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Motion Analysis of Simulated Patients During Bed-to-Wheelchair Transfer by Nursing Students and Skill Acquisition Based on the Analysis

  • Hiromi Nakagawa
  • Masahiro Tukamoto
  • Kazuaki Yamashiro
  • Akihiko Goto
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10917)

Abstract

The aging population in Japan is currently at 26.7% and is projected to reach 30.3% by 2025. This points to an increase in nursing care that involves transferring in and out of a wheelchair. Previous research has shown that the way a caregiver embraces the patient when transitioning her from bed to wheelchair contributes to lower back pain and has necessitated educational intervention to prevent occupational back pain. On the other hand, the patient is required to transfer into a wheelchair without falling and to maintain a seated position with the appropriate amount of body pressure. Both caregiver and receiver are asked to act in ways that are safe for both sides when transferring. In our own motion analysis of wheelchair transition, the non-experts bent forward more at the cervical and lumbar spine than the experts, creating greater body pressure distribution due to a smaller area of physical contact with the simulated patient. These results suggest that actions used for bed-to-wheelchair transferring influenced the seated position of the simulated patient. However, there are very few motion analysis studies that examine the patients’ movements during a wheelchair transfer. Therefore, this study is based on a motion analysis of the simulated patients while they are being transferred from bed to wheelchair. The study involves 4 nursing students who completed their practical training, and 2 expert nurses. The goal of this study is to turn into explicit knowledge and quantify the tacit techniques of position changing performed in nursing care. Results of this study show that the simulated patients transferred by the non-experts were led through the seating phase faster than those transferred by the experts, and the increase in speed was related to the nurses’ proximity to their simulated patients. Furthermore, we learned that motion analysis could be applied to skill acquisition.

Keywords

Motion analysis Wheelchair transferring Back pain Acceleration Interface pressure 

References

  1. 1.
    World Health Statistics 2016: Monitoring health for the SDGs. http://www.who.int/gho/publications/world_health_statistics/2016/en/. Accessed 6 Jan 2018
  2. 2.
  3. 3.
    Ministry of Health, Labour and Welfare: http://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/kiso26_teisei_1.pdf. Accessed 6 Jan 2018
  4. 4.
    Transforming our world the 2030 Agenda for Sustainable Development United Nations General Assembly (2015). https://sustainabledevelopment.un.org/content/documents/21252030%20Agenda%20for%20Sustainable%20Development%20web.pdf. Accessed 6 Jan 2018
  5. 5.
    Smedley, J., Egger, P., Cooper, C., Coggon, D.: Manual handling activities and risk of low back pain in nurses. Occup. Environ. Med. 52, 160–163 (1995).  https://doi.org/10.1136/oem.52.3.160CrossRefGoogle Scholar
  6. 6.
    Edlich, R.F., Winters, K.L., Hudson, M.A., Britt, L.D., Long, W.B.: Prevention of disabling back injuries in nurses by the use of mechanical patient lift systems. J. Long Term Eff. Med. Implants 14(6), 521–533 (2004)CrossRefGoogle Scholar
  7. 7.
    Fujimura, T., Takeda, M., Asada, F., Kawase, M., Takano, K.: The investigation of low back pain among hospital nurse. JJOMT 60, 91–96 (2012)Google Scholar
  8. 8.
    Japanese Nursing Association: Guidelines on Night Shift and Shift Work for Nurse. https://www.nurse.or.jp/nursing/shuroanzen/safety/yotu/index.html. Accessed 6 Jan 2018
  9. 9.
    Nakagawa, H., Mori, K., Takahashi, K., Yamashiro, K., Ogura, Y., Goto, A.: The motion analysis of transferring from bed to wheelchair conducted in the nursing field with focusing on the body pressure distribution. In: Duffy, V.G. (ed.) DHM 2017. LNCS, vol. 10286, pp. 141–159. Springer, Cham (2017).  https://doi.org/10.1007/978-3-319-58463-8_13CrossRefGoogle Scholar
  10. 10.
    Ogawa, K., Suzuki, R., Okubo, Y., Kunisawa, N., Konagaya, M.: Biomechanism Library Evidence-based Nursing Assisting. Society of Biomechanisms, Japan (2008)Google Scholar
  11. 11.
    Kelsey, J.L., Githens, P.B., White, A.A., Holford, T.R., Walter, S.D., O’Connor, T.: An epidemiologic study of lifting and twisting on the job and risk for acute pro-lapsed lumbar intervertebral disc. J. Orthop. Res. 2(1), 61–66 (1984).  https://doi.org/10.1002/jor.1100020110CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hiromi Nakagawa
    • 1
  • Masahiro Tukamoto
    • 1
  • Kazuaki Yamashiro
    • 2
  • Akihiko Goto
    • 3
  1. 1.Faculty of NursingSeisen UniversityHikoneJapan
  2. 2.Department of Advanced Fibro-ScienceKyoto Institute of TechnologySakyo-kuJapan
  3. 3.Faculty of Design TechnologyOsaka Sangyo UniversityDaitoJapan

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