No / Hospices for children and adolescents in the United Kingdom provide care to the bodies of deceased children, in specially-designed chilled bedrooms called ‘cool rooms’. In an effort to develop resources to support hospice practitioners to provide this specialist area of care, the study aimed to identify the factors that influence decision-making when moving and handling children’s bodies after death in a hospice cool bedroom. An internet-based survey was sent to all practitioners employed by one children’s hospice. A total of 94.9% of eligible staff responded (n=56). An inductive approach to thematic analysis was undertaken, using a six-phase methodological framework. Three core themes were identified that inform practitioners’ perception of appropriateness of moving and handling decisions: care of the body, stages of care, and method of handling. The complexity of decision-making and variation in practice was identified. Practitioners relied on both analytical and initiative decision-making, with more experienced practitioners using an intuitive approach. Evidence-based policy and training influence the perception of appropriateness, and the decisions and behaviour of practitioners. The development of a policy and education framework would support practitioners in caring for children’s bodies after death, standardising expectations and measures of competence in relation to moving and handling tasks.

Orientador: Adriano Dias / Resumo: O objetivo desta pesquisa foi investigar a associação entre movimentação manual de pacientes e (1) a prevalência de distúrbios osteomusculares na região lombar e (2) a capacidade para o trabalho em profissionais da saúde, além de, (3) avaliar o grau de conhecimento desses profissionais sobre a movimentação manual de pacientes. Trata-se de um estudo transversal, cuja amostra foi composta por 320 profissionais de saúde que atuavam profissionalmente no Hospital das Clínicas da Faculdade de Medicina de Botucatu. Os resultados desta pesquisa foram três artigos científicos, apresentados neste manuscrito. O primeiro teve por objetivo investigar a prevalência de dor lombar e a associação desta com a movimentação manual de pacientes. A prevalência de período (três meses) de dor lombar foi de 57,8% (IC 95% 52,3%- 63,2%). A presença de dor lombar esteve significativamente associada com a movimentação manual de pacientes; de acordo com o modelo múltiplo de Poisson com variância robusta, a prevalência de dor lombar foi 44,4% maior (RP 1,444, IC 95% 1,169-1,783) entre os indivíduos que realizavam este tipo de atividade. O objetivo do segundo artigo foi avaliar a capacidade para o trabalho dos participantes e sua associação com a movimentação manual de pacientes. A pontuação média do Índice de Capacidade para o trabalho foi de 38,03 pontos (DP 6,15, IC 95% 37,33-38,72). A capacidade de trabalho inadequada (pontuação inferior a 37 pontos no Índice de Capacidade para o Trabalho) esteve signif... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The purpose of this research was to investigate the association between manual patient handling and (1) low back pain prevalence and (2) work ability among healthcare workers, and, also, (3) to examine their knowledge level of safe patient handling. This is a cross-sectional study. The sample consisted of 320 healthcare workers who worked at the University Hospital of Botucatu Medical School. The results of this research were three scientific papers, presented in this manuscript. The first one investigated low back pain prevalence and its association with manual patient handling. The 3-month period prevalence of low back pain was 57.8% (95% CI 52.3%- 63.2%). Low back pain was significantly associated with manual patient handling; according to the multiple Poisson regression model with robust variance low back pain prevalence was 44.4% higher (PR 1.444, 95% CI 1.169-1.783) among individuals who performed this activity. The second one evaluated the level of work ability and its association with manual patient handling. The Work Ability Index mean score was 38.03 points (SD 6.15, 95% CI 37.33-38.72). An inadequate level of work ability (Work Ability Index score lower than 37 points) was significantly associated with manual patient handling; according to the multiple Poisson regression model with robust variance inadequate level of work ability was 37.5% higher (PR 1.375, 95% CI 1.038-1.821) among individuals who performed this activity. Finally, the third one examined the knowle... (Complete abstract click electronic access below) / Doutor

