References

Alnaser MZ, Aljadi SH Physical therapists with work-related musculoskeletal disorders in the State of Kuwait: a comparison across countries and health care professions. Work. 2019; 63:(2)261-268 https://doi.org/10.3233/WOR-192927

Amaro J, Magalhães J, Leite M Musculoskeletal injuries and absenteeism among healthcare professionals—ICD-10 characterization. PLoS One. 2018; 13:(12) https://doi.org/10.1371/journal.pone.0207837

Andersen LL, Vinstrup J, Villadsen E, Jay K, Jakobsen MD Physical and psychosocial work environmental risk factors for back injury among healthcare workers: prospective cohort study. Int J Environ Res Public Health. 2019; 16:(22) https://doi.org/10.3390/ijerph16224528

Asuquo EG, Tighe SM, Bradshaw C Interventions to reduce work-related musculoskeletal disorders among healthcare staff in nursing homes; An integrative literature review. International Journal of Nursing Studies Advances. 2021; 3 https://doi.org/10.1016/j.ijnsa.2021.100033

Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and metaanalysis. Int J Nurs Stud. 2015; 52:(2)635-648 https://doi.org/10.1016/j.ijnurstu.2014.11.003

Boynton T, Kumpar D, VanGilder C The bedside mobility assessment tool 2.0. Am Nurse J. 2020; 15:18-22 https://www.myamericannurse.com/thebedside-mobility-assessment-tool-2-0/

Buck S, Sandqvist J, Nilsing Strid E, Knibbe HJJ, Enthoven P, Wåhlin C Translation and cross-cultural adaptation of the risk assessment instrument TilThermometer for a Swedish version – patient handling in the healthcare sector. BMC Musculoskelet Disord. 2022; 23:(1) https://doi.org/10.1186/s12891-022-05474-8

Chen N, Fong DYT, Wong JYH The global health and economic impact of low-back pain attributable to occupational ergonomic factors in the working-age population by age, sex, geography in 2019. Scand J Work Environ Health. 2023; 49:(7)487-495 https://doi.org/10.5271/sjweh.4116

de Raadt A, Warrens MJ, Bosker RJ, Kiers HAL A comparison of reliability coefficients for ordinal rating scales. Journal of Classification. 2021; 38:(3)519-543 https://doi.org/10.1007/s00357-021-09386-5

Fochsen G, Josephson M, Hagberg M, Toomingas A, Lagerström M Predictors of leaving nursing care: a longitudinal study among Swedish nursing personnel. Occup Environ Med. 2006; 63:(3)198-201 https://doi.org/10.1136/oem.2005.021956

Gorce P, Jacquier-Bret J Global prevalence of musculoskeletal disorders among physiotherapists: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2023; 24:(1) https://doi.org/10.1186/s12891-023-06345-6

Hallgren KA Computing inter-rater reliability for observational data: an overview and tutorial. Tutor Quant Methods Psychol. 2012; 8:(1)23-34 https://doi.org/10.20982/tqmp.08.1.p023

Harrison J, McArthur K, Quinn T Assessment scales in stroke: clinimetric and clinical considerations. Clin Interv Aging. 2013; 8:201-211 https://doi.org/10.2147/CIA.S32405

Hartvigsen J, Hancock MJ, Kongsted A What low back pain is and why we need to pay attention. Lancet. 2018; 391:(10137)2356-2367 https://doi.org/10.1016/S0140-6736(18)30480-X

Heiden B, Weigl M, Angerer P, Müller A Association of age and physical job demands with musculoskeletal disorders in nurses. Appl Ergon. 2013; 44:(4)652-658 https://doi.org/10.1016/j.apergo.2013.01.001

Hignett SM, Fray M, Battevi N International consensus on manual handling of people in the healthcare Sector: Technical Report ISO/TR 12296. International Journal of Industrial Ergonomics. 2014; 44:(1)191-195 https://doi.org/10.1016/j.ergon.2013.10.004

