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Kgakge K, Chelule PK, Kahere M, Ginindza TG. Investigating the Risk of Patient Manual Handling Using the Movement and Assistance of Hospital Patients Method among Hospital Nurses in Botswana. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:399. [PMID: 38673312 PMCID: PMC11049933 DOI: 10.3390/ijerph21040399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2023] [Revised: 02/22/2024] [Accepted: 02/24/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND Evidence on the prevalence of lower back pain (LBP) among nurses is widespread in the literature, with several risk factors being reported. These include manual handling of patients, repetitive bending and twisting movements, and long working hours. It is reported that LBP has negative health outcomes and causes poor work performance among healthcare workers (HCWs). The magnitude of ergonomic risks associated with these healthcare activities has not been adequately investigated in Botswana. Thus, this study aimed to investigate the ergonomic risk levels associated with the manual handling of patients and its association with the prevalence of LBP among nurses in Botswana. METHODS This was an observational cross-sectional hospital-based study conducted in a Botswana public tertiary hospital from March to April 2023. The Movement and Assistance of Hospital Patients (MAPO) tool was used to collect data on ergonomic risk levels. Data on the demographic characteristics of participants were collected using a tool adapted from the Nordic Musculoskeletal Questionnaire (NMQ). Odds ratios and 95% confidence intervals were estimated to determine the association between ergonomic risk levels and the prevalence of LBP. RESULTS A total of 256 nurses participated and completed the study. The self-reported prevalence of LBP in this study was 76.6%. The risk of acquiring LBP was high (90.5%) based on the MAPO index. Although the frequencies of self-reported LBP were high among nurses, these did not show any significant association with the MAPO index data. This could be partly due to the small sample size. CONCLUSIONS There was a high prevalence of LBP in this study, which was corroborated by the MAPO index data. This has demonstrated the value of the MAPO index in forecasting the risk of patient manual handling. The findings might help Botswana formulate policies intended to address ergonomic preventive measures, directed towards reducing the MAPO index score by addressing the single risk determinants.
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Affiliation(s)
- Kagiso Kgakge
- Discipline of Public Health Medicine, School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa; (P.K.C.); (T.G.G.)
- Department of Health Promotion & Education, Boitekanelo College, Tlokweng, Old Naledi Kiosk, Gaborone P.O. Box 203156, Botswana
| | - Paul Kiprono Chelule
- Discipline of Public Health Medicine, School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa; (P.K.C.); (T.G.G.)
- Department of Public Health, School of Healthcare Sciences, Sefako Makgatho Health Sciences University, Pretoria 0208, South Africa
| | - Morris Kahere
- Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4001, South Africa;
| | - Themba Geoffrey Ginindza
- Discipline of Public Health Medicine, School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa; (P.K.C.); (T.G.G.)
- Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4001, South Africa;
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Bagheri Hosseinabadi M, Zandi N, Sartavi N, Aliyari R, Sadeghian F. The Risk Assessment of Patient Handling in Hospitals of Northeast of Iran. Hosp Top 2022:1-9. [PMID: 36000707 DOI: 10.1080/00185868.2022.2114964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
The study aim was to determine the risk of Manual patient handling (MPH) in Shahroud public hospitals, Iran. A cross-sectional study was performed in Imam Hossein (IHospital) and Bahar (BHospital) with 21 wards. MPH risk assessment was performed using MAPO (Movement and Assistance of Hospital Patient) index. The ratio of operator to disabled patient (NC/Op and PC/Op), lifting, minor aid, wheelchair, environmental, and training factor are evaluated to calculate MAPO index. Among studied wards 57%, 33.3%, and 9.5%, respectively, were in the high, moderate, and low risk exposure level. The maximum MAPO score were 16.7 in CCU of IHospital. Emergency ward of BHospital had the highest score of 9.8 and PC/OP ratio 17.5. The most risk factors were minor aid (90.5%), lifting factor (71.4%), and PC/OP (66.7%). Immediate ergonomic action is recommended.
