A study on patient experience of moving and handling in hospitals

Abstract

Abstract Aim: The aim of the study is to develop a theory of factors that influence the patient experience of being moved and handled in hospitals.

Background: The implementation of manual handling policy has been publicly criticised in community settings, but there is little knowledge of the in-patient experience. This study sought to discover the in-patient perspective on this aspect of care in hospitals.

Methodology: A constructivist grounded theory approach was employed. Theoretical sampling technique continued until data saturation was reached. Constant comparative analysis was used to produce a theory from categories and themes.

Conduct: Eleven patients from two rehabilitation hospitals participated in semi-structured interviews. Most participants had recent experience of the acute hospital setting.

Findings: Participants did not distinguish moving and handling as a discreet element of care, but rather perceived it as an integral part of care delivery. Participants described how the manner of care delivery was more important than the mechanics. The analysis of data indicated that expectations of care grew through the recovery process and capacity to influence the delivery of care also increased. The emergent theory linked Maslow’s 1943 theory of self-actualisation, patients’ expectations of care and their capacity to influence care. Capacity to influence care moves through stages, from yielding when physical needs are greatest, to asserting when there is a need for autonomy.

Conclusion: The study theorised that as patients move through stages of recovery, their expectations of care and their capacity to influence care increases. This can provide understanding of patient motivation and opportunity for nurse support.