The benefit of Kinaesthetics training for the nursing staff and the residents in a nursing home

ISRCTN ISRCTN24344776
DOI https://doi.org/10.1186/ISRCTN24344776
Secondary identifying numbers N/A
Submission date
23/09/2010
Registration date
25/10/2010
Last edited
18/12/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Not provided at time of registration

Contact information

Dr Virpi Hantikainen
Scientific

Institute of Applied Nursing Science (IPW-FHS)
University of Applied Science St.Gallen
St. Gallen
9001
Switzerland

Phone +41 (0)71 226 15 29
Email virpi.hantikainen@fhsg.ch

Study information

Study designQuasi-experimental mixed-methods intervention study with pre-post test design
Primary study designInterventional
Secondary study designCohort study
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleThe benefit of Kinaesthetics training for the nursing staff and the residents in a nursing home: A cross-over prospective explorative longitudinal study with quantitative and qualitative methods
Study hypothesisResearch questions:
1. To what extent do nurses develop their movement competences in the mobilisation of elderly residents?
2. How do nurses judge their knowledge, skills, application, motivation and benefits of Kinaesthetics?
3. To what extent is nurses’ goal oriented and individual movement support of residents detectable and how does this appear?
4. How do residents judge their safety, comfort and pain during the mobilization as well as their own participation in mobilisation?
5. To what extent does Kinaesthetics reduce nurses' subjective perceived physical strain during the mobilisation?
6. How do nursing teams experience the learning and conversion of Kinaesthetics in daily practice?
Ethics approval(s)The ethical review board of the cantons Basel Stadt and Basel Land approved on the 16th of September 2010 (ref: 224/10)
ConditionNursing home residents with movement impairments needing support by nursing staff
InterventionKinaesthetics is a resource-oriented learning system that is based on the theories of Feedback Control Theory and Behavioral Cybernetics.
Through self-experience with the own body as a pedagogic tool nurses learn to
1. interact effectively and resource oriented with residents
2. observe, perform and compare different transfer movements.

With this the participants gain the personal competencies necessary to attend to and to adapt their own motion when carrying out professional tasks so they are not injured. Therefore, health care personnel learn how to move with, rather than lift residents. Thus, the nursing staff supports the movement skills of the residents with the use of Kinaesthetics in their everyday working.

Duration of intervention:
Kinaesthetics basic course 4 days and practice counseling 1 day over 4 months.
10 months after basic course nurses get the Kinaesthetics advanced course 4 days over 4 months.
Total duration of training is 9 days.

Research group members (added 03/11/10):
Elsbeth Betschon
Institute of Applied Nursing Sciences
University of Applied Sciences St. Gallen
Switzerland
elsbeth.betschon@fhsg.ch

Dr Michael Brach
Institute of Sport Science
University of Muenster
Germany
Email: michael.brach@uni-muenster.de
Intervention typeOther
Primary outcome measure1. Nursing staff :
1.1. Socio-demographic data:
Age, sex, education, profession, musculoskeletal disorders, recorded with questionnaire at baseline (T0)
1.2. Knowledge, skills, application, motivation and benefits of Kinaesthetics:
Questionnaire with different questions on knowledge, skills, application, motivation and benefits measured within one month after basic course (T1) and within one month after advanced course (T2).
1.3. Learning and conversion of Kinaestetics in the daily working routine:
Focus group interviews with questions on the importance of movement in nursing care, experience with the learning and the conversion of Kinaesthetics, measured within six months after advanced course (T3).
One Focus-group per unit = 3 groups
1.4. Movement competence:
The SOPMAS© Instrument (Structure of the Observed Patient Movement Assistance Skill) observes the nurses individual performance and learning in patient transfer tasks and patient participation in locomotion activities with 4 items: interaction, patient’s movement, nurse’s posture and movement, environment and auxiliary devices. The scale ranges from 1= no skills to 5= very good skills
Video recordings of two transfers of each nurses, e.g. bed-wheelchair/chair-bed, transfer in bed (positioning) will be recorded at the measurement points at the baseline before training (T0), within one month after basic course (T1) and within one month after advanced course (T2).
1.5. Subjective perceived physical strain:
Borg CR10 scale of perceived strain, with a scale from 0 = no strain at all to 10 = extreme strain

2. Residents :
2.1. Socio-demographic data:
Age, sex, movement problems, needed movement assistance, pain medication, participation in regular nursing home movement group, recorded with questionnaire at T0
2.2. Safety, comfort, pain and own participation during the mobilization.
Questionnaire: pain by scale from 0 = no pain to 5 = unbearable pain; safety from 0 = very unsafe to 5 = very safe; comfort from 0 = very uncomfortable to 5 = very comfortable; participation from 1 = very low participation to 5 = very high participation
Measurement points: immediately after every recorded mobilisation T0-T1-T2
2.3. Functional mobility:
The MOTPA instrument (mobility test for residents in acute care) observes the amount of assistance needed in 11 functional tasks, which includes
2.3.1. Lying in the bed: moving to the top, moving sideward, transfer from back to lateral position, transfer from lateral lying position to sitting on the edge of the bed
2.3.2. Sitting on the edge of the bed: moving forward, keep sitting position, stand up
2.3.3. Standing position: turning 180°, going backwards 3 steps, short walk (6 m), walk (30 m), sitting down
The mobility profile will be assessed from the same video recordings as above, at baseline (T0), within one month after basic course (T1) and within one month after advanced course (T2)
Secondary outcome measuresNone
Overall study start date18/09/2010
Overall study end date31/12/2011

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participantsOne nursing home and 3 nursing units, Nursing staff N = 36, Residents N= 22
Participant inclusion criteria1. Nursing staff:
1.1. Participation in the Kinaesthetics training during the study
1.2. Signed informed consent

2. Residents:
2.1. Need help in moving
2.2. In a physical and mental condition to answer questionnaire
2.3. Can read and speak German
2.4. Capable of understanding the study information
2.5. Signed informed consent
Participant exclusion criteria1. Nursing staff:
1.1. Participation in Kinaesthetics training before
1.2. No signed informed consent

2. Residents:
2.1. No need for help in moving
2.2. Not in a physical and mental condition to answer questionnaire
2.3. Cannot read and speak German
2.4. Not capable of understanding the study information
2.5. No signed informed consent
Recruitment start date18/09/2010
Recruitment end date31/12/2011

Locations

Countries of recruitment

  • Switzerland

Study participating centre

Institute of Applied Nursing Science (IPW-FHS)
St. Gallen
9001
Switzerland

Sponsor information

Institute of Applied Nursing Science (IPW-FHS) (Switzerland)
Research organisation

University of Applied Science St. Gallen
Rosenbergstrasse 22
St.Gallen
9001
Switzerland

Phone +41 (0)71 226 15 29
Email virpi.hantikainen@fhsg.ch
Website http://www.fhsg.ch
ROR logo "ROR" https://ror.org/049bwzr51

Funders

Funder type

Research organisation

Nursing Science Foundation Switzerland (Stiftung Pflegewissenschaft Schweiz) (Switzerland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 31/05/2011 18/12/2020 Yes No

Editorial Notes

18/12/2020: Publication reference added.