Hoyer EH, Young DL, Klein LM Toward a common language for measuring patient mobility in the hospital: reliability and construct validity of interprofessional mobility measures. Phys Ther. 2018; 98:(2)133-142 https://doi.org/10.1093/ptj/pzx110

Karppi M, Jerez-Roig J, Naamanka K Safe patient handling education: analysis from European higher education institutions. Int J Occup Med Environ Health. 2022; 35:(5)615-623 https://doi.org/10.13075/ijomeh.1896.01954

Kidd D, Stewart G, Baldry J The Functional Independence Measure: a comparative validity and reliability study. Disabil Rehabil. 1995; 17:(1)10-14 https://doi.org/10.3109/09638289509166622

Knibbe HJJ, Hooghiemstra F, 8th edn. : Arjo, Locomotion; 2022

Knibbe JJ, Knibbe NE Static load in the nursing profession; the silent killer?. Work. 2012a; 41:(Suppl 1)5637-5638 https://doi.org/10.3233/WOR-2012-0902-5637

Knibbe JJ, Knibbe NE An international validation study of the care thermometer: a tool supporting the quality of ergonomic policies in health care. Work. 2012b; 41:(Suppl 1)5639-5641 https://doi.org/10.3233/WOR-2012-0903-5639

Knibbe JJ, Knibbe NE: Locomotion; 2024 https://locomotion.nl/mobiliteitsklassen

Knibbe JJ, Matz MW, Heitink D Effects of using bathing gloves on healthcare recipients and caregivers. International Journal of Safe Patient Handling and Mobility and Falls Management. 2017; 7:(1)9-19

Koo TK, Li MY A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016; 15:(2)155-163 https://doi.org/10.1016/j.jcm.2016.02.012

Koppelaar E, Knibbe JJ, Miedema HS, Burdorf A The influence of individual and organisational factors on nurses' behaviour to use lifting devices in healthcare. Appl Ergon. 2013; 44:(4)532-537 https://doi.org/10.1016/j.apergo.2012.11.005

Kugler HL, Taylor NF, Boyd L, Brusco NK Nurses sustain manual handling risk assessment behaviours six-months after a training program to move patients safely: a pre-post study. Disabil Rehabil. 2023; 45:(5)927-935 https://doi.org/10.1080/09638288.2022.2048908

Lininger MR, Warren M, Knecht J, Verheijde J, Tyler B, Tompkins J Clinical instruments for bedside functional assessment: convergent validity among the AM-PAC ‘6-Clicks’ and BMAT. J Clin Nurs. 2021; 30:(13-14)2048-2056 https://doi.org/10.1111/jocn.15761

Miller LJ, Mahar S, Nicastro B Transforming safety at the bedsite with safe patient handling practice. International Journal of Safe Patient Handling & Mobility & Falls Management. 2022; 12:(1)6-12

Mokkink LB, Terwee CB, Patrick DL The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010; 19:(4)539-549 https://doi.org/10.1007/s11136-010-9606-8

Mokkink LB, Terwee CB, Patrick DL: Amsterdam Universal Medical Centre; 2012 https://doi.org/https://faculty.ksu.edu.sa/sites/default/files/cosmin_checklist_manual_v9.pdf

Ollevier A, Goderis T, Schiettekatte S, Osstyn S eUlift, an innovative app to support caregivers in safe patient handling. International Journal of Safe Patient Handling & Mobility & Falls Management. 2021; 11:(4)160-168

Shrout PE, Fleiss JL Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979; 86:(2)420-428 https://doi.org/10.1037/0033-2909.86.2.420

Sim J, Wright CC The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther. 2005; 85:(3)257-268 https://doi.org/10.1093/ptj/85.3.257

Soares Menezes KVR, Auger C, de Souza Menezes WR, Guerra RO Instruments to evaluate mobility capacity of older adults during hospitalization: a systematic review. Arch Gerontol Geriatr. 2017; 72:67-79 https://doi.org/10.1016/j.archger.2017.05.009

