Study Guide

Objective

The student is able to:

- Define the basic principles of ergonomics,
- Understand and observe natural movements and recognize the importance of motor learning in patient handling
- Choose and utilize the proper transfer technique/s and assistive device/s depending on the patient's functional level.
- Identify, evaluate and diminish risk factors in patient handling, both patient and professional perspectives
- Communicate in multiprofessional environment to achieve safe and rehabilitating patient handling situations
- Integrate ethical reasoning in patient handling situations.

Content

Basics of ergonomics. Risk assessment. Natural movement and functional capacity of a patient. Body awareness and motor learning. Biomechanics in patient handling. Patient handling principles and management policies. Ethics and communication during patient handling.

Materials

Materials and links given in the Itslearning platform.
Students' own information searches.

Teaching methods

Online course:
Independent studying based on the topics and materials presented in the Itslearning platform.
Participation in various discussions on the online platform.
Making a video of the final exam topic given to you, i.e. a demonstration of competence, in small groups and returning it on time.

Practical sessions:
1. Before starting practical lessons, please study the file in info/introduction "What do you need to assess before assisting a patient to move" and watch the videos embedded in PPP file "Natural movements".
2. Attend the face-to-face lessons, and practice there both transfers you saw in the videos and also transfers your teacher demonstrates during lessons.

Simulations:
In this course, you will join 1-2 simulation sessions.
Simulation as a learning method is based on experiential learning. It provides a realistic environment for learning and practicing. Stimulation as a method is an effective way to play through clinical situations in a safe learning environment where patients are not harmed.

In the simulation sessions you will have the possibility to practice both technical skills (for example safe patient handling techniques) and non-technical skills (communication, ethics and teamwork).

After each simulation session, a debriefing discussion will take place. Debriefing as part of simulation-based education provides an opportunity to promote reflection - learning is the integration of experience and reflection, the conscious consideration of the meaning and implication of an action, including the knowledge, skills, and attitudes.

Exam schedules

Week 44 on tuesday 29.10.2024, return the video.
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International connections

Studying independently online, participating in joint discussions on the online platform, face-to-face teaching, practical study in small groups and simulations.

Student workload

The student's learning tasks and workload consists of the following:

Online course:
32h Studying independently online (4 baskets)
9h Participating in joint discussions on the online platform
3h reflection of own work and group work
10h Final exam

Practical sessions:
20h Studying independently (3 baskets)
12h face-to-face teaching
18h practical studying in small groups

4h Simulations

Learning objectives for simulation sessions:

Technical /Practical skills:

Assess the patients' functional mobility and participation level;
Assess specific demands of the mobility task and risk assessment;
Prepare the environment;
Effectively use the equipment;
Perform fluent, ergonomic and safe patient and/or assistant transfer;
Perform safe patient handling, activating the patient.

Reasoning and communication skills:

Be aware of the current situation;
Effectively communicate with others (students in patient, professional or caregiver roles);
Inform patient and caregiver;
Select proper assistive aids;
Select adequate patient handling methods;
Use different communication styles and resources in order to perform safe patient handling;
Support patients' independence and participation;
Integrate ethical principles in the intervention.

Content scheduling

ItsLearning course Patient handling in safe and rehabilitating way includes three phases and total of seven (7) baskets, which must be completed on time and with approval.

Baskets 1-4 must be completed before practical classes (basket 5) and basket 5 before the simulations (basket 6).

The three phases of this course are:

Phase 1. Baskets 1-4.
Online course in ItsLearning platform contains general information, as well as four (4) "baskets" to be completed independently.

You cannot move to the next basket until the previous one is completed, and tasks cannot be returned after the basket is closed. We recommend putting reminders on your phone about return dates and participation in discussions.

You are expected to actively participate in the discussions on the course platform. Please also note the required minimum number of conversation starters and comments.

Timelines:
Basket 1 is open during weeks 34-36
Basket 2 is open during weeks 35-37
Basket 3 is open during weeks 36-38
Basket 4 is open during weeks 37-38

Phase 2. "Baskets" 5 and 7

A. practical lessons 5 - contains orientation lecture 2h and practical training with teacher in Kunnonkoti 2 x 4-5h.
Orientation lecture date: week 38, 18.9.

B. Phase 2 contains also a final exam (basket 7), which is carried out in groups of approximately three people. You can start this basket in week 41
The return date to the final exam (basket 7) is week 44

3. Basket number six (6): Simulations in SimuCenter week 43, 22.10.

Further information

Final exam -video made in small groups must be returned to Itslearning by the week 18. We will define the return date in the class.

There are four phases in the exam:

1. Prepare a video with theoretical arguments; post it in a conversation forum
2. Give feedback to another group about their video; do this as a group with well justified arguments and choose a video, that has not been commented yet, if possible.
3. Reflect your own learning process and video based on the feedback from another team. That is, give counter argument or seal of approval to the commenting team.
4. Assess your team work
• Fill up the given evaluation pie together with all group members, and submit it to the discussion channel, as the last message in the chain you started when you submitted the video you made.

Evaluation scale

H-5

Assessment criteria, fail (0)

Patient´s functional capacity and movement
- Does not assess the
patient functional
capacity, neither uses it.
- Does not notify the
patient’s natural
movement, and how to
utilize it.

Risk assessment (environment and devices)
- Does not identify the
main physical factors of
the task.
- Does not prepare the
environment properly
neither considers the
patient's needs.
- Chooses and uses an
assistive device in such a
way that it leads to a
dangerous situation for
the patient or the
candidate.

