Paradoxical Impact of a Patient-Handling Intervention on Injury Rate Disparity Among Hospital Workers

American Journal of Public Health
Erika L SabbathGlorian Sorensen

Abstract

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]). 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. 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). Although the population-level injury rate decreased after the intervention, most improvements were among higher-wage workers, widening the soc...Continue Reading

References

Jun 6, 1981·British Medical Journal·G Rose
Sep 30, 2000·Journal of Advanced Nursing·A Adams, S Bond
Jul 6, 2004·Epidemiologic Reviews·Nancy Krieger, George Davey Smith
Sep 1, 1987·Applied Ergonomics·I KuorinkaK Jørgensen
Oct 15, 2005·Nursing Research·Lynne S Giddings
Jul 1, 2006·American Journal of Public Health·Bruno FedericoAnton E Kunst
Nov 6, 2007·American Journal of Industrial Medicine·Margaret M QuinnElizabeth M Barbeau
Jan 4, 2008·American Journal of Public Health·Katherine L Frohlich, Louise Potvin
Mar 12, 2010·Journal of Occupational Rehabilitation·Jessica M TullarBradley Evanoff
Nov 26, 2010·Occupational and Environmental Medicine·E KoppelaarA Burdorf
Oct 26, 2011·American Journal of Industrial Medicine·Leslie I BodenGlorian Sorensen
Nov 25, 2011·American Journal of Industrial Medicine·Jack T DennerleinGlorian Sorensen
Oct 18, 2012·American Journal of Industrial Medicine·Paul A LandsbergisAnthony D LaMontagne
Sep 14, 2013·Scandinavian Journal of Work, Environment & Health·Lars L AndersenAndreas Holtermann
Nov 26, 2013·Journal of Occupational and Environmental Medicine·Caitlin Eicher CaspiGlorian Sorensen
Jul 24, 2014·International Archives of Occupational and Environmental Health·Andreas HoltermannLars L Andersen
May 19, 2017·American Journal of Public Health·Summer Sherburne HawkinsChristopher F Baum
Jan 19, 2018·American Journal of Public Health·Emily Quinn AhonenMichael Flynn
Aug 15, 2018·International Journal of Epidemiology·Erika L SabbathGlorian Sorensen

❮ Previous
Next ❯

Citations

Mar 14, 2020·American Journal of Industrial Medicine·Christina E RosebushPatricia M McGovern
Aug 28, 2019·Journal of Occupational and Environmental Medicine·María Andrée López GómezGregory Wagner

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Pathology & Laboratory Medicine
Lynette M ShollMembers of Cancer Biomarker Reporting Committee, College of American Pathologists
American Journal of Public Health
Erin B WassermanEdwin van Wijngaarden
© 2022 Meta ULC. All rights reserved