What makes a moving and handling people guideline work? : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Public Health at Massey University, Manawatū, New Zealand

Appendix 2 was removed to comply with copyright, but it may be accessed via: Lidegaard, M., Olsen, K.B., and Legg, S.J. (2019, April ). How was a national moving and handling people guideline intended to work? The underlying programme theory. Evaluation and Program Planning, 73, 163–75. https://doi.org/10.1016/j.evalprogplan.2019.01.002Moving and handling of people (MHP) is a major reason for developing musculoskeletal disorders (MSD) in the healthcare sector worldwide. To reduce MSD from MHP, many national and state level guidelines targeting MHP have been developed. However, little is known about their impact on injury claims rates, how they are intended to work, if intended users are aware of and use them, which parts of the guideline are being used, and how they are implemented. Therefore, the overarching goal of this thesis was to contribute to understanding what makes a MHP guideline work. It was addressed by examining the effects of introducing the New Zealand Accident Compensation Corporation ‘Moving and Handling People: The New Zealand Guidelines’ (MHPG), using a mixed-methods approach in five sequential studies. An analysis of claims data (Study 1) showed that MHP related claims rates declined before, but increased after the introduction of the MHPG. A study of the MHPG programme theory (Study 2) showed that key actors for implementation were MHP coordinators, H&S managers, and therapists. The developers argued for implementing a multifaceted MHP programme where implementation of organisational systems should create the foundation for implementing the core components. A questionnaire analysis (Study 3) showed that a high proportion of MHP coordinators, H&S managers, and therapists were aware of the MHPG, while a high proportion of therapists used it. In contrast, fewer carers were aware of and used it. A second questionnaire analysis (Study 4) showed that more key actors were familiar with and used the core components compared to the organisational systems. A low proportion of actors experienced change after use. Case studies (Study 5) showed that organisational motivation to implement a MHP programme was initiated by MHP related staff injuries. The implementation process was gradual, changing MHP practices during multiple steps, and dependent on a dedicated person to drive implementation. This thesis shows that making a MHP guideline work requires a dedicated actor, with support from management, to facilitate implementation and organisational changes needed. However, many contextual factors affect implementation, ranging from national, e.g. legislation and policies, to individual level, e.g. individuals conducting MHP

How do national health guidelines work? A realist analysis of the ACC Moving and Handling People New Zealand Guidelines, 2012

falsePublishe

Use of Guidance Material for Moving and Handling People: Barriers and Facilitators - An Experience Exchange

Presentation of the research project and preliminary findings of questionnaire survey as introduction to a work shop for people interested in improving health and safety related to moving and handling people

The relation of ambulatory heart rate with all-cause mortality among middle-aged men : a prospective cohort study

The aim of this study was to investigate the association between average 24-hour ambulatory heart rate and all-cause mortality, while adjusting for resting clinical heart rate, cardiorespiratory fitness, occupational and leisure time physical activity as well as classical risk factors. A group of 439 middle-aged male workers free of baseline coronary heart disease from the Belgian Physical Fitness Study was included in the analysis. Data were collected by questionnaires and clinical examinations from 1976 to 1978. All-cause mortality was collected from the national mortality registration with a mean follow-up period of 16.5 years, with a total of 48 events. After adjustment for all before mentioned confounders in a Cox proportional hazards regression analysis, a significant increased risk for all-cause mortality was found among the tertile of workers with highest average ambulatory heart rate compared to the tertile with lowest ambulatory heart rate (Hazard ratio = 3.21, 95% confidence interval: 1.22-8.44). No significant independent association was found between resting clinic heart rate and all-cause mortality. The study indicates that average 24-hour ambulatory heart rate is a strong predictor of all-cause mortality independent from resting clinic heart rate, cardiorespiratory fitness, occupational and leisure time physical activity and other classical risk factors among healthy middle-aged workers.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

USA’s strategiske interesser i Arktis

Bo Lidegaard beskæftiger sig med USA’s interesser og politik i Arktis.&nbsp

Udsigten til en klimaaftale i den nye globale verdensorden

Dette bidrag har ikke et abstract

Sådan vil Danmark placere sig i EU

Valget til Europa-Parlamentet står for døren. Martin Lidegaards bidrag handler om  større dansk indflydelse i EU.&nbsp

Største reform i nyere tid af Udenrigstjenesten

Den største reform af Danmarks udenrigstjeneste i nyere tid trådte i kraft i sommer med åbning af nye ambassader og lukning af andre. Martin Lidegaard skriver om omlægningen og strategien bag den