Education for Patient Handling Practitioners

Loughborough Design School

Education for Patient Handling Practitioners

Dr Mike Fray

Research Fellow

Loughborough University


OverviewA personal introduction

How does someone become a PHP?

Competency Frameworks for Handling Practitioners

A Question of Education?

Some questions to ponder


A personal journey

Ergonomist, Physiotherapist 1993 - Derby Royal Infirmary,Notts Healthcare Role of Back Care Advisor 1994 Loughborough University (CHaRM) 1996 Created a post-graduate competency programme for BCA Post-graduate Certificate, Diploma and Masters 400+ certificate graduates, 48 Masters graduates £1.2m to 2009, Moved into Design School Organisational priorities Programmes closed

.............................................A chance to reflect?


Becoming a Recognised ProfessionalAssessment on entry

Education

Qualification

Proficiency

Training Post

CPD

Experience

Professional Recognition


Becoming a Patient Handling PractitionerAssessment on entry

Education

Qualification

Proficiency

Training Post

CPD

Experience


Apply for position



Education

Qualification

Proficiency

Training Post

CPD

Experience


Apply for position

In house courses

Conferences

Expert programmes



Education

Qualification

Proficiency

Training Post

CPD

Experience


Apply for position

In house courses

Conferences

Expert programmes Experience


Where we all come from?

How does someone become a

Patient Handling

Practitioner orProfessional?

8


Registrations on MSc programme


Location PT OT H&S Nurse Ergs OH Medic

Man-ager

Ireland XX X X X X

Holland X X X X X X X

Finland XXX x X X X

Germany X X X X XX

Switzerland X X

Sweden XX X X

Portugal X X X X

Italy X X X X XX

USA X X X X X X XXX

NZ X X X X X

Australia X X X X ?

Other countriesSimple Questionnaire Survey (Fray 2012)


Location In House Training

Expert training

Networks Govern’t Univ/ Schools

Ireland * * * FETAC *

Holland * * Ergocoach *

Finland * * FIOH *

Germany * * WorkComp

Switzerland * (Kin)

Sweden * * *

Portugal * *

Italy * *

USA * * * *

NZ * * *

Australia * *

Skills and Experience


Location Accreditation

Ireland Yes FETAC Training

Holland None

Finland Yes FIOH passport system

Germany Yes Kinaesthetics Trainers

Switzerland

Yes Kinaesthetics Trainers

Sweden No

Portugal No

Italy Yes Univ Milan, not required

USA Yes ASPHP 2 levels

NZ No

Australia Yes Manutention, Safety Institute of Australia

Assessment or Accreditation


Who or what is the source of the accreditation process? Two levels of accreditation

Local trainer Organisational/Expert

Trainer accreditation is wide spread Training for trainers, Adult education Manutention, Kinaesthetics etc….

Ergonomics/Risk management qualifications are less frequent

Assessment by experience UK, USA, SIA, Finland Passport

Assessment and Accreditation


Competency Assessment

Exposure to risk model

Handler competency

Passports, Wales, Scotland, Finland

Consider the evidence, (Hignett et al 2003, Martimo et al 2008, Amick et al 2008)

Assessment for PHP?


National Back Exchange

General history

Systems and expertiseInter-Professional Curriculum (1st, 2nd Ed)

Local link worker/Organisational level

Registered Member•Direct Entry•Re-instated APLE process 2011


NBE APLE

1. Behavioural sciences

2. Biological sciences

3. Biomechanics and ergonomics

4. Health policy and practice issues

5. Legal and professional

6. Change management

7. Health promotion and education

8. Research and evaluation

9. Risk management

10.Practical manual handling

Competency FrameworksNBE Registered Member


The Association of Safe Patient Handling Professionals, Inc.


Resources & Standards

• Non-Profit Organization• Learning Center• Offers Certification in SPH• Networking Opportunities• Membership Driven• Totally Volunteer Organization• American Association of Safe

Patient Handling


The Association’s two-tiered program provides certification opportunity for a wide range of persons who practice in the safe patient handling

field:

Certified Safe Patient Handling Professional (CSPHP)

Certified Safe Patient Handling Associate (CSPHA)

ASPHP Certification

Standards are based on education, experience, references, contact hours and evidence of competency.


Certified Associate(CSPHA)

Certified Professional(CSPHP)

Anticipated Capabilities

Successfully use and instruct others in the correct use of SPH protocols and equipment

Establish and manage all aspects of a SPH program

Education and Professional Experience

A combination of post- secondary education and experience in related field, totaling 3 years.

1)RN plus 5 years experienceor

2)Bachelor’s Degree (in related field) plus 4 years experience

or3) Graduate Degree (in related field) plus 3 years experience

SPH Specific Work Experience

1 year of experience in an organization with a SPH program where your duties included responsibilities associated with that program.

