project and a photo story information brochure about cervical cancer (intervention group). Logistic regression compared study arms on HPV self-test return and receipt of a Pap test. RESULTSOverall, 80 (78%) women returned their HPV self-test. Return was similar among the intervention and control groups (78% vs. 77%; odds ratio, 1.09; 95% confidence interval, 0.43–2.76). Among returners, 26% had an oncogenic HPV type detected in their sample. Women who returned their self-test reported high levels of satisfaction and positive experiences with the self-testing process. Few women overall received a Pap test (11%), and Pap testing was similar among the intervention and control groups (14% vs. 8%; odds ratio, 1.91; 95% confidence interval, 0.52–6.97). CONCLUSIONSMail-based HPV self-testing programs are a potentially promising strategy for reaching underscreened women in Appalachia. Efforts are needed to better understand how to optimize the success of such programs.

Emotional consequences for patients (eg, depression, fear of additional falls) and personnel (eg, anxiety, guilt) also are possible when a fall occurs.2 \"In addition to physical and emotional consequences, there are financial implications related to falls for health care systems,\" said Heidi Nanavati, MSN, CRNP, CNOR, nurse practitioner and RN first assistant, Idaho Shoulder to Hand Specialists, Boise. Successful fall prevention programs typically include interventions related to the environment (eg, nonslip floors), patient care (eg, standardized risk assessment, structured patient education, individualized care plans based on risk factors and needs, discontinuation of medications that increase the risk of falls), the organization's culture (eg, interdisciplinary responsibility, policies and procedures), and technology and logistics (eg, lowering bed height).4 One key way that perioperative nurses can contribute to their health care organization's fall reduction program is to include an assessment of patients' mobility and fall risk (Sidebar 1) in the preoperative evaluation.4 \"A detailed interview should be performed about fall history,\" Nanavati said. Patients should be positioned slowly, and surgical team members should surround them to provide assistance in case they start to slip or fall.5 To help decrease a patient's risk of falling from the OR bed, safety restraints should be applied immediately after transfer in a manner that safely secures the patient but does not cause nerve, tissue, or circulatory compression. Because a lack of clear communication about who is responsible for attending the patient before the patient is transferred to the OR bed or after the safety straps are removed can contribute to patient falls, personnel should proactively determine who is responsible for staying at the patient's side while they are on the OR bed; at least one team member should attend the patient on the OR bed at all times.5 Nanavati outlined some additional best practices for preventing falls in the perioperative environment. Factors Included in a Preoperative Fall Risk Evaluation1 * Ability to move independently, such as the amount of assistance required, and to follow directions, such as the presence of cognitive impairment or language barriers * Age * Consciousness level, such as alert or sluggish * History of falls * Level of coordination or balance * Medications, such as preoperative sedatives * Physical limitations, such as decreased range of motion or extremity deformities * Presence of external devices, such as catheters * Sensory impairments, such as vision or hearing loss * Toileting, such as frequency or need for assistance.