<p>Lumbalni bol predstavlja jedan od najučestalijih zdravstvenih problema dana&scaron;njice. Pružanje zdravstvene nege je stresan i težak fizički posao, te spada u grupu visoko-rizičnih poslova za nastanak lumbalnog bola, pa samim tim medicinske sestre &ndash; tehničari predstavljaju vulnerabilnu populaciju. Osnovni ciljevi ovog istraživanja bili su da se utvrdi prevalencija i faktori rizika za nastanak lumbalnog bola kod medicinskih sestara- tehničara, kao i mere prevencije. Istraživanje je sprovedeno u pet zdravstvenih ustanova sa područja Vojvodine u obliku studije preseka, anketiranjem medicinskih sestara &ndash; tehničara. Za ispitivanje je kori&scaron;ćen modifikovani Nordijski upitnik. Rezultati pokazuju veoma visoku prevalenciju lumbalnog bola među medicinskim sestrama- tehničarima, oko 94%. Ispitanici su bili uglavnom ženskog pola, prosečne starosti oko 38 godina. Najveći broj ispitanika ima srednju stručnu spremu. Istraživanjem je utvrđeno da postoji statistički značajna povezanost lumbalnog bola sa porastom godina života i dužine ekspozicionog radnog staža. Takođe, statistički visoko značajna korelacija nalazi se između porasta BMI i lumbalnog bola. Najzastupljeniji poslovi zdravstvene nege koje ispitanici sa lumbalnim bolom obavljaju su: pozicioniranje pacijenata, podizanje i presvlačenje pacijenata u postelji i podela terapije. Statistički značajno veća zastupljenost lumbalnog bola javlja se kod ispitanika koji sami obavljaju negu u odnosu na one koji imaju pomoć. Medicinske sestre &ndash; tehničari koji pripadaju grupi sa vi&scaron;im nivoom stresa na radnom mestu imaju znatno veći rizik za pojavu lumbalnog bola. Smenski rad (naizmenične dnevne i noćne smene od 12 sati) i prekovremeni rad duži od 8 sati dnevno, podizanje tereta većeg od 25 kg i broj pacijenata koje medicinska sestra &ndash; tehničar zbrinjava tokom radnog vremena nemaju značajnu povezanost sa pojavom lumbalnog bola. Oko tri četvrtine ispitanika nije izostajalo sa posla zbog bola. Samo oko 8% ispitanika je promenilo radno mesto zbog lumbalnog bola i ide redovno na periodične lekarske preglede. Kod mera prevencije neophodno je staviti akcenat na smanjenje fizičkog opterećenja donjeg dela leđa i smanjenje ručnog preno&scaron;enja tereta. Primenom adekvatnog ergonomskog pristupa, boljom organizacijom rada, podsticajnom atmosferom na poslu i spremno&scaron;ću nadležnih struktura da iskažu veću brigu prema zaposlenima, smanjila bi se učestalost pojave lumbalnog bola.</p> / <p>One of the today&rsquo;s most frequent health problems is the low back pain. Nursing is stressful and hard physical job which belongs to the group of high-risk jobs that could cause low back pain and therefore medical nurses/technicians represent the vulnerable population. Determination of prevalence, risk factors and prevention of the low back pain were the main goals of this research. The research in the form of cross-sectional study was conducted with nurses filling in the surveys within five medical institutions in Vojvodina. The modified Nordic questionnaire was used for the surveys. The results show very high prevalence of the low back pain, cca 94%, among medical nurses. Most of the respondents were females, who finished high school education, at average age of 38 years. The study showed that there is a statistically significant coherence between low back pain, ageing and working experience as a nurse. There is also a statistically significant coherence between the low back pain and the increase of the BMI. The most common nursing jobs that respondents with the low back pain do are: positioning of patients, lifting patients, dressing patients in bed and giving therapy. The low back pain with the respondents who do the nursing just by themselves is statistically significantly more present then with the respondents who do the nursing with help. Nurses who suffer more stress at their workplaces have a significantly higher risk to develop low back pain. Working 12 hour shifts (alternately day and night shifts), overtime work, more then 25 kg weight lifting and number of patients for nursing per nurse during working hours have no significant correlation with the low back pain occurrence. About three quarters of the respondents had no absence from work caused by the low back pain. Only 8% of the respondents changed their workplace because of the low back pain and have regular health checks. To prevent the low back pain it is necessary to emphasize the physical reduction of the load on the lower back and manual handling of loads. The frequent low back pain with the nurses could be reduced with the appropriate ergonomic access, better work organization, a supportive atmosphere at work and the willingness of responsible authorities to express greater concern about the employees.</p>