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Affiliation(s)
- Majid Bagheri Hosseinabadi
- MSC of Occupational Health Engineering, Department of occupational health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Niloofar Zandi
- BSC of Occupational Health Engineering, Student Research Committee, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Nahideh Sartavi
- BSC of Occupational Health Engineering, Student Research Committee, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Roqayeh Aliyari
- PhD, Assistant Professor of Biostatistics, Ophthalmic Epidemiology Research Center, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Farideh Sadeghian
- PhD, Assistant Professor of Occupational Health Engineering, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
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Stanchev V, Vangelova K. Musculoskeletal Disorders in Nurses in Hospitals. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background Healthcare is a sector with a high risk of musculoskeletal disorders. The work of nurses in a hospital is associated with stress, prolonged work, uncomfortable working postures, bending and twisting of the body and etc.
Aim: To identify the risk factors for the frequency and localization of musculoskeletal complaints and diagnosed diseases of the musculoskeletal system in nurses in hospitals.
Methods: The study is cross-sectional and comprised 1412 nurses female nurses from 19 hospitals in Sofia having an average age of 50.3±9.9 years. An ergonomic analysis of workplaces in hospitals was made. A survey was conducted in relation to the workplace, the workload, the working posture and movements; Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms were used, BMI. Information on musculoskeletal diseases diagnosed by a doctor was collected with Work ability index (WAI). The statistical analyses were made using SPSS.
Results: The frequency of musculoskeletal complaints is high, complaints in the lower back being in the lead with 74.2%, followed by the back, neck and shoulders. A musculoskeletal disorder, diagnosed by a doctor, occurs in 35.6% of the individuals. Widespread is the prolonged work in a standing position, awkward working postures, bending, twisting and stretching. The data from the regression analysis show that the work with bending, twisting and stretching, prolonged work in a standing position and BMI are predictors of musculoskeletal complaints.
Conclusion: The results indicate lack of good workplace organisation and equipment. The activity involves prolonged work in a standing position, awkward working postures and work with bending and twisting of the body. High is the incidence of musculoskeletal disorders and the undergone treatment related to them.
Key words: musculoskeletal disorders, workplace, working postures, nurses, hospitals.
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Sartika D, Nurrachmah E, Sukirman DI, Mansyur M, Supartono B. Ergonomic Risk-prone Activities toward Nurses in the Intensive Care and Emergency Room. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2021.7851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Nurses have the risk of ergonomic hazards in providing nursing care, especially with increasingly dynamic health services such as during Coronavirus disease-19 pandemic like today.
AIM: The aim of the study was to evaluate activities prone to produce ergonomic risks during the implementation of nursing care in intensive care and emergency room (ER) of a hospital in Riau, Indonesia.
METHODOLOGY: This study was conducted by observing the routine activities conducted by the nurses and using similar task group techniques equipped with Rapid Entire Body Assessment instrument. Those observed activities were obtained from 17 intensive care room nurses and ten ER nurses. There were six activities observed in the intensive care room: Bathing, transferring the patient, wounds dressing, taking blood samples for the AGDA examinations, as well as inserting the intravenous needle and electrocardiograms. Meanwhile, there were two activities observed in the ER: Transferring the patient and inserting the intravenous needle.
RESULTS: The highest ergonomic risks activity in the intensive care room was bathing the patient with a total score of 13. At the ER, the highest risk score was transferring the patient with a total score of 12. Both activities were at level 4, indicating a high-risk condition. Thus, examinations and changes should be immediately initiated.
CONCLUSION: The results are significant to be paid attention by the related parties at the hospital to facilitate some improvements immediately. In addition, the ergonomic approaches that can be suggested to the nurses are regular stretching, physical exercises, and applying ergonomic principles while working.