Equivalent of 2 years dedicated full time to SPH, i.e. 4 years w/ 50% of time dedicated to SPH = 2 full time years

Contact Hours

10 contact hours over the last two years relating to your responsibilities in SPH. This may include training in the use of equipment, on skills for training others, or other topics that would improve your skills in promoting SPH.

36 contact hours over the last 3 years relating to your responsibilities in SPH. Examples of related topics include achieving culture change, ergonomic risk evaluation and control and safety management. For other topics, include a brief explanation of how this content enhanced your ability to manage a SPH program.


Letters of Recommendation

1 from a Certified SPHP

or

2 letters from colleagues or supervisors familiar with your work and are involved with SPH

3 letters required. Must include 1 letter from current supervisor or client that describes your work; 2 from persons familiar with your work and who are involved with SPH

Evidence

N/A

2 submissions of work that is unique to you that provides formal evidence of competence in the area of SPH. May include reports, assessments, publications, policies & procedures, written evaluations or materials from training that you have developed.

Exam N/A Waived until further notice.

Certification Renewal (every 3 years)

Submission of evidence of completion of 15 contact hours

Submission of evidence of completion of 36 contact hours


Core CompetenciesRequired Skills

Financial Acumen-Demonstrated through budgeting, cost justification and/or vendor negotiation

Team Leadership-Demonstrated through assembling and leading a cross functional team

Policy and Procedure Deployment-Demonstrated through the development, modification and

implementation of SPH P&P

Training Deployment-Demonstrated by development and delivery of training

Clinical Knowledge & Experience-Demonstrated through clinical job duties

Risk Analysis & Control-Demonstrated through formal analyses and linking control measures to risk

results

Program Promotion-Demonstrated by promoting the benefits and/or results of the SPH program internally

and externally

Program Audit-Demonstrated by a formal review and reporting of program performance

Unit Specific Customization-Demonstrated by adapting procedures to unit specific and patient specific

needs.


A Question of Education?

How might formal education processes

improve the function of the PHP?

23


History of UK programmes Northumbria University

Undergraduate modules Nursing programme Neuro-muscular approach

Southampton University Undergraduate modules Level 1 Level 2


History of UK programmes Loughborough University Back Care Management Programme Certificate programme - Competency - 1996

Role of Backcare Advisor Applied Ergonomics Safe Patient Handling Project

Diploma Programme - 1999 Advanced Ergonomics Change Management Project

MSc Research Project - 2004 Specialised Modules

Bariatrics, Paediatrics, Transport, Theatres

Healthcare Manual Handling Management Programme 2009.


Results of the programme?

An opportunity to review?


Questionnaire Survey 250 invited, n=78, PG / Not PG PG used more skills, more often Had more powerful results with proven evidence collection

Risk assessment Ergonomics methods Evaluation of equipment Evaluation of transfer methods

Skills to assist the PHP(Bryant 2011, Unpublished MSc)


Skills used by PG vs Non PG Postural tools Biomechanical evaluations Complex risk assessment processes Workplace and work-station assessments Involvement with new build or refurbishment

All had higher % for PG


Post-graduate

Non Post-graduate

Equipment investment 28 15

Improved policies / procedures

13 4

Changing practice 11 4

Improves training provision

7 15

Reduction in M&H Incidents

0 15


Postgraduate course has positive effect on performance

0

5

10

15

20

25

Strongly Agree Agree NeitherAgree/Disagree

Disagree Strongly Disagree

Post grad

Non PostGrad


Effectiveness of changes implemented

0

2

4

6

8

10

12

14

16

18

Very effective Effective Not very effective Difficult to assess Not been measured

Post grad

Non PostGrad


Financial pressures Loss of PHP in UK Worldwide changes in higher education

Small niche programmes

The world we live in


Future for PHP? First generation PHP

Learning Developing Need to protect knowledge Formal methods for ‘best knowledge’ Qualifications

Career progression Strong professional identity Links with research centres

Evidence Improvements


Registered Member for NBE Graduate Member IEHF (Institute of Ergonomics and

Human Factors) Introduction to Ergonomics (15 credits) Human Function (15 credits) Data Collection and Analysis Methods (15 credits) Patient Handling (15 credits) Disability, Ageing and Inclusive Design (15 credits) Physical Health at Work (15 credits) Organisational Systems (15 credits) Healthcare Ergonomics and Patient Safety (15 credits) Project

Project proposal (15 credits) Masters Project (45 credits)

MSc Ergonomics (Health and Community Care)


Interesting Questions

Qualification based process for PHP

Ergonomics skills/competencies vs Healthcare management

Career or add-on skills

Long term future for all MHP/PHP/BCA

PHP links to ergonomics organisations

ISO Technical Report 12296

ISO/ IEA


Is it time for a coordinated world wide qualification process?


Thanks for your time

Any questions?

[email protected]

Health & Medicine

Education for Patient Handling Practitioners