Use of the ACC ‘Moving and Handling People Guidelines, 2012 - Results from a national survey Mark Lidegaard Centre for Ergonomics, Occupational Health and Safety School of Public Health College of Health

The Questionnaire survey Internet-based survey questionnaire Public & Private Hospitals Aged, Residential, Home & Community Care Education, Equipment & Facility providers Societies and Agencies involvedd in MHP Managers People who handle people Senior management Equipment & Facility design Education & Training Institutions

Distribution of respondents based on role related to MHP or Sector Role in relation to MHP (n=589) Frequency (Percent) Carer 285 (48.4) Trainer/ Educator 117 (19.9) Physio/ OT 105 (17.8) Management 79 (13.4) Nursing student 57 (9.7) Ward or unit manager 23 (3.9) OHS manager 33 (5.6) MHP coordinator 54 (9.2) Facility designer or manager 15 (2.5) Equipment supplier 22 (3.7) H&S representative 47 (8.0) Policy maker Other 4 (0.7) Total 863 (146.5) Sector employed in (n= 589) Frequency (Percent) Public hospitals 264 (44.8) Aged & Residential care 159 (27.0) Private hospitals 70 (11.9) Home care 45 (7.6) Nursing studies 55 (9.3) Training & Education 85 (14.4) Facility design 9 (1.5) Equipment supply 20 (3.4) Hospice 22 (3.7) Schools 13 (2.2) Primary health care 11 (1.9) Community care 6 (1.0) Other 32 (5.4) Total 791 (134)

Distribution of roles related to MHP throughout different sectors where MHP occur Public hospitals (n=264) Private hospitals (n=70) Aged and Residential care (n=159) Home care (n=45) Hospice (n=22) Schools (n=13) Primary health care (n=11) Community care (n=6) Frequency (Percent) Carer 188 (71) 21 (30) 47 9 (20) (41) (0) 7 (64) 3 (50) Trainer/ Educator 32 (12) 26 (37) 49 (31) 23 (51) 8 (36) 4 1 (9) 2 (33) Physio/ OT 18 (7) 19 (27) 46 (29) (40) 13 (100) (17) Management 14 (5) 43 10 (22) (18) Nursing student (8) (6) Ward or unit manager (4) 5 (3) (2) OHS manager 6 12 (14) MHP coordinator 20 24 (15) Facility designer or manager Equipment supplier H&S representative Policy maker (1) (13) Other Total number of roles identified 343 (130) 136 (194) 291 (183) 94 (209) (162) 15 (136) (133)

Awareness of the MHPG based on role related to MHP or Sector Work role Yes No Do not know Frequency (Percent) n Carer 183 (64.2) 50 (17.5) 52 (18.2) 285 Trainer/ Educator 106 (90.6) 8 (6.8) 3 (2.6) 117 Physio/OT 98 (93.3) 6 (5.7) 1 (1.0) 105 Management 66 (83.5) (7.6) 7 (8.9) 79 Nursing student 28 (49.1) 15 (26.3) 14 (24.6) 57 Ward or unit manager 17 (73.9) 4 (17.4) 2 (8.7) 23 OHS manager 29 (87.9) (9.1) (3.0) 33 MHP coordinator (96.3) (3.7) (0.0) 54 Facility designer or manager 13 (86.7) (6.7) Equipment supplier 21 (95.5) (4.5) 22 H&S representative 42 (89.4) 5 (10.6) 47 Policy maker 20 (90.9) Other (75.0) (25.0) Sector Yes No Do not know Frequency (Percent) n Public hospitals 172 (65.2) 52 (19.7) 40 (15.2) 264 Private hospitals 60 (85.7) 7 (10.0) 3 (4.3) 70 Age & residential care 140 (88.1) 10 (6.3) 9 (5.7) 159 Home care 41 (91.1) 2 (4.4) 45 Nursing studies 29 (52.7) 12 (21.8) 14 (25.5) 55 Training & Education 77 (90.6) 6 (7.1) (2.4) 85 Facility design 8 (88.9) 1 (11.1) (0.0) Equipment supply 18 (90.0) (5.0) 20 Hospice 21 (95.5) (4.5) 22 Schools (92.3) (7.7) 13 Primary health care 5 (45.5) (27.3) 11 Community care (83.3) (16.7) Other (68.8) (18.8) 4 (12.5) 32

Awareness of any ACC guideline on MHP for the different roles related to MPH throughout the different sectors   Carer Trainer/ Educator Physios/ OTs Management OHS manager MHP coordinator Frequency (Percent) n Public hospitals 112 (59.6) 188 28 (87.5) 32 17 (94.4) 18 10 (71.4) 14 12 (92.3) 13 (94.7) 19 Private hospitals 16 (76.2) 21 23 (88.5) 26 (89.5) (100.0) 4 (66.7) 6 (90.0) 20 Age & residential care 38 (80.9) 47 44 (88.8) 49 43 (93.5) 46 39 (90.7) 11 (91.7) 22 24 Home care 7 (77.8) 9 (95.7) 8 Nursing studies (55.6) 5 1 2 (0.0) Training & Education (6 (60.0) 51 (92.7) 55 (97.8) 45 (83.3) (96.0) 25 Facility design (80.0) 3 Equipment supply (90.9) (88.9) Hospice Schools Primary health care (42.9) (33.3) Community care Other (81.8) (75.0) (50.0)