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Optimal bed height for passive manual tasks. J Bodyw Mov Ther 2022; 29:127-133. [DOI: 10.1016/j.jbmt.2021.09.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 06/05/2021] [Accepted: 09/24/2021] [Indexed: 11/30/2022]
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Omojunikanbi OA, Akinpelu AO, Ekechukwu END. Prevalence, pattern and predictors of work-related musculoskeletal disorders among oil workers in Nigeria. Work 2021; 71:151-163. [PMID: 34924409 DOI: 10.3233/wor-205005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders (WMSD) account for a loss of GDP in most countries. The oil sector is the largest and most economically relevant industry in Nigeria, yet the impact of WMSD on workers in this industry is unknown. OBJECTIVE To assess the prevalence, pattern and predictors of WMSD among oil workers in Nigeria. METHODS This exploratory study was conducted in oil producing companies in Nigeria. Nordic Musculoskeletal Questionnaire was used to assess WMSD, while risk factors and demographic variables were obtained through an interview. Obtained data were analysed using descriptive statistics, Chi-square and logistic regression at α=0.05RESULTS:A total of 198 (138 male, 60 female) oil workers aged 40.3±10.1 years participated in this study. The prevalence of WMSD was 88.8%, and was most common around the low-back (51.5%), and neck (44.4%) regions. There was a significant association between WMSD and each of duration of service (X2 = 45.44, p = 0.020), awkward neck postures at work (X2 = 12.46, p = 0.006), inadequate training on injury prevention (X2 = 11.98, p = 0.007), and continuing to work while feeling discomfort (X2 = 10.83, p = 0.013). Post-hoc analysis revealed that being a male oil worker (OR = 1.17, p = 0.037) and continuing to work while feeling discomfort or pain (OR = 2.23, p = 0.048) were the significant predictors of WMSD. CONCLUSIONS Approximately nine in every ten oil workers in Nigeria have a WMSD. Male gender and work persistence amidst discomfort or pain are the predictors of WMSD among oil workers in Nigeria. Ergonomics training and evaluation programme is recommended for workers in this industry.
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Affiliation(s)
| | | | - Echezona Nelson Dominic Ekechukwu
- Department of Medical Rehabilitation, College ofMedicine, University of Nigeria, Nigeria.,Environmental and Occupational Health Unit, Institute of Public Health, College of Medicine, University ofNigeria, Nigeria.,LANCET Physiotherapy, Wellnessand Research Centre, Nigeria
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Ziaei M, Choobineh A, Ghaem H, Abdoli-Eramaki M. Evaluation of a passive low-back support exoskeleton (Ergo-Vest) for manual waste collection. ERGONOMICS 2021; 64:1255-1270. [PMID: 33866962 DOI: 10.1080/00140139.2021.1915502] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 04/06/2021] [Indexed: 06/12/2023]
Abstract
The purpose of study was to determine the biomechanical, physiological, and subjective effect of a Passive Exoskeleton device (called Ergo-Vest) among 20 waste collectors in the working environment. Compression force and moment on L4/L5 related to 400 critical postures of the participants were estimated using the 3DSSPP software. The heart rate and energy expenditure are measured as the physiological strain using the Polar RS400 Heart Rate Monitor. Borg scale perceived exertion, system usability scale, and ergonomic design indicators of the device were collected as the subjective parameters. Compression force and moment on L4/L5 disc were decreased when the Ergo-Vest was utilised. There was no significant difference in energy expenditure and heart rate with and without the device. The workers' perceived physical exertion was decreased while using the Ergo-Vest. From the perspective of end users, the usability and ergonomic design features of the Ergo-Vest was acceptable. Practitioner summary: The prevalence of musculoskeletal disorders is high among the Iranian waste collectors. To mitigate this occupational problem, the effect of a passive exoskeleton for lower-back support (Ergo-Vest) was investigated on the workers' spine loading, physiological parameters, and perceived physical exertion. The result shows spine force reduction and lower subjective responses.
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Affiliation(s)
- Mansour Ziaei
- School of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Alireza Choobineh
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Haleh Ghaem
- Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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Design and development of multifunctional patient bed with integrated toilet. SN APPLIED SCIENCES 2021. [DOI: 10.1007/s42452-021-04798-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
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Hasheminejad N, Choobineh A, Mostafavi R, Tahernejad S, Rostami M. Prevalence of musculoskeletal disorders, ergonomics risk assessment and implementation of participatory ergonomics program for pistachio farm workers. LA MEDICINA DEL LAVORO 2021; 112:292-305. [PMID: 34446686 PMCID: PMC8436824 DOI: 10.23749/mdl.v112i4.11343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Accepted: 06/07/2021] [Indexed: 01/23/2023]
Abstract
Background and objectives: Pistachio farmers are exposed to a variety of risk factors for musculoskeletal disorders (MSDs). However, no study has been conducted to investigate MSDs in pistachio workers. Therefore, in the present study, besides investigating the prevalence of MSDs and their ergonomic risk factors, the participatory ergonomics (PE) method is used to provide an intervention program to reduce MSDs in this population in harvesting and processing pistachio. Methods: The present study was conducted in two phases. In the first phase 138 workers participated. The prevalence of MSDs was assessed with Nordic Musculoskeletal Questionnaire and the ergonomic risk factors was identified with ManTRA method. In the second phase PE was used to perform ergonomic interventions for reducing MSDs and the effect of the intervention was investigated. Sixty-four workers participated in the second phase (32 in the case group and 32 in the control group). Results: The highest prevalence of MSDs was in shoulders (63.7%), followed by the lower back (63%) and wrists/hands (52.1%). The comparison showed that after implementing the PE intervention program, the prevalence of MSDs in the intervention group was not significantly different from that in the control group. However, in the reassessment by the ManTRA method for five tasks that were identified as high risk in the first phase, a decrease in ManTRA final score was observed for all the five tasks. Conclusions: MSDs were prevalent in all body regions of workers. After implementing PE interventions exposure to ergonomic risk factors decreased.
