Abstract
Abstract synopsis
Evidence shows that low-tech aids and lifting equipment promote safe patient handling in acute care, with the most consistent support found for lifting equipment in reducing worker injuries. There was mixed evidence to support ergonomic training.
Abstract
The aim of this study was to identify interventions within the scope of occupational therapy that enhance safety during patient mobilization for healthcare workers in acute care settings.
This systematized review of safe patient handling interventions included peer-reviewed studies that target healthcare worker safety during patient mobilization in acute care settings.
A medical librarian performed searches in Medline, CINAHL, and Scopus. We extracted data on intervention type, population, outcomes, and results. Articles underwent screening by four researchers.
Quality of evidence was appraised using the Oxford Center for Evidence-Based Medicine levels and graded using U.S Preventive Services Task Force Guidelines. Interventions were sorted thematically into 3 themes and assessed for outcomes.
Seven studies met criteria (two level 1A, two level 1B, two level 2B, one level 3B). Across studies, ergonomic training programs with hands-on, context-specific practice and individualized risk assessments were associated with improvements in worker confidence and safety behaviors. Low-tech aids and mechanical lifting equipment showed moderate effects in reducing low back pain, fatigue, and muscle strain. One study found that low back pain was reduced in participants with pre-existing injuries in the lower back but not those without pre-existing injuries. Across themes, consistent access to equipment and refresher training emerged as important factors influencing intervention success.
Evidence shows that lifting equipment provides the most consistent protection against healthcare worker injuries in acute care. Ergonomic training and low-tech aids offer additional benefits with implemented alongside accessible equipment and refresher training. Evidence supports ensuring reliable lifting equipment, a comprehensive safe patient-handling programs with contextual hands-on training to maximize worker safety. OT practitioners are well positioned to contribute through contextual training, risk assessment, and integrating ergonomic strategies into work tasks.
Implementation of OT interventions that focus on safe patient handling programs and the use of assistive devices can reduce work injuries and lead to safe patient handling, highlighting the importance of the OT role in ergonomics.
Publication Date
2025
Disciplines
Occupational Therapy
Recommended Citation
Al Azzawi, Lina; Collier, Peyton; Ehlers, Delaney; Kulovitz, Ruby; Westmark, Danielle M.; Smallfield, Stacy; and Whitlow, Molly, "Safety of Healthcare Workers in Acute Care during Patient Mobilization: A Systematized Review" (2025). Student Systematized Reviews: Occupational Therapy. 28.
https://digitalcommons.unmc.edu/cahp_ot_sysrev/28
Comments
2025 Copyright, the authors