Workload of Patients Transferring and its Improving Methods

병원 환자 운반 업무의 작업 부하 분석 및 개선 방안

  • Kee, Do-Hyung (Department of Industrial and Systems Engineering, Keimyung University)
  • 기도형 (계명대학교 산업시스템공학과)
  • Published : 2006.04.30

Abstract

Nursing often requires heavy physical work activities such as lifting heavy loads, working in awkward postures, transferring patients, operating hazardous equipment, etc. Among various nursing tasks, patients transferring is one of the most physically demanding tasks. This study aims to investigate workload of the patients transferring, and to propose its improving methods for reducing high workload. The results showed that irrespective of methods for patients transferring and the number of workers involved, workload for most patients transferring tasks exceeded the action limit represented in terms of L5/SI compressive force of 3,400N or LI of 1.0 by NIOSH. The loads for some tasks were far larger than the maximum permissible limit of 6,400N. It is recommended that the mechanical devices for transferring patients such as ceiling crane, sling lift etc. should be introduced rather than simply increasing the number of workers in the tasks.

Keywords

References

  1. W. K. Chiou, M. K. Wong, Y. H. Lee, 'Epidemiology of low back pain in Chinese nurses', International Journal of Nursing Studies, Vol. 31, pp. 361-368, 1994 https://doi.org/10.1016/0020-7489(94)90076-0
  2. J. Smedley, P. Egger, C. Cooper, D. Coggon, 'Manual handling activities and risk of low back pain', Occupational and Environment Medicine, Vol. 52, pp. 160-163, 1995 https://doi.org/10.1136/oem.52.3.160
  3. D. A. Stubbs, P. W. Buckle, M. P. Hudson, P. M. Rivers, C. J. Worringham, 'Back pain in the nursing profession I: Epidemiology and pilot methodology', Ergonomics, Vol. 26, pp. 755-765, 1983 https://doi.org/10.1080/00140138308963397
  4. W. S. Marras, K. G. Davis, B. C. Kirking, P. K. Bertsche, 'A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques', Ergonomics, Vol. 42, No. 7, pp. 904 -926, 1999 https://doi.org/10.1080/001401399185207
  5. A. M. Trinkoff, J. A. Lipscomb, J. Geiger-Brown, B. Brady, 'Musculoskeletal problems of the neck, shoulder and back and functional consequences in nurses', American Journal of Industrial Medicine, Vol. 41, pp. 170-178, 2002 https://doi.org/10.1002/ajim.10048
  6. V. Daraiseh, A. M. Genaidy, W. Karwowski, L. S. Davis, J. Stambough, R. L. Huston, 'Musculoskeletal outcomes in multiple body regions and work effects among nurses: the effects of stressful and stimulating working conditions', Ergonomics, Vol. 46, No. 12, pp. 1178-1199, 2003 https://doi.org/10.1080/0014013031000139509
  7. 기도형, '종합 병원 간호사의 근골격계질환 실태 조사', 대한인간공학회지, Vol. 24, No. 2, pp. 17-24, 2005 https://doi.org/10.5143/JESK.2005.24.2.017
  8. 구정완, 정은희, 권정현, 유재혁, 김형렬, 김현욱, '병원종사자의 근골격계부담작업에 대한 자각 증상율 비교', 추계대한인간공학회논문집, CD ROM, 2005
  9. 김철홍, 임상혁, 문명국, 손경일, 장안석, '국내 모 대형병원사업장의 근골격계질환 실태에 관한 조사 연구', 추계대한인간공학회논문집, CD ROM, 2005
  10. http://sizekorea.ats.go.kr/
  11. T. R. Waters, V. Putz-Anderson, A. Garg, L. J. Fine, 'Revised NIOSH equation for the design and evaluation of manual lifting tasks', Ergonomics, Vol. 36, No. 7, pp. 749-776, 1993 https://doi.org/10.1080/00140139308967940
  12. D. B., Chaffin, G. B. J., Andersson, B. J. Martin, Occupational biomechanics, 3rd ed., John Wiley & Sons, 1999
  13. V. Silverstein, K. Rockefeller, N Howard, J. Kalat, 'Reducing back and shoulder injuries in the nursing home industry', Proceedings of the Human factors and Ergonomics Society 45th Annual Meeting, CD ROM, 2001
  14. S. Hignett, L. McAtamney, 'Rapid entire body assessment( REBA)', Applied Ergonomics, Vol. 31, pp. 201-205, 2000 https://doi.org/10.1016/S0003-6870(99)00039-3
  15. 기도형, '작업 자세 평가 기법 OWAS, RULA, REBA 비교', 한국안전학회지, Vol. 20, No. 2, pp. 127-132, 2005