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Affiliation(s)
- Naser Hasheminejad
- PhD. Department of Occupational Health Engineering and Safety at Work, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
| | - Alireza Choobineh
- PhD. Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran .
| | - Reza Mostafavi
- MSc. Occupational Health Expert, Sarcheshmeh Copper Complex of Kerman, Kerman, Iran.
| | - Somayeh Tahernejad
- a:1:{s:5:"en_US";s:92:"PhD Candidate, Department of Ergonomics, Shiraz University of Medical Sciences, Shiraz, Iran";}.
| | - Matin Rostami
- MSc. Department of Ergonomics, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
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Choobineh A, Museloo BK, Ghaem H, Daneshmandi H. Investigating association between job stress dimensions and prevalence of low back pain among hospital nurses. Work 2021; 69:307-314. [PMID: 33998590 DOI: 10.3233/wor-213479] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND There are a few studies conducted on job stress dimensions and their relationship with Low Back Pain (LBP) among Iranian nurses. OBJECTIVE The aim of the current study was to investigate the association between job stress dimensions assessed via Demand-Control-Social Support (DCS) and Effort-Reward Imbalance (ERI) models and prevalence of LBP among Iranian hospital nurses. METHODS In this cross-sectional study, 495 randomly selected nurses of Shiraz University of Medical Sciences (SUMS) participated. Demographic/occupational questionnaire, the Persian version of the Job Content Questionnaire (P-JCQ) and the Persian version of the ERI Questionnaire (P-ERIQ) were used for data collection. Data were analyzed by SPSS software (version 19) using descriptive statistics, independent sample t-test, and logistic regression. RESULTS The LBP prevalence was found to be 69.9%. The means±standard deviations of job stress dimensions were obtained as follows: decision latitude: 64.67±6.82, physical job demands: 15.52±2.6, social support: 23.18±3.65, psychological job demands: 38.02±4.98, effort: 8.73±2.62, reward: 23.12±5.31, over-commitment: 12.25±3.09, and effort-reward ratio: 0.86±0.3. The findings revealed that the work experience (OR = 1.56), psychological job demands (OR = 1.082), and effort-reward ratio (OR = 3.43) were predictors for LBP among the study population. CONCLUSION The prevalence rate of LBP among studied nurses was high. About half of nurses had high psychological demands, low decision latitude and low social support. Based on the effort-reward ratio, nurses had experienced high level of stress. Interventional programs and coping strategies for reduction of work-related stress and, subsequently, prevention of LBP are recommended among hospital nurses.
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Affiliation(s)
- Alireza Choobineh
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Behbood Khani Museloo
- Occupational Health Engineering Department, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Haleh Ghaem
- Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hadi Daneshmandi
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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Kujerdi MF, Mokarami H, Keshtkar V, Ziaei M, Petramfar P, Choobineh A. Improving working conditions in an Iranian hospital: a participatory ergonomics approach. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1683-1689. [PMID: 33855938 DOI: 10.1080/10803548.2021.1917867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objectives. The future workshop (FW), as a participatory ergonomics approach, is used to change the actual situation of a system into a preferable one. This study was conducted at a major hospital to identify ergonomic problems and provide appropriate solutions for improving working conditions using the FW technique. Methods. Twenty-five mid-level managers of the hospital participated in a 2-day FW. In the critique phase, the ergonomic problems were thoroughly discussed. After brainstorming followed by structuring and grouping of ideas, 75 ergonomic problems were identified and classified into four groups. Solutions and action plans were proposed to improve working conditions. Results. There were nine problems in the personnel-managerial group. Eighteen action plans were proposed to fix them. Stressful occupational factors were the worst problem in this group. Five problems were characterized in the physical space group and 10 action plans were presented. Seven problems were detected in the equipment group, for which 13 action plans were presented. In the welfare group, six problems and 12 action plans were presented. Conclusion. The results revealed that the FW was an appropriate method to find ergonomic bottlenecks in the hospital and a good basis for devising ergonomic interventions.
