Table 1

Definitions and methods of measurement of individual and organisational determinants according to the models of Rothschild and Shain and Kramer

DeterminantsDefinitionSourceMeasurement
1. Individual determinants (Rothschild et al)21Motivation: willingness of a nurse to undertake the necessary actions to commit to the interventionN1. Attention: do you know the existence of the workplace guidelines for physical load?
N2. Understanding: do you know when and which ergonomic device you have to use when lifting or transferring patients?
N3. Attitude: do you think it is always necessary to use ergonomic devices when lifting or transferring patients with limited mobility or passive patients?
N4. Intention: do you always intend to use ergonomic devices when lifting or transferring patients with limited mobility or passive patients?
N5. Changed behaviour: do you always use ergonomic devices when lifting or transferring patients with limited mobility or passive patients?
N6. 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)22Ability: capability of a nurse to do something that requires specific skills, knowledge and experienceNYears of work experience
NKnowledge of national guidelines
Convenience and easily accessible: availability of resources to use ergonomic devicesRStorage location of ergonomic devices (in the room of the patient or elsewhere)
RLocation of the bathroom (attached to the room of the patient or not)
RRatio of number of ergonomic devices per patient on the ward
Management support: commitment of employers to the ergonomic devicesMAmount of money spent on maintenance of ergonomic devices (at least €7000 annually was seen as favourable)
MPolicy of reserving money for activities or supplies to reduce physical load
MAnnual training of nurses in the use of ergonomic devices
Supportive management climate: a work organisation which actively promotes use of ergonomic devicesTPolicy of regular checking amount of ergonomic devices in proportion to mobility of patients
TExistence of a policy on the maintenance of ergonomic devices on the ward
TPhysical load a regular topic in team meetings or not
Interactivity: reinforcement of ergonomic devices by other work practicesEAmount of time that ergocoaches spent on their ergocoach activities per week (mean number of hours per week)
RAvailability 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.