title: Implementation and adoption of mechanical patient lift equipment in the hospital setting: The importance of organizational and cultural factors.
abstract: BACKGROUND
  Work focused on understanding implementation and adoption of interventions designed to prevent patient-handling injuries in the hospital setting is lacking in the injury literature and may be more insightful than more traditional evaluation measures.
  
  
  METHODS
  Data from focus groups with health care workers were used to describe barriers and promoters of the adoption of patient lift equipment and a shift to a "minimal-manual lift environment" at two affiliated hospitals.
  
  
  RESULTS
  Several factors influencing the adoption of the lift equipment and patient-handling policy were noted: time, knowledge/ability, staffing, patient characteristics, and organizational and cultural aspects of work. The adoption process was complex, and considerable variability by hospital and across units was observed.
  
  
  CONCLUSIONS
  The use of qualitative data can enhance the understanding of factors that influence implementation and adoption of interventions designed to prevent patient-handling injuries among health care workers.
authors: Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina 27705, USA. ashley.schoenfisch@duke.edu
authors: Ashley L
authors: AL
authors: Schoenfisch
authors: Douglas J
authors: DJ
authors: Myers
authors: Lisa A
authors: LA
authors: Pompeii
authors: Hester J
authors: HJ
authors: Lipscomb
mesh_terms: D000062:Accidents, Occupational / Q000517:prevention & control; D002983:Clinical Competence; D003469:Culture; D004867:Equipment Design; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006764:Hospitals, Community; D006801:Humans; D007398:Interpersonal Relations; D055805:Moving and Lifting Patients / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D009741:Nursing Staff, Hospital; D009784:Occupational Diseases / Q000517:prevention & control; D016272:Occupational Health; D015279:Organizational Culture; D016134:Organizational Policy; D036301:Qualitative Research; D017751:Safety Management; D013647:Task Performance and Analysis