Learning curve analysis of a patient lift-assist device.

One of the challenges facing ergonomists in the implementation of an ergonomic solution is addressing the concerns related to their impact on productivity. The focus of the current study was to (1) apply standard learning curve analysis to the learning that takes place as an individual works with a patient handling device and (2) compare the effects of two different training protocols on measures of learning. Eighteen subjects completed 11 replications of a patient transfer task after participating in either an "interactive" training protocol or "see-one-do-one" training protocol. The results show that the learning rate for this task was 83% with no difference as a function of training protocol. The results do indicate that the effect of Training Method was significant (p<0.05) for time to complete the first patient lift task (370s for the interactive training vs. 475s for see-one-do-one training). The results of the analysis of the survey data supported the objective results in that the only measure that was responsive to training type (p<0.05) was related to comfort level in performing the patient lift task for the first time. The results emphasize the importance in considering learning when introducing an intervention in the workplace, and showed that in this instance, training type had an immediate impact on productivity, but that this effect diminished over time.

[1]  S. Hignett Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review , 2003, Occupational and environmental medicine.

[2]  Stephan A. Konz,et al.  Work Design: Industrial Ergonomics , 1983 .

[3]  Charles Goldsmith,et al.  Comparison of cumulative low back loads of caregivers when transferring patients using overhead and floor mechanical lifting devices. , 2005, Clinical biomechanics.

[4]  Ezey M. Dar-El,et al.  A dual-phase model for the individual learning process in industrial tasks , 1995 .

[5]  Alison M Trinkoff,et al.  Workplace Prevention and Musculoskeletal Injuries in Nurses , 2003, Journal of Nursing Administration.

[6]  B. Krol,et al.  The effects of occupational interventions on reduction of musculoskeletal symptoms in the nursing profession , 2006, Ergonomics.

[7]  B Owen,et al.  Reducing back stress to nursing personnel: an ergonomic intervention in a nursing home. , 1992, Ergonomics.

[8]  R. Norman,et al.  Biomechanical analysis of peak and cumulative spinal loads during simulated patient-handling activities: a substudy of a randomized controlled trial to prevent lift and transfer injury of health care workers. , 2001, Applied ergonomics.

[9]  L. Wolf,et al.  Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace. , 2003, American journal of industrial medicine.

[10]  H Hsiao,et al.  Biomechanical evaluation of assistive devices for transferring residents. , 1999, Applied ergonomics.

[11]  A. Yassi,et al.  Effectiveness of overhead lifting devices in reducing the risk of injury to care staff in extended care facilities , 2005, Ergonomics.

[12]  Robert B Tate,et al.  The three-year economic benefits of a ceiling lift intervention aimed to reduce healthcare worker injuries. , 2005, Applied ergonomics.

[13]  R Kukkonen,et al.  The handling of patients on geriatric wards. A challenge for on-the-job training. , 1987, Applied ergonomics.

[14]  Lisa A Ronald,et al.  Effectiveness of Installing Overhead Ceiling Lifts , 2002, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[15]  W. Charney,et al.  Ergonomics for the Prevention of Musculoskeletal Disorders: Guidelines for Nursing Homes , 2003 .

[16]  B. Owen,et al.  Prevention of back injuries in healthcare workers , 1994 .

[17]  Robert B Tate,et al.  Evaluation of the effectiveness of portable ceiling lifts in a new long-term care facility. , 2006, Applied ergonomics.

[18]  Peter J Keir,et al.  Muscle activity during patient transfers: a preliminary study on the influence of lift assists and experience , 2004, Ergonomics.