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Affiliation(s)
| | | | - Vahid Keshtkar
- School of Medicine, Shiraz University of Medical Sciences, Iran
| | - Mansour Ziaei
- School of Health and Nutrition, Bushehr University of Medical Sciences, Iran
| | | | - Alireza Choobineh
- Research Center for Health Sciences, Shiraz University of Medical Sciences, Iran
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Tajvar A, Daneshmandi H, Dortaj E, Seif M, Parsaei H, Shakerian M, Choobineh A. Common errors in selecting and implementing pen-paper observational methods by Iranian practitioners for assessing work-related musculoskeletal disorders risk: a systematic review. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1552-1558. [PMID: 33736566 DOI: 10.1080/10803548.2021.1905993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objectives. This study aimed to determine the types and frequency of pen-paper observational methods (OMs) used by Iranian practitioners and to identify their errors in selecting and implementing these methods. Methods. This was a systematic review and analytical study of papers in which the OMs had been used. Scientific databases were analyzed from September 1970 to September 2018. Errors were determined based on a list of wrong practices both in the selection and implementation of methods. Three ergonomists carried out the process of identifying errors independently. Results. The most frequently used methods were rapid upper limb assessment (RULA), quick exposure check (QEC) and rapid entire body assessment (REBA), respectively. Errors in selecting and implementing pen-paper OMs were 53.3 and 36.4%, respectively. Conclusions. Despite the abundant number of pen-paper OMs, Iranian practitioners use few of them. The high rate of errors can indicate a lack of knowledge and skills among practitioners for selecting and implementing OMs. The development of decision-making tools may help practitioners to select appropriate pen-paper OMs for assessing different types of tasks.
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Affiliation(s)
| | - Hadi Daneshmandi
- Institute of Health, Shiraz University of Medical Sciences, Iran
| | - Elahe Dortaj
- School of Health, Shiraz University of Medical Sciences, Iran
| | - Mozhgan Seif
- School of Health, Shiraz University of Medical Sciences, Iran
| | - Hossein Parsaei
- Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Iran
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Francis F, Johnsunderraj SE, Divya KY, Raghavan D, Al-Furgani A, Bera LP, Abraham A. Ergonomic Stressors Among Pregnant Healthcare Workers: Impact on pregnancy outcomes and recommended safety practices. Sultan Qaboos Univ Med J 2021; 21:e172-e181. [PMID: 34221463 PMCID: PMC8219330 DOI: 10.18295/squmj.2021.21.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 07/01/2020] [Accepted: 09/13/2020] [Indexed: 11/16/2022] Open
Abstract
Workplace environment can have a considerable impact on the physical, psychological and maternal health of pregnant healthcare workers. This article aimed to summarise the impact of work-related ergonomic stressors on pregnancy outcomes for healthcare workers, along with potential interventions to resolve these stressors. A narrative review analysis using the Pearl Growing Strategy was conducted between February 2019 and June 2020 to identify English-language articles published between 2000 and 2020. A total of 89 studies were identified from the SCOPUS (Elsevier, Amsterdam, Netherlands), MEDLINE® (National Library of Medicine, Bethesda, Maryland, USA) databases and Google Scholar (Google LLC, Menlo Park, California, USA). The results indicated that poor work-related ergonomics had detrimental effects on pregnancy outcomes, resulting in spontaneous abortions, preterm delivery, low birth weight babies and infertility. Policymakers and employers should conduct ergonomic assessments and implement appropriate practices to ensure the safety of pregnant healthcare workers.
