Paradoxical Impact of a Patient-Handling Intervention on Injury Rate Disparity Among Hospital Workers
| Autor: | Glorian Sorensen, Leslie I. Boden, Jack T. Dennerlein, Erika L. Sabbath, Dean Hashimoto, Jie Yang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
030505 public health Nursing staff Extramural business.industry Public Health Environmental and Occupational Health MEDLINE Injury rate Test (assessment) 03 medical and health sciences Patient Handling Intervention (counseling) Emergency medicine medicine 0305 other medical science business |
| Zdroj: | American Journal of Public Health. 109:618-625 |
| ISSN: | 1541-0048 0090-0036 |
| DOI: | 10.2105/ajph.2018.304929 |
| Popis: | Objectives. To test whether a comprehensive safe patient-handling intervention, which successfully reduced overall injury rates among hospital workers in a prior study, was differentially effective for higher-wage workers (nurses) versus low-wage workers (patient care associates [PCAs]). Methods. Data were from a cohort of nurses and PCAs at 2 large hospitals in Boston, Massachusetts. One hospital received the intervention in 2013; the other did not. Using longitudinal survey data from 2012 and 2014 plus longitudinal administrative injury and payroll data, we tested for socioeconomic differences in changes in self-reported safe patient-handling practices, and for socioeconomic differences in changes in injury rates using administrative data. Results. After the intervention, improvements in self-reported patient-handling practices were equivalent for PCAs and for nurses. However, in administrative data, lifting and exertion injuries decreased among nurses (rate ratio [RR] = 0.64; 95% confidence interval [CI] = 0.41, 1.00) but not PCAs (RR = 1.10; 95% CI = 0.74,1.63; P for occupation × intervention interaction = 0.02). Conclusions. Although the population-level injury rate decreased after the intervention, most improvements were among higher-wage workers, widening the socioeconomic gap in injury and exemplifying the inequality paradox. Results have implications for public health intervention development, implementation, and analysis. |
| Databáze: | OpenAIRE |
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