Changes in functional independence measure ratings associated with a safe patient handling and movement program

Rehabil Nurs. 2011 Jul-Aug;36(4):138-44. doi: 10.1002/j.2048-7940.2011.tb00081.x.


Safe patient handling and movement (SPHM) programs are effective in reducing healthcare worker injuries. However, the perception among rehabilitation personnel that SPHM equipment promotes patient dependence and adversely affects functional outcomes is one barrier to implementing successful programs. This barrier is particularly evident in acute inpatient rehabilitation facilities, where functional independence is the primary goal. The purpose of this retrospective cohort study was to evaluate this perception. Functional Independence Measure (FIM) ratings were collected from 94 patients with a diagnosis of stroke. Forty-seven patients were admitted 1 year prior to implementation of the SPHM program (Group 1), and 47 were admitted to the facility over a period of 1 year (Group 2) 18 months after program implementation. Group 2 obtained equal or better discharge mobility FIM ratings than Group 1, who received care without the SPHM equipment. This study suggests that SPHM programs do not impede functional outcomes in stroke patients.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Disability Evaluation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nursing Staff
  • Occupational Diseases / prevention & control*
  • Program Evaluation
  • Rehabilitation Nursing / methods*
  • Rehabilitation Nursing / organization & administration
  • Retrospective Studies
  • Safety Management / methods*
  • Safety Management / organization & administration
  • Stroke / nursing*
  • Stroke Rehabilitation*
  • Transportation of Patients