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Manipulation with patient as a nursing problem
 BLÁHOVÁ, Kateřina
Current status Patient handling is a comprehensive process. A nurse handles patients many times a day throughout the entire time of hospitalization. The range of processes that require patient handling is very broad. Patient handling takes up a relatively big part of time and efforts in the course of positioning. While handling patients the nurse´s motoric system is loaded and this may result in musculoskeletal diseases and subsequent incapacity to work. Incorrect handling also increases the risk of damaging the patient. The risk may be eliminated to a certain extent by the use of handling aids and by observation of barrier nursing care and occupational health and safety rules. An important role is also played by education of nurses and healthcare workers in the area of motoric communication concepts. Objective of the work and research questions Three objectives were set for the research survey. The first objective was to identify the issues faced by nurses in the process of patient handling. The second objective was to map aids most frequently used by nurses for patient handling. The third objective focused on education of nurses about patient handling. Six research questions were formulated to achieve the objectives: 1. Which undesired events may occur in the process of patient handling? 2. Which problems do nurses see in the process of patient handling? 3. Do nurses have aids available to ensure safe handling of patients? 4. Are nurses able to use aids for patient handling? 5. Which methods do nurses use to facilitate patient handling? 6. Do nurses have opportunities for /are they willing to get education about patient handling? Method The method of qualitative research was used for the empirical part of the bachelor thesis. The data were collected by means of two techniques: semi-structured interview and covert participant observation. The interviews were conducted, using a previously prepared set of questions, with nine nurses who work in three in-patient wards in a hospital in the South Bohemian region. Observations were conducted in the same wards as the interviews. The resulting data were categorized and evaluated. A precondition for the research survey was to keep all the respondents and the healthcare facility anonymous. Results The results of the survey indicate that the most frequent undesired events which may occur during patient handling are injuries of the patients or personnel. The principal issues seen by the nurses are the weight of patients and limiting conditions of the environment. Despite the fact that the nurses reported sufficient quantity of aids for safe handling of patients they would appreciate a different structure of the aids. Moreover, the observations have shown that they are not always able to use the aids correctly. The nurses use simple non-technical aids to facilitate patient handling and they also use methods of handling by several persons. Conclusion The empirical survey has shown that patient handling is the activity performed on everyday basis by nurses performing their jobs and providing nursing care. Such activities expose nurses to physical load and they also need to deal with a number of problems. They approach patient handling in a quite conservative manner and they only use a few basic handling aids. They do not have more sophisticated aids available at their workplaces and by now they have not shown any interest in getting them. The nurses fail to use any motoric communication concept in the handling process, such as kinaesthetics. An overwhelming majority of the nurses have never heard about kinaesthetics or their notion about it was totally incorrect. We can conclude from the obtained results that most of the nurses are interested in education about correct patient handling techniques.
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