Interaction and communication with the patient
-Does not demonstrate
the ability to adapt
communication with the
patient. Not paying
attention to patient’s
feedback.
- Patient do not know
what she/he had to do.
- Not paying attention to
time and space

Career’s Body Control and Posture
Performs awkward
postures and/or body
movements (e.g.,
inappropriate weight
shifting, bent back),
overloading his/her own
body.
- Power is produced by
back or upper extremity
muscles.

Theoretical Knowledge
- Does not indicate the
reasoning that supports
the procedures (less
than 3 aspects).

Assessment criteria, satisfactory (1-2)

Patient´s functional capacity and movement
Assesses the patient functional capacity,
either by asking or testing, but doesn’t
use that knowledge for the transfer.
- Positions the patient so that he can
participate, but does not enables
his/hers natural movement
- Allows the patient to partly use his own
strength /capacity, but without success.

Risk assessment (environment and devices)
Environment and transferring technique
evaluation of resources and demands
Need at least 3 of the following:
- the working environment is clear and
unrestricted
- wears clothes and shoes that support safe
working
- uses safely and smoothly adequate
devices considering patient’s needs
- the needed devices are selected
beforehand, and they are close (near)
- adapts the bed level according to work
tasks
- estimates patient’s condition/strengths
and own resources

Interaction and communication with the patient
-Superficial communication with the
patient poorly reacting to his/hers
feedback (verbal and non-verbal).
- Pays attention to time or space partially
but does not act according to that.

Career’s Body Control and Posture
-Shows poor body control, applying
working postures that can be considerably
improved.
- Tries to produce power from weight shifts
or legs, but does not succeed in that.
- Cannot move along with the patient’s
movement.

Theoretical Knowledge
- Single comments about ergonomic
natural movements, biomechanical and
ergonomic principles.
- Few comments about body control
posture and own movements. Body
control is not explained.
- Certain techniques and assistive devices
mentioned, but not explained.
- Risks superficially mentioned
- Average planning of the situation and
environment.

Assessment criteria, good (3-4)

Patient´s functional capacity and movement
-Assesses the patient functional capacity,
either by asking or testing, and uses part of
that knowledge for the transfer.
- Enables partly the patient’s natural
movement by correcting initial position or
giving support, (like offering a firm outside
support when getting up from sitting).
- Allows the patient to use his own strengths
/capacity following his natural movements,
but not entirely.

Risk assessment (environment and devices)
Environment and transferring technique
evaluation of resources and demands
Need at least 4 of the following:
- the working environment is clear and
unrestricted
- wears clothes and shoes that support safe
working
- uses safely and smoothly adequate devices
considering patient’s needs
- the needed devices are selected
beforehand, and they are close (near)
- adapts the bed level according to work
tasks
- estimates patient’s condition/strengths
and own resources

Interaction and communication with the patient
- Communicates with the patient partly
reacting to his/ her´ feedback (verbal and
non-verbal).
- Does some stimulations trying to activate
his/her movements before starting the
task.
- Pays attention to time and space partially,
but not fully succeed in acting according to
that.

-Career’s Body Control and Posture
Shows good body control by seeking proper
working postures but is not able to apply
them constantly.
- Mainly uses legs and weight shifts when
producing power.
- Can partly move along with the patient’s
movement.

Theoretical Knowledge
- Good comments and arguments about
natural movements, biomechanical and
ergonomic principles.
- Good comments about body control
posture and own movements, without
theoretical discussion
- Good arguments about the technique and
assistive device/s choices without
theoretical discussion
- Good comments about risks, but not
explained with theory.
- Good planning of the situation and
environment mentioned without
theoretical discussion

Assessment criteria, excellent (5)

Patient´s functional capacity and movement
-Assesses the patient functional capacity either by
asking and testing, and uses this knowledge for the
transfer
- Enables the patient’s natural movement
successfully by correcting initial position and giving
support, (like offering a firm outside support when
getting up from sitting).
- Activates and allows the patient to use his/her own
strength /capacity optimally according to natural
movements, with success.

Risk assessment (environment and devices)
Environment and transferring technique evaluation of
resources and demands
Need at least 5 of the following:
- the working environment is clear and unrestricted
- wears clothes and shoes that support safe working
- uses safely and smoothly adequate devices
considering patient’s needs
- the needed devices are selected beforehand, and
they are close (near)
- adapts the bed level according to work tasks
- estimates patient’s condition/strengths and own
resources

Interaction and communication with the patient
Communicates clearly and respectfully with the
patient, adapting constantly to his/her feedback
(verbal and non-verbal).
- Stimulates patient’s movement by guiding or
touching if needed, especially before starting the
task.
- Gives the patient enough time and space to move.

Career’s Body Control and Posture
-Shows excellent body control and posture during
transfer
- Uses legs instead of overloading back or upper
extremities.
- Power is produced always by weight shifting and leg
muscles.
- Can move simultaneously along with patient’s
movements.
- When working in low height, adapts posture by
bending legs.

Theoretical Knowledge
Excellent comments and arguments about natural
movements, biomechanical and ergonomic
principles.
- Excellent comments and arguments about body
control, posture and own movements
- Excellent arguments about the technique and
assistive device/s choices
- Excellent arguments indicating that risk analysis has
been done and considered.
- Excellent arguments about planning the situation
and the environment.