Education forPatient Handling PractitionersDr Mike FrayResearch FellowLoughborough UniversityLoughborough Design School
Overview      A personal introduction      How does someone become a PHP?      Competency Frameworks for Handling      Pra...
A personal journey    Ergonomist, Physiotherapist    1993 - Derby Royal Infirmary,Notts Healthcare    Role of Back Care...
Becoming a Recognised ProfessionalAssessment onentry                Education                       Qualification         ...
Becoming a Patient Handling PractitionerAssessment onentry                Education                       Qualification   ...
Becoming a Patient Handling PractitionerAssessment onentry                Education                       Qualification   ...
Becoming a Patient Handling PractitionerAssessment onentry                Education                       Qualification   ...
Where we all come from?    How does someone become a                     Patient                    Handling              ...
Registrations on MSc programmeLoughborough Design School
Other countriesSimple Questionnaire Survey (Fray 2012) Location       PT      OT   H&S   Nurse   Ergs    OH     Man-      ...
Skills and Experience Location       In House      Expert    Networks    Govern’t    Univ/                Training     tra...
Assessment or Accreditation       Location    Accreditation       Ireland         Yes         FETAC Training       Holland...
Assessment and Accreditation  Who or what is the source of the accreditation process?  Two levels of accreditation     ...
Competency Assessment Exposure to risk model Handler competency    Passports, Wales, Scotland, Finland Consider the eviden...
National Back ExchangeGeneral historySystems and expertiseInter-Professional Curriculum (1st, 2nd Ed)Local link worker/Org...
Competency FrameworksNBE Registered Member                              NBE APLE                             2. Behaviour...
The Association of Safe Patient Handling   Professionals, Inc.Loughborough Design School
Resources & Standards •   Non-Profit Organization •   Learning Center •   Offers Certification in SPH •   Networking Oppor...
ASPHP Certification  The Association’s two-tiered program provides certification opportunity   for a wide range of persons...
Certified Associate                                   Certified Professional                                          (CSP...
Letters of         1 from a Certified SPHP                    3 letters required. Must include 1 letter from current      ...
Core Competencies                                           Required Skills  Financial Acumen-Demonstrated through budgeti...
A Question of Education?How might formal education processesimprove the function of the PHP?Loughborough Design School    ...
History of UK programmes  Northumbria University      Undergraduate modules      Nursing programme      Neuro-muscular...
History of UK programmes    Loughborough University    Back Care Management Programme    Certificate programme - Compet...
Results of the programme?                         An opportunity to review?Loughborough Design School
Skills to assist the PHP(Bryant 2011, Unpublished MSc)    Questionnaire Survey    250 invited, n=78,    PG / Not PG   ...
Skills used by PG vs Non PG    Postural tools    Biomechanical evaluations    Complex risk assessment processes    Wor...
Post-      Non Post-                             graduate   graduate   Equipment investment          28         15   Impro...
Postgraduate course has positive effect on performance252015                                                              ...
Effectiveness of changes implemented18                                                                                    ...
The world we live in  Financial pressures  Loss of PHP in UK  Worldwide changes in higher education     Small niche pr...
Future for PHP?  First generation PHP        Learning        Developing        Need to protect knowledge        Forma...
MSc Ergonomics (Health and Community Care)  Registered Member for NBE  Graduate Member IEHF (Institute of Ergonomics and...
Interesting Questions Qualification based process for PHP Ergonomics skills/competencies vs Healthcare management Career o...
Is it time for a coordinated world wide   qualification process?Loughborough Design School
Thanks for your timeAny questions?M.J.Fray@lboro.ac.ukLoughborough Design School
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Education for Patient Handling Practitioners

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Dr Mike Fray
Research Fellow, Loughborough Design School, Loughborough University
(P14, Wednesday, Lower NZI Room, 9-10)

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Education for Patient Handling Practitioners

