ArticleAmerican journal of public health2019
Paradoxical Impact of a Patient-Handling Intervention on Injury Rate Disparity Among Hospital Workers.
Article in American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Engaging Low-Wage Workers in Health and Well-Being Survey Research: Strategies From 5 Occupational Studies.American journal of public health · 2025Article
- Barriers and Facilitators for the Use of Patient Lifts by Healthcare Workers: A Scoping Review.International journal of environmental research and public health · 2024Article
- Article
- The relationship of occupational injury and use of mental health care.Journal of safety research · 2020Article
- Literature Review of Policy Implications From Findings of the Center for Work, Health, and Well-being.Journal of occupational and environmental medicine · 2019Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo test whether a comprehensive safe patient-handling intervention, which successfully reduced overall injury rates among hospital workers in a prior study, was differentially effective for higher-wage workers (nurses) versus low-wage workers (patient care associates [PCAs]).
methodsData were from a cohort of nurses and PCAs at 2 large hospitals in Boston, Massachusetts. One hospital received the intervention in 2013; the other did not. Using longitudinal survey data from 2012 and 2014 plus longitudinal administrative injury and payroll data, we tested for socioeconomic differences in changes in self-reported safe patient-handling practices, and for socioeconomic differences in changes in injury rates using administrative data.
resultsAfter the intervention, improvements in self-reported patient-handling practices were equivalent for PCAs and for nurses. However, in administrative data, lifting and exertion injuries decreased among nurses (rate ratio [RR] = 0.64; 95% confidence interval [CI] = 0.41, 1.00) but not PCAs (RR = 1.10; 95% CI = 0.74,1.63; P for occupation × intervention interaction = 0.02).
conclusionsAlthough the population-level injury rate decreased after the intervention, most improvements were among higher-wage workers, widening the socioeconomic gap in injury and exemplifying the inequality paradox. Results have implications for public health intervention development, implementation, and analysis.
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