The influence of organizational factors, eldercare worker characteristics and care situation on the use of assistive devices during resident handling in eldercare work. (January 2022)

• Record Type: Journal Article
• Authors: Karstad, Kristina; Rasmussen, Charlotte D.N.; Rasmussen, Charlotte Lund; Rugulies, Reiner; Søgaard, Karen; Burdorf, Alex; Holtermann, Andreas
• Is Part Of: Applied ergonomics. Volume 98(2022)
• Publication Date: 2022-01
• Subjects: Multilevel -- Healthcare -- Patient handling activities; Human engineering -- Periodicals; 620.82
• DOI: 10.1016/j.apergo.2021.103533
• Languages: English
• ISSNs: 0003-6870

Abstract

Abstract: We evaluated the influence of organization, eldercare worker and care situation on the use of assistive devices during resident handling in eldercare work. We conducted a multi-level study among 20 nursing homes, 126 wards within the nursing homes, 549 eldercare workers within the wards, who performed a total of 1306 care episodes including 3695 resident handlings. The influence of organization (i.e. nursing home and ward), eldercare worker and care situation (i.e. care episode and resident handling) on the use of assistive devices was evaluated using variance components analysis and multivariate generalized linear mixed model. Nursing homes, wards, eldercare workers, care episodes and 'within care episode' all contributed to the total variance in use of assistive devices. Organizational factors and care situation factors were significantly associated with use of assistive devices. All levels of the nursing homes, but in particular care situation, influence the use of assistive devices during resident handling. Highlights: Care situation explains most of the variance in use of assistive devices. Assistive device use is influenced by organization, eldercare worker and situation. Interventions on assistive device use should target all levels of the nursing homes. Use of assistive devices differs considerably between types of resident handling.