  1. 1. Education forPatient Handling PractitionersDr Mike FrayResearch FellowLoughborough UniversityLoughborough Design School
  2. 2. Overview A personal introduction How does someone become a PHP? Competency Frameworks for Handling Practitioners A Question of Education? Some questions to ponderLoughborough Design School
  3. 3. 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
  4. 4. Becoming a Recognised ProfessionalAssessment onentry Education Qualification Proficiency Training Post CPD Experience Professional RecognitionLoughborough Design School
  5. 5. Becoming a Patient Handling PractitionerAssessment onentry Education Qualification Proficiency Apply for position Training Post CPD Experience Professional RecognitionLoughborough Design School
  6. 6. Becoming a Patient Handling PractitionerAssessment onentry Education Qualification Proficiency Apply for position Training Post CPD In house courses Experience Conferences Expert programmes Professional RecognitionLoughborough Design School
  7. 7. Becoming a Patient Handling PractitionerAssessment onentry Education Qualification Proficiency Apply for position Training Post CPD In house courses Experience Conferences Expert programmes Experience Professional RecognitionLoughborough Design School
  8. 8. Where we all come from? How does someone become a Patient Handling Practitioner or Professional?Loughborough Design School 8
  9. 9. Registrations on MSc programmeLoughborough Design School
  10. 10. Other countriesSimple Questionnaire Survey (Fray 2012) Location PT OT H&S Nurse Ergs OH Man- Medic 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 ?Loughborough Design School
  11. 11. Skills and Experience Location In House Expert Networks Govern’t Univ/ Training training Schools Ireland * * * FETAC * Holland * * Ergocoach * Finland * * FIOH * Germany * * WorkComp Switzerland * (Kin) Sweden * * * Portugal * * Italy * * USA * * * * NZ * * * Australia * *Loughborough Design School
  12. 12. Assessment or Accreditation Location Accreditation Ireland Yes FETAC Training Holland None Finland Yes FIOH passport system Germany Yes Kinaesthetics Trainers Switzerla Yes Kinaesthetics Trainers nd Sweden No Portugal No Italy Yes Univ Milan, not required USA Yes ASPHP 2 levels NZ No Australia Yes Manutention, Safety Institute of AustraliaLoughborough Design School
  13. 13. Assessment and 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 PassportLoughborough Design School
  14. 14. 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
  15. 15. National Back ExchangeGeneral historySystems and expertiseInter-Professional Curriculum (1st, 2nd Ed)Local link worker/Organisational levelRegistered Member •Direct Entry •Re-instated APLE process 2011Loughborough Design School
  16. 16. Competency FrameworksNBE Registered Member  NBE APLE 2. Behavioural sciences 3. Biological sciences 4. Biomechanics and ergonomics 5. Health policy and practice issues 6. Legal and professional 7. Change management 8. Health promotion and education 9. Research and evaluation 10.Risk management 11.Practical manual handlingLoughborough Design School
  17. 17. The Association of Safe Patient Handling Professionals, Inc.Loughborough Design School
  18. 18. Resources & Standards • Non-Profit Organization • Learning Center • Offers Certification in SPH • Networking Opportunities • Membership Driven • Totally Volunteer Organization • American Association of Safe Patient HandlingLoughborough Design School
  19. 19. ASPHP Certification 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) Standards are based on education, experience, references, contact hours and evidence of competency.Loughborough Design School
  20. 20. Certified Associate Certified Professional (CSPHA) (CSPHP)Anticipated Successfully use and instruct others in the Establish and manage all aspects of a SPHCapabilities correct use of SPH protocols and equipment programEducation and 1)RN plus 5 years experienceProfessional or 2)Bachelor’s Degree (in related field) plus 4 yearsExperience A combination of post- secondary education experience and experience in related field, totaling 3 or years. 3) Graduate Degree (in related field) plus 3 years experienceSPH Specific Work Equivalent of 2 years dedicated full time to SPH, 1 year of experience in an organization with a i.e. 4 years w/ 50% of time dedicated to SPH = 2Experience SPH program where your duties included full time years responsibilities associated with that program.Contact Hours 36 contact hours over the last 3 years relating to your responsibilities in SPH. Examples of related 10 contact hours over the last two years topics include achieving culture change, relating to your responsibilities in SPH. This ergonomic risk evaluation and control and safety may include training in the use of equipment, management. For other topics, include a brief on skills for training others, or other topics that explanation of how this content enhanced your would improve your skills in promoting SPH. ability to manage a SPH program. Loughborough Design School
  21. 21. Letters of 1 from a Certified SPHP 3 letters required. Must include 1 letter from current supervisor or client that describes your work; 2 fromRecommendation or persons familiar with your work and who are involved 2 letters from colleagues or supervisors with SPH familiar with your work and are involved with SPHEvidence 2 submissions of work that is unique to you that provides formal evidence of competence in the area of SPH. May include reports, assessments, N/A publications, policies & procedures, written evaluations or materials from training that you have developed.Exam N/A Waived until further notice.Certification Submission of evidence of completion of 36 contact Submission of evidence of completion of hoursRenewal (every 3 15 contact hoursyears) Loughborough Design School
  22. 22. Core Competencies Required 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
  23. 23. A Question of Education?How might formal education processesimprove the function of the PHP?Loughborough Design School 23
  24. 24. History of UK programmes  Northumbria University  Undergraduate modules  Nursing programme  Neuro-muscular approach  Southampton University  Undergraduate modules  Level 1  Level 2Loughborough Design School
  25. 25. 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.Loughborough Design School
  26. 26. Results of the programme? An opportunity to review?Loughborough Design School
  27. 27. Skills to assist the PHP(Bryant 2011, Unpublished MSc)  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 methodsLoughborough Design School
  28. 28. 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 PGLoughborough Design School
  29. 29. Post- Non Post- graduate 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 15Loughborough Design School
  30. 30. Postgraduate course has positive effect on performance252015 Post grad Non Post Grad10 5 0 Strongly Agree Agree Neither Disagree Strongly Disagree Agree/Disagree Loughborough Design School
  31. 31. Effectiveness of changes implemented18 Post grad16 Non Post Grad141210 8 6 4 2 0 Very effective Effective Not very effective Difficult to assess Not been measured Loughborough Design School
  32. 32. The world we live in  Financial pressures  Loss of PHP in UK  Worldwide changes in higher education  Small niche programmesLoughborough Design School
  33. 33. 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  ImprovementsLoughborough Design School
  34. 34. MSc Ergonomics (Health and Community Care)  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)Loughborough Design School
  35. 35. 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/ IEALoughborough Design School
  36. 36. Is it time for a coordinated world wide qualification process?Loughborough Design School
  37. 37. Thanks for your timeAny questions?M.J.Fray@lboro.ac.ukLoughborough Design School

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