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Affiliation(s)
- Frincy Francis
- Department of Maternal & Child Health, Sultan Qaboos University, Muscat, Oman
| | | | - K. Y. Divya
- Department of Community & Mental Health, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Divya Raghavan
- Department of Maternal & Child Health, Sultan Qaboos University, Muscat, Oman
| | - Atiya Al-Furgani
- Department of Maternal & Child Health, Sultan Qaboos University, Muscat, Oman
| | - Lily P. Bera
- Department of Maternal & Child Health, College of Nursing, All India Institute of Medical Sciences, Bhopal, India
| | - Aniamma Abraham
- Directorate of Nursing, Sultan Qaboos University Hospital, Muscat, Oman
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Morabito J, Penkala S, Coxon K. Workplace musculoskeletal problems in occupational therapy students. BMC Public Health 2021; 21:660. [PMID: 33823846 PMCID: PMC8025505 DOI: 10.1186/s12889-021-10653-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 03/18/2021] [Indexed: 11/17/2022] Open
Abstract
Background Workplace musculoskeletal disorders are the leading cause of morbidity and disability in the Australian workforce. Over one in five occupational therapists report workplace musculoskeletal disorders, with almost half reporting workplace musculoskeletal symptoms. In other health professions, students and novice clinicians (≤5 years practice) experience greater risk but little is known about occupational therapy students. Methods In this cross-sectional study, a survey including the self-reported Standardised Nordic Musculoskeletal Questionnaire was administered to occupational therapy students post work-based training. Musculoskeletal problems were defined as aches, pains, numbness or discomfort. Questions explored body sites affected, prevalence, impact on activity, need for medical assistance, demographic and workplace information. Prevalence was reported using descriptive statistics. Factors associated with workplace musculoskeletal problems over the previous 12 months and last 7 days were examined using logistic regression modelling. Results Response rate was 53% (n = 211/397). One-third of respondents (33.6%, n = 71/211) reported a workplace musculoskeletal problem over 12 months. Nearly half (47.9%, n = 34/71) of these students reported a problem over the last 7 days. Neck was the most commonly affected area reported for musculoskeletal problems over the past 12 months (24.2%, n = 51/211) and shoulder areas affected over the past 7 days (10.9%, n = 23/211). Musculoskeletal problems preventing daily activities were reported most commonly from lower back problems over 12 months (23.9%, n = 17/71) and for shoulder problems over the last 7 days (21.9%, n = 7/32). Shoulders and knees were the most common body areas requiring medical attention. Previous musculoskeletal problems and female gender were associated with reported problems over 12 months and last 7 days (p < 0.05). Non-standard joint mobility (OR = 3.82, p = 0.002) and working in psychosocially focused caseloads (including mental health or case management) (OR = 3.04, p = 0.044) were also associated with reporting musculoskeletal problems over the last 7 days. Conclusions One in three occupational therapy students already experience workplace musculoskeletal problems impacting daily activities and requiring medical assistance prior to graduation. High prevalence of musculoskeletal problems in this study calls for educators and researchers to find sustainable strategies to address these problems, with particular consideration to the impact of previous disorders and working in psychosocially focused caseloads on musculoskeletal health.
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Affiliation(s)
- Joanne Morabito
- School of Health Sciences, Western Sydney University, Sydney, Australia
| | - Stefania Penkala
- School of Health Sciences, Western Sydney University, Sydney, Australia.,Translational Health Research Institute, Western Sydney University, Sydney, Australia
| | - Kristy Coxon
- School of Health Sciences, Western Sydney University, Sydney, Australia. .,Translational Health Research Institute, Western Sydney University, Sydney, Australia.
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Investigation of psychosocial factors on upper limb musculoskeletal disorders and the prevalence of its musculoskeletal disorders among nurses: a systematic review and meta-analysis. Int Arch Occup Environ Health 2021; 94:1113-1136. [PMID: 33569697 DOI: 10.1007/s00420-021-01654-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 01/18/2021] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Musculoskeletal disorders are one of the most important occupational problems especially among nurses. The aim of this study was to investigate the prevalence of musculoskeletal disorders in upper limbs and its associated psychosocial factors in the workplace. METHODS A systematic review was conducted by searching the Medline/PubMed, EMBASE, Scopus, ISI/web of knowledge and Google Scholar databases. The authors classified studies into categories of psychological work stressors and musculoskeletal problems. The statistical analysis was performed using Stata software. RESULTS We found 1742 articles in our initial search. After reviewing the titles, abstracts and full texts, 66 articles were finally analyzed. Psychosocial factors affecting the prevalence of upper limb musculoskeletal disorders among nurses were identified which included boring work, inadequate staffing, job demands, insufficient support, time pressure, decision latitude, job dissatisfaction, and job stress. There was a significant relationship between these factors and prevalence of musculoskeletal disorders in the wrists, shoulders, neck and shoulders, and wrists and hands. CONCLUSION Collectively, the results of this study provide strong evidence of some psychosocial factors affecting the prevalence of upper limb musculoskeletal disorders among nurses. Thus, organizational interventions to minimize these stressors may be promising in reducing one risk factor for the development of nurses' musculoskeletal disorders. These interventions should not only consider the factors of physical ergonomics but also seek to improve the organizational aspects of the workplace.
