Content

Case Study
Workplace design for three nursing assistants with severe disabilities in a hospital

Employer:

The employer is a hospital that belongs to a health company. The hospital specializes in inpatient aftercare and care of patients from the field of internal medicine and orthopedics. Most of the patients are referred to the nursing clinic from other hospitals in the region.

1. employee

Disability and functional restrictions:

The woman has epilepsy and arm and leg disabilities. Due to her disabilities, the woman cannot carry out heavy lifting and carrying work. The GdB (degree of disability) is 90.

Job:

The woman works as a nursing assistant in the hospital.

2. employee

Disability and functional restrictions:

The woman has cardiovascular disease. Due to the disability, she also cannot carry out any physically demanding lifting and carrying work. The degree of her disability is 80 (GdB 80).

Job:

The woman works as a nursing assistant in the hospital.

3. employee

Disability and functional restrictions:

The woman has back pain and also cardiovascular disease. You should not lift or carry heavy loads manually or perform physically demanding activities. The degree of disability is 50 (GdB 50).

Job:

The woman works as a nursing assistant in the hospital.

Workplace and duties:

The three nursing assistants work on one of the hospital's three nursing stations. Each of these stations has 22 beds and occupies a complete floor of the hospital building. As part of their work, the three women care for the predominantly older patients, i.e. they wash them and help them use the toilet. Of the 22 patients, an average of 18 need personal hygiene and toilet help. Bathing and moving patients into the bathtub and the toilet pose special problems for nursing assistants, as they have to constantly lift, hold and support them. In addition, when the patient is washed in the bathtub, there are forced postures because the nursing assistants have to bend down constantly. The very strenuous work (holding and carrying work) and the associated high physical stress of the three nursing assistants as well as the forced postures can be significantly reduced by using a patient hoist and a lifting bath tub. With the lifter, patients can be moved or lifted into the bathtub or the toilet. The working height, i.e. the height at which the patients are washed in the bathtub can be ergonomically adjusted. The dismantling of the existing bathtubs, the modification of the water connections and drain pipes as well as the restoration of the rooms (tile work) were mainly carried out by the hospital's facility management department.

Assistive devices used:

bathtubs Mobile lifters with belt seats for transferring a person in a seated position Mobile lifters with a tight fit

Keywords and Further Information

Funding and participation:

The integration and inclusion office funded 80 percent of the design for disabled people. The advice was provided by the technical advice service of the integration or inclusion office.

ICF Items

Reference Number:

R/PB4778


Last Update: 24 Jun 2019