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Interdisciplinary Operating Room Ergonomics Needs and Priorities: A Survey of Operating Room Staff.
Annals of Surgery ( IF 7.5 ) Pub Date : 2024-11-06 , DOI: 10.1097/sla.0000000000006582 Alexis Mah,Fahad Alam,Jeremie Larouche,Marie-Antonette Dandal,Tara Cohen,Susan Hallbeck,Hamid Norasi,Csilla Kallocsai,Sapna Sriram,James D Helman,Julie Hallet
Annals of Surgery ( IF 7.5 ) Pub Date : 2024-11-06 , DOI: 10.1097/sla.0000000000006582 Alexis Mah,Fahad Alam,Jeremie Larouche,Marie-Antonette Dandal,Tara Cohen,Susan Hallbeck,Hamid Norasi,Csilla Kallocsai,Sapna Sriram,James D Helman,Julie Hallet
OBJECTIVE
To examine perceived OR ergonomics facilitators and barriers, with a focus on the interdisciplinary team.
SUMMARY BACKGROUND DATA
Poor ergonomics causes musculoskeletal injuries affecting all operating room (OR) staff with repercussions on patient care, outcomes, and sustainability. Lack of ergonomic awareness and education are risk factors.
METHODS
We conducted a self-administered web-based survey of OR nurses, surgeons, and anesthesiologists at a single centre (n=238). We developed a questionnaire through items generation and reduction, followed by reliability and validity testing.
RESULTS
Response rate was 53.8%. Respondents perceived that on average 80% of nurses, 70% of surgeons, and 40% anesthesiologists experienced MSK injuries, with no difference in professional groups' perceptions. Guideline ergonomics interventions were rarely used (<25%) except for specialized clothing (33%), equipment repositioning (59%), and seating (37%), though perceived beneficial by 80-90%. Reported barriers to optimal ergonomics were organizational/structural (lack of time, space, equipment, funding), whereas solutions were individual. Fear of unfavourable perception from others was a concern for 62%. Teams discussing, prioritizing, monitoring, or helping with ergonomics was indicated by <50%. Individual ergonomic adaptations were perceived as convenience by other staff.
CONCLUSIONS
While structural/organizational issues are reported as barriers to ergonomics, solutions appeared as individual responsibilities. Team dynamics did not prioritize nor support ergonomics. Education tools leveraging the interdisciplinary team are warranted. This work will be supplemented by interviews and live observations to build tailored educational tools for OR teams.
中文翻译:
跨学科手术室人体工程学需求和优先事项:手术室工作人员调查。
目的 检查感知的手术室人体工程学促进因素和障碍,重点是跨学科团队。摘要 背景数据 不良的人体工程学会导致肌肉骨骼损伤,影响所有手术室 (OR) 工作人员,从而对患者护理、结果和可持续性产生影响。缺乏人体工程学意识和教育是风险因素。方法 我们对单个中心的手术室护士、外科医生和麻醉师进行了一项基于网络的自我管理调查 (n=238)。我们通过项目生成和减少,然后进行可靠性和效度测试来制定问卷。结果 应答率为 53.8%。受访者认为,平均 80% 的护士、70% 的外科医生和 40% 的麻醉师经历过 MSK 损伤,专业群体的看法没有差异。除了专业服装 (33%)、设备重新定位 (59%) 和座椅 (37%) 外,很少使用指南人体工程学干预措施 (<25%),尽管 80-90% 的人认为有益。据报道,最佳人体工程学的障碍是组织/结构(缺乏时间、空间、设备、资金),而解决方案是个体的。62% 的人担心担心他人的负面看法。团队讨论、优先考虑、监控或帮助人体工程学由 <50% 表示。其他工作人员认为个人人体工程学调整很方便。结论 虽然结构/组织问题被报告为人体工程学的障碍,但解决方案似乎是个人责任。Team Dynamics 没有优先考虑或支持人体工程学。利用跨学科团队的教育工具是必要的。这项工作将辅以访谈和现场观察,为 OR 团队构建量身定制的教育工具。
更新日期:2024-11-06
中文翻译:
跨学科手术室人体工程学需求和优先事项:手术室工作人员调查。
目的 检查感知的手术室人体工程学促进因素和障碍,重点是跨学科团队。摘要 背景数据 不良的人体工程学会导致肌肉骨骼损伤,影响所有手术室 (OR) 工作人员,从而对患者护理、结果和可持续性产生影响。缺乏人体工程学意识和教育是风险因素。方法 我们对单个中心的手术室护士、外科医生和麻醉师进行了一项基于网络的自我管理调查 (n=238)。我们通过项目生成和减少,然后进行可靠性和效度测试来制定问卷。结果 应答率为 53.8%。受访者认为,平均 80% 的护士、70% 的外科医生和 40% 的麻醉师经历过 MSK 损伤,专业群体的看法没有差异。除了专业服装 (33%)、设备重新定位 (59%) 和座椅 (37%) 外,很少使用指南人体工程学干预措施 (<25%),尽管 80-90% 的人认为有益。据报道,最佳人体工程学的障碍是组织/结构(缺乏时间、空间、设备、资金),而解决方案是个体的。62% 的人担心担心他人的负面看法。团队讨论、优先考虑、监控或帮助人体工程学由 <50% 表示。其他工作人员认为个人人体工程学调整很方便。结论 虽然结构/组织问题被报告为人体工程学的障碍,但解决方案似乎是个人责任。Team Dynamics 没有优先考虑或支持人体工程学。利用跨学科团队的教育工具是必要的。这项工作将辅以访谈和现场观察,为 OR 团队构建量身定制的教育工具。