Determinants | Definition | Source | Measurement |
1. Individual determinants (Rothschild et al)21 | Motivation: willingness of a nurse to undertake the necessary actions to commit to the intervention | N | 1. Attention: do you know the existence of the workplace guidelines for physical load? |
N | 2. Understanding: do you know when and which ergonomic device you have to use when lifting or transferring patients? | ||
N | 3. Attitude: do you think it is always necessary to use ergonomic devices when lifting or transferring patients with limited mobility or passive patients? | ||
N | 4. Intention: do you always intend to use ergonomic devices when lifting or transferring patients with limited mobility or passive patients? | ||
N | 5. Changed behaviour: do you always use ergonomic devices when lifting or transferring patients with limited mobility or passive patients? | ||
N | 6. Maintenance of behaviour: does it happen, once in a while, that you do not use ergonomic devices when lifting or transferring patients with limited mobility or passive patients? | ||
2. Environment determinants (Shain and Kramer)22 | Ability: capability of a nurse to do something that requires specific skills, knowledge and experience | N | Years of work experience |
N | Knowledge of national guidelines | ||
Convenience and easily accessible: availability of resources to use ergonomic devices | R | Storage location of ergonomic devices (in the room of the patient or elsewhere) | |
R | Location of the bathroom (attached to the room of the patient or not) | ||
R | Ratio of number of ergonomic devices per patient on the ward | ||
Management support: commitment of employers to the ergonomic devices | M | Amount of money spent on maintenance of ergonomic devices (at least €7000 annually was seen as favourable) | |
M | Policy of reserving money for activities or supplies to reduce physical load | ||
M | Annual training of nurses in the use of ergonomic devices | ||
Supportive management climate: a work organisation which actively promotes use of ergonomic devices | T | Policy of regular checking amount of ergonomic devices in proportion to mobility of patients | |
T | Existence of a policy on the maintenance of ergonomic devices on the ward | ||
T | Physical load a regular topic in team meetings or not | ||
Interactivity: reinforcement of ergonomic devices by other work practices | E | Amount of time that ergocoaches spent on their ergocoach activities per week (mean number of hours per week) | |
R | Availability of patient specific protocols with strict guidelines for ergonomic device use |
E: self-administered questionnaire of ergocoach; M: self-administered questionnaire of manager; N: structured interview of nurses; R: checklist filled out by researcher; T: self-administered questionnaire of team leader.