title: The influence of individual and organisational factors on nurses' behaviour to use lifting devices in healthcare.
abstract: OBJECTIVE
  This study evaluates the influence of individual and organisational factors on nurses' behaviour to use lifting devices in healthcare.
  
  
  METHODS
  Interviews among nurses were conducted to collect individual characteristics and to establish their behaviour regarding lifting devices use. Organisational factors were collected by questionnaires and walk-through-surveys, comprising technical facilities, organisation of care, and management-efforts. Generalised-Estimating-Equations for repeated measurements were used to estimate determinants of nurses' behaviour.
  
  
  RESULTS
  Important determinants of nurses' behaviour to use lifting devices were knowledge of workplace procedures (OR = 5.85), strict guidance on required lifting devices use (OR = 2.91), and sufficient lifting devices (OR = 1.92). Management-support and supportive-management-climate were associated with these determinants.
  
  
  CONCLUSIONS
  Since nurses' behaviour to use lifting devices is influenced by factors at different levels, studies in ergonomics should consider how multi-level factors impact each other. An integral approach, addressing individual and organisational levels, is necessary to facilitate appropriate implementation of ergonomic interventions, like lifting devices.
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: Koppelaar
authors.forename: J J
authors.initials: JJ
authors.lastname: Knibbe
authors.forename: H S
authors.initials: HS
authors.lastname: Miedema
authors.forename: A
authors.initials: A
authors.lastname: Burdorf
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D006804:Ergonomics; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D017116:Low Back Pain / Q000517:prevention & control*; D008297:Male; D009042:Motivation; D055805:Moving and Lifting Patients; D009426:Netherlands; D009735:Nursing Homes; D009740:Nursing Staff / Q000523:psychology*; D009784:Occupational Diseases / Q000517:prevention & control*; D016272:Occupational Health; D011795:Surveys and Questionnaires; D017132:Workplace