The increasing incidence of obesity among patients presents substantial challenges for healthcare workers, particularly during patient transfers. Severely obese patients (BMI ≥40 kg/m2) require specialized handling due to their size and mobility limitations. Manual handling without proper equipment increases the risk of musculoskeletal injuries among nurses and support staff, and may also compromise patient safety (Muir & Archer-Heese, 2019; Alamgir et al., 2008).
Proper body mechanics are a foundational component of safe patient handling. However, despite initial training, consistent application in clinical settings is often lacking due to time constraints, fatigue, or high workloads (Nelson & Baptiste, 2006). Nurses and support staff frequently report uncertainty and physical strain during the transfer of bariatric patients, especially when not equipped with appropriate devices or sufficient training.
The HoverMatt system, an air-assisted lateral transfer device, has been shown to significantly reduce friction and physical effort during patient transfers. Research indicates that its use not only decreases staff injuries but also improves the efficiency and safety of moving bariatric patients (Menzel & Hughes, 2006; Zhuang et al., 2000). However, effectiveness depends heavily on the users’ familiarity with the equipment.
Knowledge and confidence play critical roles in proper use of assistive devices. Staff who are well-trained demonstrate greater competence and willingness to use systems like the HoverMatt (Kim et al., 2015). In contrast, limited knowledge often leads to hesitation, improper use, or avoidance altogether. Hands-on training and regular simulation exercises significantly improve both competence and confidence levels (Tingle & Bark, 2021).
Despite the availability of safe patient handling tools, barriers remain. These include inadequate staffing, device unavailability, and lack of organizational enforcement (ANA, 2013). Studies emphasize the importance of supportive workplace culture, policies, and leadership in promoting safe handling practices.