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16
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Veisi H, Choobineh A, Ghaem H, Faraji Kujerdi M, Barazandeh R, Barazandeh H. Upper extremity musculoskeletal symptoms among Iranian hand-woven shoe workers. Work 2020; 67:129-139. [DOI: 10.3233/wor-203258] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Studies have demonstrated that upper extremity musculoskeletal disorders (UEMSDs) are highly prevalent among weavers. In Iran, little information is available regarding the prevalence of MSDs and their causal risk factors among hand-woven shoe workers. This cross-sectional study aimed to determine the prevalence of UEMSDs and to identify risk factors associated with UEMSDs symptoms among 586 Iranian hand-woven shoe workers. METHODS: The data were collected using the Nordic Musculoskeletal Questionnaire and by direct observation of working postures via the Rapid Upper Limb Assessment (RULA) technique to determine ergonomic risks. RESULTS: The prevalence of MSDs symptoms was high among the hand-woven shoe workers. The mean RULA grand score of 6.3 indicated that in most cases the workers’ postures at their workstations needs to be investigated and changed immediately to prevent musculoskeletal injuries. The highest prevalence rates of MSDs were observed in the shoulders, wrists and arms. The result of multiple logistic regression modeling showed that risk factors associated with UEMSD symptoms were job experience, daily working hours, job satisfaction, working posture, work pressure, and discomfort at workstation, as well as individual factors, such as age, gender, BMI, material status, working conditions, education level, and lack of regular sport/physical activities. CONCLUSIONS: The findings of the present study emphasize that any interventional program in this industry has to focus on improving working conditions particularly by designing ergonomics-oriented workstations and hand tools.
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Affiliation(s)
- Hemmat Veisi
- Student Research Committee, Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Alireza Choobineh
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Haleh Ghaem
- Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mehdi Faraji Kujerdi
- Student Research Committee, Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ramin Barazandeh
- Student Research Committee, Department of Occupational Health Engineering, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Himan Barazandeh
- Student Research Committee, Department of Occupational Health Engineering, Isfahan University of Medical Sciences, Isfahan, Iran
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Ryoo JJ, Lee KS, Koo JW. A Taxonomy of the Common Tasks and the Development of a Risk Index for Physical Load Assessment in Nursing Job. Saf Health Work 2020; 11:335-346. [PMID: 32995059 PMCID: PMC7502617 DOI: 10.1016/j.shaw.2020.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 04/29/2020] [Accepted: 05/24/2020] [Indexed: 02/03/2023] Open
Abstract
Background Nursing service is a nonroutine work with an excessive physical load and diverse tasks. This study derived representative common tasks based on the frequently occurring tasks with a high physical load in the nursing workers' daily work and developed indicators to evaluate the work risk by reflecting the characteristics of nonroutine work. Methods Common tasks were classified through the following stages: literature review, first focus group interview (FGI) with experts, first classification of common tasks, second FGI with hospital health managers, a survey of nursing service workers, and the final classification of common tasks for each task type. To develop an objective risk index for physical load assessment, we investigated the frequency and duration of the derived common tasks via survey. Results Nursing common tasks were categorized into six task types and 56 subtasks. To evaluate the risks of various tasks in nonroutine works, three frequencies and three working time levels were defined by examining the task frequency and working hours. Exposure time was defined to reflect the characteristics of a nonroutine job. The final risk assessment was the product of the exposure time level and job intensity level. From this, four risk action levels were derived. Conclusion This study has the advantage of solving the problem of focusing on some tasks in evaluating the physical load. It was meaningful in that a new risk assessment index based on exposure time was proposed based on the development of an evaluation scale for frequency and time by reflecting the characteristics of nonroutine work.
