Loughborough Design School Education for Patient Handling Practitioners Dr Mike Fray Research Fellow Loughborough University
Nov 18, 2014
Loughborough Design School
Education for Patient Handling Practitioners
Dr Mike Fray
Research Fellow
Loughborough University
Loughborough Design School
OverviewA personal introduction
How does someone become a PHP?
Competency Frameworks for Handling Practitioners
A Question of Education?
Some questions to ponder
Loughborough Design School
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?
Loughborough Design School
Becoming a Recognised ProfessionalAssessment on entry
Education
Qualification
Proficiency
Training Post
CPD
Experience
Professional Recognition
Loughborough Design School
Becoming a Patient Handling PractitionerAssessment on entry
Education
Qualification
Proficiency
Training Post
CPD
Experience
Professional Recognition
Apply for position
Loughborough Design School
Becoming a Patient Handling PractitionerAssessment on entry
Education
Qualification
Proficiency
Training Post
CPD
Experience
Professional Recognition
Apply for position
In house courses
Conferences
Expert programmes
Loughborough Design School
Becoming a Patient Handling PractitionerAssessment on entry
Education
Qualification
Proficiency
Training Post
CPD
Experience
Professional Recognition
Apply for position
In house courses
Conferences
Expert programmes Experience
Loughborough Design School
Where we all come from?
How does someone become a
Patient Handling
Practitioner orProfessional?
8
Loughborough Design School
Registrations on MSc programme
Loughborough Design School
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)
Loughborough Design School
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
Loughborough Design School
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
Loughborough Design School
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
Loughborough Design School
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?
Loughborough Design School
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
Loughborough Design School
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
Loughborough Design School
The Association of Safe Patient Handling Professionals, Inc.
Loughborough Design School
Resources & Standards
• Non-Profit Organization• Learning Center• Offers Certification in SPH• Networking Opportunities• Membership Driven• Totally Volunteer Organization• American Association of Safe
Patient Handling
Loughborough Design School
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.
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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.
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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
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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.
Loughborough Design School
A Question of Education?
How might formal education processes
improve the function of the PHP?
23
Loughborough Design School
History of UK programmes Northumbria University
Undergraduate modules Nursing programme Neuro-muscular approach
Southampton University Undergraduate modules Level 1 Level 2
Loughborough Design School
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.
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Results of the programme?
An opportunity to review?
Loughborough Design School
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)
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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
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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
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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
Loughborough Design School
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
Loughborough Design School
Financial pressures Loss of PHP in UK Worldwide changes in higher education
Small niche programmes
The world we live in
Loughborough Design School
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
Loughborough Design School
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)
Loughborough Design School
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
Loughborough Design School
Is it time for a coordinated world wide qualification process?