Exploring manual handling practice and factors associated with lost time manual handling injuries in nurses

Jillian Elizabeth Adams

Research output: ThesisDoctoral Thesis

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[Truncated abstract] The purpose of this study was to determine whether manual handling decisions made by nurses were associated with lost time manual handling injuries. The specific aims were to investigate factors associated with manual handling decisions, to investigate how nurses apply knowledge when making decisions, to determine the ability of nurses to identify manual handling risks and problem solve them, and to identify sub-groups of nurses able to make appropriate informed decisions. Two theoretical frameworks guided the study: the Health Belief Model, providing a psychosocial model to understand manual handling behaviour and the Haddon Matrix, providing a credible framework to analyse injuries and identify prevention strategies. Data were gathered in two phases from Registered and Enrolled Nurses in clinical positions at hospitals in Western Australia. In Phase 1, data were analysed from five focus groups. Phase 2 was designed as a case-control study comprising 84 injured nurses (cases) and 268 randomly selected nurses (controls) from public and private hospitals. Qualitative content analysis was used to code the focus group data within the framework of the Health Belief Model, and informed the development of the questionnaire. The Phase 2 questionnaire was used to gather data from cases and controls, and a description of the injury/incident from the cases. Descriptive statistics and logistic regression were used for the analysis of data from the questionnaire. As the same phenomenon was studied in both phases, triangulation of these data was possible in order to generate a greater understanding of the phenomenon and improve the accuracy and interpretation of the data. Phase 1 data demonstrated an inadequate perception of the health threat posed by manual handling and barriers to safe practice in the working environment; nurses focused on completing their work and manual handling was not their priority.
Original languageEnglish
QualificationDoctor of Philosophy
Publication statusUnpublished - 2012


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