Assessments of patients with a 5-category or a 3-category practical classification system: validaty and practicality

In order to implement preventive programs to prevent back pain in nurses, assessments of the degree of passivity and mobility of patients is imperative. After all, the load in health care ergonomics, is often the patient. The degree of cooperation or resistance determines the load on the back for the nurses and the necessity of the use of lifting devices like patient lifters or sliding sheets. These assessments must be done in both a practical and a reliable way. For this purpose a 3-category and a 5- category system to assess the degree of patient mobility and passivity was developed and tested. The results are presented on the poster.     

Flying through the hospital: efficiency and safety of an ergonomic solution

In hospitals many horizontal transfers (from stretcher to bed etc.) are performed from the moment a patient is admitted (f.e. with an ambulance) through examination departments all the way to the wards. These transfers can be very strenuous and solutions may be to use a special lifting device that accompanies the patient on this route: a stretcher sling This is a specially designed disposable lifting sling for horizontal transfers and repositioning, the sling can easily be connected to a ceiling or mobile lift. The ambulance service, two hospitals and a manufacturer decided to study the effects. The stretcher sling travels with the patient. Does this provide an ergonomically sound solution and is this an effective and efficient solution? The results were positive, but a behavioral change was also necessary.     

Performance models for unreliable flexible manufacturing systems

This paper deals with the analysis and application of queueing models for single and multi stage flexible manufacturing systems that are subject to resource failure. Exact results are derived for the single stage queueing system. Two approximations are presneted for the multi stage queueing system as a closed network. We validate the approximations by comparing their performance estimates against the exact global balance solution.     

Where It's At! The Role of Best Friends and Peer Group Members in Young Adults' Alcohol Use

We examined the hypothesis that best friends and members from a broader peer group would not differ in the amount of influence they have on young adults' alcohol consumption and that what counts would be the mere presence of drinking peers in a given context—irrespective of the type of relationship such peers would have with the target young adult. Data were used from a naturalistic observation study that was conducted in a “bar‐lab” among 221 young adults aged 18–25 years. Both hierarchical and multilevel regression analyses showed that group effects (i.e., average group levels of alcohol consumption) explained young adults' drinking. When taking into account these group effects, best friends' alcohol consumption in the bar‐lab was a nonsignificant predictor of young adults' alcohol use—although best friends' questionnaire‐assessed drinking did predict alcohol consumption in the bar‐lab.     

Working Together to Improve Accessibility: Consortial E-Resource Accessibility and Advocacy

Abstract

In 2015, the Big Ten Academic Alliance (BTAA) Libraries formed the BTAA Library E-Resource Accessibility Group. This group, which consists of members from each Big Ten library and the BTAA Library Initiatives staff, was charged with creating boilerplate accessibility license language for vendor contracts, as well as collectively funding high level accessibility testing of e-resources and posting these publicly for all libraries and users. Since the creation of the group, about 50 databases have been tested and accessibility license language has been created that can be used and adapted by anyone. In 2019, the group welcomed another consortia, the Association of Southeastern Research Libraries (ASERL), to be partners in this work, renaming themselves the Library Accessibility Alliance. This paper examines the mission, accomplishments, and new partnership in more depth while also discussing the need for focused efforts to help ensure accessible e-resources.     

An international validation study of the care thermometer: a tool supporting the quality of ergonomic policies in health care

Occupational back pain among nurses leads to high costs and personal suffering for nurses. It is difficult to assess the success of such initiatives and to monitor results in a practical way. Such a practical monitoring and web-based instrument was developed. This Care Thermometer (CT) allows the users to assess the current situation in their facility today, and, with regular use, it can help to track progress over time. The Care Thermometer is a further step in the development of the TilThermometer, a validated assessment tool that is used on a large, national scale in The Netherlands. The claims of the newly developed Care Thermometer are ambitious and an international validation study was performed in four countries: the UK, USA, Germany and the Netherlands. The instrument appears to be sufficiently valid, useful and practical. There are however some points to keep in mind when interpreting the results of the CT. Especially a careful, punctual and stringent data collection phase is crucial for accurate and useful results. Some recommendations to further improve the practical use both for the design of the instrument and the process of data-collection and -entering are given.     

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The businesscase for ergonomic changes in health care: calculating and predicting financial outcome for ergonomic changes and innovations in health care: interactive businesscase modelling

Research can point to new opportunities and assist in the development of valid business cases to help nurse managers plan change and allocate their budgets to the most promising interventions. These business cases and their results will, in turn, pave the way for more in depth and more fundamental research into implementation processes. It will add to the body of knowledge of intervention research and ultimately hopefully also add to our understanding of why ergonomic interventions in the workplace will or will not be effective and what the impact of financial constraints is. It is difficult to develop and design a valid businesscase. This poster will present one of the possible strategies to develop one.     

Designing the care environment in hospitals and nursing homes: a pilot for a new and reliable method for determining the optimum space to live in and work in

One of the major problems encountered in health care during the process of implementing ergonomic changes is the lack of space. There is often not enough space to work with larger equipment like patient lifters and shower chairs or other medical devices necessary in a preventive program. This leads to undesirable extra physical load for nurses. Therefore it is imperative that in the process of designing the health care environment ergonomic considerations are taken into account. A method to assess the optimum size and shape of the space required is developed and the value of the method is tested in a pilot setting. The pilot is currently underway and the results will be presented on the final poster.     

Static load in the nursing profession; the silent killer?

Traditionally back pain in the nursing profession is associated with heavy lifting of patients. Although there is a strong relationship between heavy loads on the spine and lifting patients, literature indicates that there is a major factor that should not be underestimated: static load. Static load can be defined as the result of static, not moving, not dynamic, working positions. For example when a caregiver is washing a patient on a bed which is too low, her back is in a static (bended) stooped position up to several minutes. Exposure to static load is an underestimated silent killer of nurses musculoskeletal system . There is evidence from this cross-sectional study that static load can be reduced by a combination of introducing the right equipment, creating awareness and education.