Authors (including presenting author) :
Lau MHL(1), Ho IMW(2), Hui FSL (2), Leung KKL (1)
Affiliation :
(1) Physiotherapy Department, Kowloon Hospital, (2) Central Nursing Division, Kowloon Hospital
Introduction :
The Hospital Authority (HA) is dedicated to continuously improving occupational safety through updated training to ensure colleagues can perform their duties safely. Nurses and care-related support staff are prone to musculoskeletal disorders due to their sustained positions and patient transfer. In KH (2023), MHO accounted for ~18% of IOD cases, which approximately two-thirds involved clinical staff. While static stretching is beneficial to musculoskeletal discomfort alleviation, evidence has shown that dynamic stretching also improves coordination, proprioception, and exertional muscle performance. However, most colleagues in a fast-paced hospital environment tend to underestimate the effects of exercise when it is symptom-free and neglect it. Therefore, a customized health promotion exercise program with tailor-made MHO training is prudent to reiterate the importance of exercise and safe MHO practice.
Objectives :
This program aims to develop a routine exercise habit for MHO injury prevention for KH healthcare workers.
Methodology :
Conventional MHO training with stretching exercises is provided to all new staff routinely during orientation yet lacks specificity to the patient-care job nature. In collaboration with the Central Nursing Division, the Physiotherapy Department contextualized a Train-the-Trainer health promotion program for nurses to enhance safe MHO practice and regular exercise incorporated in their daily routine. 1. Tailor-made Health Promotion with MHO training A health promotion workshop was conducted to introduce the benefits of exercise to maintain a healthy lifestyle, to prevent injuries, and to alleviate musculoskeletal symptoms. Dynamic stretching demonstrations with practical sessions were emphasized for increasing postural awareness and flexibility with better muscle performance prior to MHO. In addition to current MHO training, risks, and hazards of musculoskeletal injuries during various nursing interventions with reasonably practicable modifications were highlighted. 2. Customized Exercise Video and Poster A customized video exercise was cast by clinical staff, nurses and physiotherapists which are shown in ward setting for workers to follow prior to MHO maneuvers. The dynamic stretching video of familiar faces motivates staff to engage in exercise in a routine schedule. Additionally, exercise poster was designed to encourage persistent exercise habit.
Result & Outcome :
All participants (n=42) agreed that the Train-the-Trainer health promotion program accentuated the importance of regular exercise, improved postural awareness, and enhanced the readiness of safe MHO practice as revealed in the evaluation. The content also provided convenience and accessibility for refresher training in the future.