Awareness of, access to, read and use of the MHPG based on role related to MHP Work role Awareness Access Read Use Frequency (Percent) n Carer 115 (40.4) 285 79 (73.8) 107 63 (80.8) 78 56 (88.9) Trainer/ Educator 97 (82.9) 117 89 (94.7) 94 88 (98.9) 80 (90.9) Physio/ OT (84.8) 105 81 (94.2) 86 (97.5) 71 (89.9) Management 58 (73.4) 50 (92.6) 54 46 (92.0) 40 (87.0) Nursing student 26 (45.6) 57 18 (78.3) 23 12 (66.7) 7 (58.3) Ward or unit manager (52.2) 6 (54.5) 11 (100.0) 5 (83.3) OHS manager 28 33 27 21 (77.8) MHP coordinator 51 (94.4) 49 (98.0) 47 (95.9) 44 (93.6) Facility designer or manager (73.3) 15 8 (80.0) 10 (87.5) Equipment supplier 19 (86.4) 22 (93.8) 16 14 (93.3) H&S representative 34 (72.3) 29 (85.3) (96.6) 24 (85.7) Policy maker (94.1) 17 13 (81.3) Other 2 (50.0) 4

Aged & Residential care Use of sections in the MHPG within the five largest subsectors Section Public hospitals Private hospitals Aged & Residential care Home care Training & Education F* (P#) n 1: Introduction 47 (45.6) 103 19 (51.4) 37 49 46.7 105 (59.4) 32 38 (55.9) 68 2: Why MHP programmes are needed 74 (59.7) 124 24 (64.9) 71 65.1 109 25 (73.5) 34 51 (70.8) 72 3: Risk assessment 94 (74.6) 126 33 (86.8) 92 84.4 28 (82.4) 58 (79.5) 73 4: Techniques (80.8) 130 (92.5) 40 102 91.1 112 29 (85.3) 60 (81.1) 5: Training 80 (68.4) 117 (77.8) 36 84 78.5 107 (70.6) 48 (68.60 70 6: Organising training 41 (43.2) 95 20 (57.1) 35 57 56.4 101 17 (54.8) 31 (52.2) 67 7: Equipment (78.6) 131 (72.5) 87 79.8 27 (79.4) 53 (71.6) 8: Equipment management 54 (43.9) 123 15 (41.7) 51.4 12 (37.5) (36.8) 9: Facility design 26 (29.5) 88 11 (36.7) 30 31.1 90 7 (26.9) 16 (29.1) 55 10: Policy (31.8) (53.3) 42.6 (42.3) 21 11: Workplace culture (50.0) 116 (45.7) 50 49.5 (38.7) (41.3) 63 12: Monitoring 44 (44.0) 100 18 (47.4) 50.0 14 (45.2) (44.3) 61 13: Auditing (37.8) (48.5) 47.8 9 (35.1) 14: Bariatric 64 (60.4) 106 (58.1) 40.0 85 10 (43.6) *F= Frequency, #P= Percentage

Purpose for use of sections in the MHPG RISK ASSESSMENT Training and education followed by risk assessment. Further, to improve own knowledge. TECHNIQUE Training and education purpose. Further, to improve safety, better practice and to improve their own knowledge. TRAINING Training and education purpose. Further, to improve their own knowledge, to to argue for MHP and to develop programmes and policies. EQUIPMENT Training and education followed by improving my own knowledge. Further, to improve safety and for better practice.

Aged & Residential care Change after use of a specific section of the MHPG based on sectors Section Public hospitals Private hospitals Aged & Residential care Home care Hospice F* (P#) n 1: Introduction 22 (50.0) 44 5 (29.4) 17 18 (42.9) 42 4 (21.1) 19 2 (33.3) 6 2: Why MHP programmes are needed 45 (65.2) 69 14 (66.7) 21 46 (71.9) 64 16 24 8 (80.0) 10 3: Risk assessment 53 (62.4) 85 20 (64.5) 31 52 (63.4) 82 (59.3) 27 11 (84.6) 13 4: Techniques 96 25 (73.5) 34 70 (76.9) 91 (63.0) (83.3) 12 5: Training (71.2) 73 26 (72.6) (59.1) 9 (81.8) 6: Organising training 28 (73.7) 38 37 (74.0) 50 (70.6) 7 (87.5) 7: Equipment 65 (69.9) 93 15 (55.6) (57.5) 80 (38.5) (72.7) 8: Equipment management 32 (65.3) 49 (69.2) 48 (100.0) 9: Facility design (75.0) 3 (45.8) 10: Policy (61.5) (71.4) (74.3) 35 (60.0) 11: Workplace culture 33 (64.7) 51 (57.1) (57.8) (45.5) (85.7) 12: Monitoring (61.0) 41 (56.3) 30 (69.8) 43 13: Auditing (68.8) (75.7) 14: Bariatric (75.4) 57 (63.6)

Type of change after use of a section in the MHPG RISK ASSESSMENT Change in risk assessment procedures. Also other people’s awareness or knowledge as well as improved safety. TECHNIQUE Change in Training and MHP practice. Further an improved safety. TRAINING and ORGANISING TRAINING Change in training procedures . Further change in other’s awareness or knowledge POLICY Change in policies