How should a nurse position themselves to move a client up in bed with assistance?

Positioning the nurse effectively is crucial for safely and efficiently moving a client up in bed. Placing feet apart with one foot ahead provides a stable base of support, which is vital when performing a lift or maneuver. This stance helps to lower the center of gravity, thus enhancing balance and stability.

By adopting this position, the nurse can engage their leg muscles, which are stronger than the back muscles, reducing the risk of injury to themselves. This method allows for a more effective transfer of strength and power through the legs, ensuring that the movement is smoother and safer for both the nurse and the client.

In contrast, standing facing the center of the bed may not provide the best leverage or stability. Bending at the waist toward the client can increase the risk of back strain and does not utilize the legs for lifting, which is essential for protecting the nurse's back. Encouraging the client to keep their legs straight is not beneficial; clients should generally be positioned for comfort and safety during the move, which often includes bending their knees to create a stable base and ease the effort required for the nurse.