Sousa AD, Baixinho CL, Presado MH, Henriques MA The effect of interventions on preventing musculoskeletal injuries related to nurses work: systematic review. J Pers Med. 2023; 13:(2) https://doi.org/10.3390/jpm13020185

Sun W, Yin L, Zhang T, Zhang H, Zhang R, Cai W Prevalence of work-related musculoskeletal disorders among nurses: a meta-analysis. Iran J Public Health. 2023; 52:(3)463-475 https://doi.org/10.18502/ijph.v52i3.12130

Teixeira EJS, Petersen RS, Marziale MHP Work-related musculoskeletal disorders and work instability of nursing professionals. Revista Brasileira de Medicina do Trabalho. 2022; 20:(2)206-214 https://doi.org/10.47626/1679-4435-2022-677

Virkkunen T, Husu P, Tokola K, Parkkari J, Kankaanpää M Depressive symptoms are associated with decreased quality of life and work ability in currently working health care workers with recurrent low back pain. J Occup Environ Med. 2022; 64:(9)782-787 https://doi.org/10.1097/JOM.0000000000002586

Walters SJ, Stern C, Robertson-Malt S The measurement of collaboration within healthcare settings. JBI Database Syst Rev Implement Reports. 2016; 14:(4)138-197 https://doi.org/10.11124/JBISRIR-2016-2159

World Health Organization. 1980. https://iris.who.int/bitstream/handle/10665/41003/9241541261_eng.pdf (accessed 16 December)

World Health Organization. 2001. https://tinyurl.com/5n75fkhb (accessed 16 December 2024)

Zenker R, Girbig M, Hegewald J Musculoskeletal complaints in occupational therapists compared to the general population: a cross-sectional study in Germany. Int J Environ Res Public Health. 2020; 17:(14) https://doi.org/10.3390/ijerph17144916

The use of the MK5 Mobility Classes to improve safe patient handling: a reliability study

13 January 2025
Volume 34 · Issue 1

Abstract

In health care, work-related musculoskeletal disorders are largely attributed to patient-handling tasks. Reliable assessments of patient mobility are imperative to mitigate the musculoskeletal burden on healthcare providers. This study explores the reliability of MK5 Mobility Classes, a patient mobility classification system. Authentic video material was collected, which enabled many healthcare providers to evaluate patient mobility within a highly realistic practical environment. Inter-rater and intra-rater reliability were determined using the intraclass correlation coefficient (ICC). A total of 147 raters completed the MK5 assessment for 40 distinct practical cases. Additionally, 75 raters repeated the assessments. The high level of inter-rater reliability, ICC value of 0.82, demonstrates the consistent performance of MK5 in assessing patient mobility across diverse scenarios. Intra-rater reliability results showed moderate agreement, with an average ICC of 0.59. This study confirms the reliability of the MK5 Mobility Classes in assessing patient mobility in healthcare settings.

Work-related musculoskeletal disorders are highly prevalent among healthcare providers, leading to increased healthcare costs (Alnaser and Aljadi, 2019; Gorce and Jacquier-Bret, 2023; Sun et al, 2023), affecting healthcare quality and efficiency (Hartvigsen et al, 2018; Asuquo et al, 2021). Performing patient handling is associated with work-related disorders among healthcare providers due to repetitive movements, static and physical strain, and the handling of heavy loads (Fochsen et al, 2006; Knibbe and Knibbe, 2012a; Bernal et al, 2015; Amaro et al, 2018; Zenker et al, 2020). Recent research found an annual prevalence of musculoskeletal disorders (MSD) ranging from 77.2% (Sun et al, 2023) to 88.2% (Kugler et al, 2023) among nursing staff, with low back pain being the most common (Heiden et al, 2013). These disorders can lead to job dissatisfaction, burnout and health professionals leaving the field (Fochsen et al, 2006; Teixeira et al, 2022). Beyond physical inconvenience, low back pain and depression correlate with higher absenteeism rates among healthcare providers (Virkkunen et al, 2022), emphasising the need for comprehensive ergonomic practices.

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