Background and Rationale The Work-Related Musculoskeletal Disorders (WRMDs) among healthcare professionals constitute the most significant percentage of occupational morbidity, resulting in lost work hours, loss of specialized workers, and a significant increase in healthcare costs. There is agreement that training in manual patient handling/transportation leads to safer and healthier clinical practice. Objectives The purpose of this program is to understand, prevent, and manage the risk factors and ergonomics related to patient transfer during the hospitalization phase. The safe, effective, and healthy daily nursing practice and the improvement of the quality of life of healthcare professionals. Methodology In the first section, the PST/R.C will focus on the manual transfer/reposition (T/R) of patients at the usual transfer positions of patients, during the hospitalization phase. Within the framework of the educational methodology, emphasis will be placed on the ergonomic and biomechanical parameters governing the T/R of patients, the awareness of participants, and the establishment of new ergonomic, motor reflexes during the T/R procedure. At the same time, risk factors during the T/R process will be highlighted, categorizing them and proposing prevention and management methods. Finally, the importance of adequate physical fitness will be emphasized. Target Audience Health professionals who are involved in patient transfer, thus they are susceptible to overuse syndromes and WRMSDs. Such as, nurse practitioners, licensed practical nurses, stretcher bearers, paramedics, physiotherapists, caregivers of dependent persons, as well as family members who minister to chronic dependent persons. Expected Outcomes Awareness of pathological static and dynamic, daily and work-related behaviors. Change of mindset towards safe daily clinical practice and proper assessment of the patient and the risk factors that ensure a safe patient transfer strategy. Adoption of ergonomics in daily life and the work environment that leads to the reduction of injuries and muscle strain due to inadequate transfer, lifting, and movement techniques. Proper strategy for load lifting and patient transfer. Main Messages The four-hour comprehensive training program of PST/R.C has already been successfully implemented under the auspices of the 7th Health Region of Crete at the General Hospital of Rethymno, where the application of these practices has yielded significant and positive results. It has been scheduled for the other hospitals in Crete, as well as in Primary Health Care units, with the aim of expanding it and applying the specialized practices on a broader scale. With this expansion, the goal is to ensure the safe movement and transfer of patients in all healthcare facilities in Crete, promoting continuous education and the application of ergonomic methods to protect both patients and healthcare professionals. Key messages • The evaluation of the patient concerns diagnosis, history, consciousness, communication, level of autonomy, and functional capacity. The risk factors of work, load, environment, and other factors. • Training in manual patient handling can improve the technique and strategy of patients transfer, can increase injuries prevention of patients and health professionals, and boost confidence.

ObjectivesTo evaluate whether a peer-coaching programme for patient lift use in British Columbia, Canada, was effective and cost-beneficial.MethodsWe used monthly panel data from 15 long-term care facilities from 2004 to 2011 to estimate the number of patient-handling injuries averted by the peer-coaching programme using a generalised estimating equation model. Facilities that had not yet introduced the programme served as concurrent controls. Accepted lost-time claim counts related to patient handling were the outcome of interest with a denominator of full-time equivalents of nursing staff. A cost-benefit approach was used to estimate the net monetary gains at the system level.ResultsThe coaching programme was found to be associated with a reduction in the injury rate of 34% during the programme and 56% after the programme concluded with an estimated 62 lost-time injury claims averted. 2 other factors were associated with changes in injury rates: larger facilities had a lower injury rate, and the more care hours per bed the lower the injury rate. We calculated monetary benefits to the system of $748 431 and costs of $894 000 (both in 2006 Canadian dollars) with a benefit-to-cost ratio of 0.84. The benefit-to-cost ratio was −0.05 in the worst case scenario and 2.31 in the best case scenario. The largest cost item was peer coaches’ time. A simulation of the programme continuing for 5 years with the same coaching intensity would result in a benefit-to-cost ratio of 0.63.ConclusionsA peer-coaching programme to increase effective use of overhead lifts prevented additional patient-handling injuries but added modest incremental cost to the system.

In 2012, the U.S. Defense Threat Reduction Agency Joint Science and Technology Office initiated a program to develop novel point-of-need diagnostic devices for surveillance of emerging infectious diseases including dengue, malaria, plague, and melioidosis. Prior to distribution of devices to observe their correct use among community members in Iquitos, Peru, and Phnom Penh, Cambodia, research was conducted to: 1) assess acceptability of use, including the motivation to use a rapid diagnostic test (RDT) before or instead of seeking care at a health facility, 2) explore comprehension of RDT use instructions, and 3) examine possible strategies for large scale RDT distribution and use at each site. In February 2014, 9 focus group discussions (FGD) with community members and 5 FGD with health professionals were conducted in Iquitos, and 9 FGD with community members and 9 in-depth interviews with health professionals in Phnom Penh. In both places, participants agreed to use the device themselves (involving finger prick) or could identify someone who could do so in their home or neighborhood. The main incentive to RDT use in both sites was the ability for device results to be used for care facilitation (post confirmatory tests), specifically reduced wait times to be seen or obtain a diagnosis. Comprehension of RDT use instructions was assessed in Iquitos by asking some participants to apply the device to research team members; after watching a short video, most steps were done correctly. In Phnom Penh, participants were asked to describe each step after reading the instructions; they struggled with comprehension. Health professionals' main concerns in both sites were their community's ability to accurately use the test, handle complicated instructions, and safety (i.e., disposal of lancets). Health system structure and ability to use home diagnostic devices varied in the two disease endemic sites, with substantial challenges in each, suggesting the need for different strategies for RDT large scale community use, and illustrating the value of formative research before deployment of novel technologies.

