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Education for Patient Handling Practitioners
1. Education for
Patient Handling Practitioners
Dr Mike Fray
Research Fellow
Loughborough University
Loughborough Design School
2. Overview
A personal introduction
How does someone become a PHP?
Competency Frameworks for Handling
Practitioners
A Question of Education?
Some questions to ponder
Loughborough Design School
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. Becoming a Recognised Professional
Assessment on
entry
Education
Qualification
Proficiency
Training Post
CPD
Experience
Professional
Recognition
Loughborough Design School
5. Becoming a Patient Handling Practitioner
Assessment on
entry
Education
Qualification
Proficiency
Apply for position
Training Post
CPD
Experience
Professional
Recognition
Loughborough Design School
6. Becoming a Patient Handling Practitioner
Assessment on
entry
Education
Qualification
Proficiency
Apply for position
Training Post
CPD
In house courses
Experience
Conferences
Expert programmes Professional
Recognition
Loughborough Design School
7. Becoming a Patient Handling Practitioner
Assessment on
entry
Education
Qualification
Proficiency
Apply for position
Training Post
CPD
In house courses
Experience
Conferences
Expert programmes Experience Professional
Recognition
Loughborough Design School
8. Where we all come from?
How does someone become a
Patient
Handling
Practitioner or
Professional?
Loughborough Design School 8
10. Other countries
Simple 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. 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. 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
Australia
Loughborough Design School
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 Passport
Loughborough Design School
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. National Back Exchange
General history
Systems and expertise
Inter-Professional Curriculum (1st, 2nd Ed)
Local link worker/Organisational level
Registered Member
•Direct Entry
•Re-instated APLE process 2011
Loughborough Design School
16. Competency Frameworks
NBE 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 handling
Loughborough Design School
17. The Association of Safe Patient Handling
Professionals, Inc.
Loughborough Design School
18. Resources & Standards
• Non-Profit Organization
• Learning Center
• Offers Certification in SPH
• Networking Opportunities
• Membership Driven
• Totally Volunteer Organization
• American Association of Safe
Patient Handling
Loughborough Design School
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. Certified Associate Certified Professional
(CSPHA) (CSPHP)
Anticipated Successfully use and instruct others in the Establish and manage all aspects of a SPH
Capabilities correct use of SPH protocols and equipment program
Education and 1)RN plus 5 years experience
Professional or
2)Bachelor’s Degree (in related field) plus 4 years
Experience 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
experience
SPH 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 = 2
Experience 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. Letters of 1 from a Certified SPHP 3 letters required. Must include 1 letter from current
supervisor or client that describes your work; 2 from
Recommendation 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 SPH
Evidence 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 hours
Renewal (every 3 15 contact hours
years)
Loughborough Design School
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.
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23. A Question of Education?
How might formal education processes
improve the function of the PHP?
Loughborough Design School 23
24. History of UK programmes
Northumbria University
Undergraduate modules
Nursing programme
Neuro-muscular approach
Southampton University
Undergraduate modules
Level 1
Level 2
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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. Results of the programme?
An opportunity to review?
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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 methods
Loughborough Design School
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 PG
Loughborough Design School
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 15
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30. Postgraduate course has positive effect on performance
25
20
15 Post grad
Non Post
Grad
10
5
0
Strongly Agree Agree Neither Disagree Strongly Disagree
Agree/Disagree
Loughborough Design School
31. Effectiveness of changes implemented
18
Post grad
16
Non Post
Grad
14
12
10
8
6
4
2
0
Very effective Effective Not very effective Difficult to assess Not been measured
Loughborough Design School
32. The world we live in
Financial pressures
Loss of PHP in UK
Worldwide changes in higher education
Small niche programmes
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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
Improvements
Loughborough Design School
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. 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/ IEA
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36. Is it time for a coordinated world wide
qualification process?
Loughborough Design School
37. Thanks for your time
Any questions?
M.J.Fray@lboro.ac.uk
Loughborough Design School