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Increasing Safety for Assisted Motion During Caregiving: Comparative Analysis of a Critical Care Nurse and a Care Worker Transferring a Simulated Care-Receiver

机译:在护理过程中提高辅助动作的安全性:重症监护护士和护理人员转移模拟护理员的比较分析

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It is said that nurses and care workers take different approaches when assisting the transfer of patients or care-receivers. For example, even on the same purpose, in case of the transfer assistance of a patient or care receiver from a bed to a wheelchair, they take different approaches. In our previous study, the transfer assistance motions of a care worker and a critical care nurse were observed when they were assisting a simulated care-receiver (hereinafter referred to as SCR) or simulated patient (hereinafter referred to as SP) to be transferred from a bed to a wheelchair using a slide board. Their motions were measured by the motion capture to comparatively analyze the differences. As a result, the both care worker and critical care nurse assisted the transfer the SCR and the SP using the same care-assistance device, but they took different approaches in each phase. The reason for the differences is attributed to their daily working circumstance or style how to assist care-receivers or patients. Care workers usually conduct the transfer assistance at elderly nursing facilities or individual homes of care-receivers, whereas nurses usually assist patients at hospitals. We arrived at the conclusion that environmental factors such as the difference in room sizes, room layouts, or whether the place where they are working is for medical treatment or daily life, are likely the main cause for the care workers and the nurses in each situation to create their own unique transfer assistance method, As aforementioned, although care workers and nurses take different approaches, their purpose is the same, just to assist care-receivers or patients to be transferred safely. This is the most important thing what they have to bear in their mind. The purpose of this study is to clarify what kind of safety measures care workers or nurses take in their transfer assistance. We assigned one care worker and one nurse who is specializing in the critical care as test subjects and asked them to assist a simulated care-receiver (SCR) or a simulated patient (SP) to be transferred from a bed to a portable toilet. Their motions were measured and analyzed by motion capture. Transferring a care-receiver or a patient to a portable toilet is a daily task carried out in various assisted-motion environments, such as elderly care facilities, individual homes and hospital wards. One difference is that care workers mainly assist elderly care-receivers, while nurses, especially critical care nurses assist patients who just recovered from critical care, but both care workers and nurses are engaged in this task on the daily basis, we therefore chose this movement for the test situation. Even though they may take different approaches, their main purpose is the same: assist the transfer safely. If we can specify the particular actions that are used to guarantee the patient's safety, it will help us to connect how to safely assist in any working environment. Moreover, this study is not limited to care-receivers or patients' safety, it is extended to concerns about the patient's comfort. By measuring the jerk from the markers set on the SCR or SP's head, we examined how and when the subjects were burdened, and consider what sort of movements are difficult for the patient. In order to cope with the upcoming super aging society, we hope the study will contribute to develop flexible, tailored made transfer assistance techniques that can be adapted to any working environments.
机译:据说,护士和护理人员在协助患者或护理人员的转移时会采取不同的方法。例如,即使出于相同的目的,在患者或护理接受者从床到轮椅的转移辅助的情况下,他们也会采取不同的方法。在我们以前的研究中,当护理人员和重症护理护士协助模拟护理人员(以下称为SCR)或模拟患者(以下称为SP)从医院转移时,观察到他们的转移协助动作。使用滑板在轮椅上铺床。通过运动捕捉测量他们的运动,以比较分析差异。结果,护理人员和重症监护护士都使用相同的护理辅助设备来协助SCR和SP的转移,但是他们在每个阶段都采用了不同的方法。差异的原因归因于他们的日常工作情况或样式,以如何帮助护理人员或患者。护理人员通常在老年护理机构或护理人员的单独住所中提供转移帮助,而护士通常在医院为患者提供帮助。我们得出的结论是,环境因素(例如房间大小,房间布局的差异或工作地点是否用于医疗或日常生活)可能是每种情况下护理人员和护士的主要原因如上所述,尽管护理人员和护士采取了不同的方法,但是他们的目的是相同的,只是为了帮助护理人员或患者安全地转移。这是他们必须牢记的最重要的事情。这项研究的目的是阐明护理人员或护士在转移协助中采取何种安全措施。我们分配了一名护理工作者和一名专门从事重症监护的护士作为测试对象,并要求他们帮助模拟的受护理者(SCR)或模拟的患者(SP)从床上转移到便携式厕所。通过运动捕捉对他们的运动进行了测量和分析。将护理人员或患者转移到便携式厕所是在各种辅助运动环境中执行的日常任务,例如老人护理设施,个人住宅和病房。一个区别是护理人员主要为老年护理人员提供帮助,而护士(尤其是重症护理护士)为刚刚从重症护理中康复的患者提供帮助,但是护理人员和护士都每天都在从事这项工作,因此我们选择了这一运动针对测试情况。即使他们采取不同的方法,但它们的主要目的是相同的:安全地协助转移。如果我们可以指定用于保证患者安全的特定措施,它将有助于我们联系如何在任何工作环境中安全地提供帮助。而且,该研究不仅限于护理人员或患者的安全,还扩展到对患者舒适度的关注。通过从SCR或SP头部上设置的标记测量晃动,我们检查了受检者负担的方式和时间,并考虑了患者难于进行哪种运动。为了应对即将到来的超级老龄化社会,我们希望这项研究将有助于开发灵活的,量身定制的转移辅助技术,使其能够适应任何工作环境。

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