Study DesignInterventional research with a 6-month follow-up period.PurposeWe aimed to establish the effectiveness of a multidisciplinary workplace intervention on reduction of work-related low back pain (WRLBP), using ergonomic posture training coupled with an educational program based on social cognitive theory.Overview of LiteratureWRLBP is a major occupational problem among healthcare workers, who are often required to lift heavy loads. Patient handling is a particular requirement of nurse aides, and has been reported as the main cause of chronic WRLBP.MethodsWe included 125 nursing assistants from two hospitals affiliated to Qom University of Medical Sciences from May to December 2015. There was an intervention hospital with a number of 63 nursing assistants who received four multidisciplinary educational sessions for 2 hours each plus ergonomic posture training over two days and a control hospital with a number of 62 nursing assistants who didn't receive educational intervention about low back pain. The outcomes of interest were reductions in WRLBP intensity and disability from baseline to the follow up at 6 months, which were measured using a visual analog scale and the Quebec Disability Scale. Descriptive and analytical statistics were used to analyze the data.ResultsThe comparison tests showed significant change from baseline in reduction of WRLBP intensity following the multidisciplinary program, with scores of 5.01±1.97 to 3.42±2.53 after 6 months on the visual analog scale in the intervention group (p<0.001) and no significant change in control groups. There was no significant difference in the disability scores between the two groups (p=0.07).ConclusionsWe showed that our multidisciplinary intervention could reduce the intensity of WRLBP among nurse aides, making them suitable for implementation in programs to improve WRLBP among nursing assistants working in hospitals.

In a personalized medicine environment, it is necessary to have access to a range of biospecimens to establish optimal plans for disease diagnosis and treatment for individual patients. Cancer research is especially dependent on biospecimens for determining ideal personalized treatment for patients. Unfortunately, the vast majority of biospecimens are collected from non-Hispanic White individuals; thus, minority representation is lacking. This has negative implications for comprehensive cancer treatment. The Geographic Management of Cancer Health Disparities Program (GMaP) Region 6 implemented a series of biospecimen education seminars adapted from the Biospecimen and Biobanking module of an existing Cancer Education and Training Program. Regional GMaP partners participated in a train-the-trainer webinar to familiarize themselves with the training materials. Participants trained by the trainers completed pre- and posttests to document changes in awareness, knowledge, and intention. Nine biospecimen education seminars were offered in 2013; 255 health care professionals and representatives from community organizations attended. Participants demonstrated a significant increase in knowledge, intention to donate samples, and intention to talk to patients about biospecimen sample donation. Representatives from community organizations had more improvement on knowledge scores than health care providers. Participation in a well-designed biospecimen education program may ameliorate some of the distrust of biomedical research experienced by racial/ethnic minorities and, in turn, increase needed minority representation in biospecimen collection.

Introduction: Body mechanics involves the coordinated effort of muscles, bones, and the nervous system to maintain balance, posture, and alignment during moving, transferring, and positioning patients. Proper body mechanics allows individuals to carry out activities without excessive use of energy and helps prevent injuries for patients and health care providers. Methodology: A pre experimental research approach with pretest and post test design was used. The study included thirty GNM internship students who were selected by convenient sampling technique. The study was conducted in Baba Farid College of Nursing, Kotkapura. A structured knowledge questionnaire and self report method were used for data collection. The Pilot study was done for its clarity, unambiguity and feasibility on similar subject. Differential and inferential statistics were used to analyze data.