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Affiliation(s)
- Jang Jin Ryoo
- Graduate School of Public Health, The Catholic University of Korea, Seocho-gu, Seoul, Republic of Korea.,Korea Occupational Safety and Health Agency, Republic of Korea
| | - Kyung-Sun Lee
- Department of Industrial Health, Catholic University of Pusan, Geumjeong-gu, Busan, Republic of Korea
| | - Jung-Wan Koo
- Department of Occupational & Environmental Medicine, The Catholic University of Korea, Seocho-gu, Seoul, Republic of Korea
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18
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Lecca LI, Fabbri D, Portoghese I, Pilia I, Meloni F, Marcias G, Galletta M, Mucci N, Campagna M, Monticone M. Manual handling of patients: role of kinesiophobia and catastrophizing in health workers with chronic low back pain. Eur J Phys Rehabil Med 2020; 56:307-312. [PMID: 32096615 DOI: 10.23736/s1973-9087.20.06004-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
BACKGROUND Biomechanical overload due to patients' manual handling represents a relevant contributor to chronic low back pain (LBP). Fear of movement (also known as kinesiophobia) and catastrophising may influence the development of chronic complaints and lower performances also in working environments, despite these issues are poorly investigated. AIM The aim of this study is twofold: 1) to evaluate the levels of kinesiophobia and catastrophizing in a sample of health personnel with chronic LBP and employed in activities specifically requiring patients' manual handling; 2) to appraise the influence of these factors on disability. DESIGN Cross-sectional observational study. SETTING Four Italian hospitals. POPULATION Sixty-four healthcare workers suffering from nonspecific low back pain, exposed to the spinal risk of biomechanical overload due to patients' manual handling. METHODS We assessed kinesiophobia, catastrophizing and disability by means of validated questionnaires (the Tampa Scale of Kinesiophobia [TSK], the Pain Catastrophizing Scale [PCS], and the Oswestry Disability Index [ODI], respectively). Values of central tendency and dispersion of the variable of interest were calculated, along with the association among variables through multiple linear regression analysis. RESULTS The results showed presence of kinesiophobia (TSK=34.0; IQR=28.2-42.09), catastrophizing (PCS=20.5; IQR=10.2-29.0) and disability (ODI=28.8; IQR=13.5-40.0) in the population enrolled. Disability was significantly predicted by kinesiophobia and catastrophizing (R2=0.529 P=0.00003). CONCLUSIONS Kinesiophobia and catastrophizing are present in health workers with chronic LBP involved in patients' manual handling and are linked to disability. Further investigations in this field are recommended to investigate a role for cognitive-behavioral strategies aimed at managing catastrophizing and kinesiophobia to increase working abilities. CLINICAL REHABILITATION IMPACT The assessment of catastrophizing and kinesiophobia is crucial in health workers engaged with patients' manual handling and suffering from chronic LBP.
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Affiliation(s)
- Luigi I Lecca
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.,Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy
| | - Daniele Fabbri
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy
| | - Igor Portoghese
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy
| | - Ilaria Pilia
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy
| | - Federico Meloni
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy
| | - Gabriele Marcias
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy.,Department of Civil and Environmental Engineering and Architecture, University of Cagliari, Cagliari, Italy
| | - Maura Galletta
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy
| | - Nicola Mucci
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Marcello Campagna
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy -
| | - Marco Monticone
- Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy.,Neurorehabilitation Unit, Department of Neuroscience and Rehabilitation, G. Brotzu Hospital, Cagliari, Italy
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19
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Momeni Z, Choobineh A, Razeghi M, Ghaem H, Azadian F, Daneshmandi H. Work-related Musculoskeletal Symptoms among Agricultural Workers: A Cross-sectional Study in Iran. J Agromedicine 2020; 25:339-348. [PMID: 31935151 DOI: 10.1080/1059924x.2020.1713273] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Objective: In Iran, as in most developing countries, agriculture is considered a hazardous industry. Musculoskeletal disorders (MSD) have been shown to be the most common occupational injury among farmers. The present study was carried out among agricultural workers of Fars province, Iran to determine the prevalence of musculoskeletal symptoms and to assess working postures and ergonomic working conditions to identify the major risk factors associated with MSD. Methods: This cross-sectional study was conducted on 1501 randomly selected Iranian agricultural workers with at least 1 year of job tenure. Data were collected using demographic/occupational questionnaire, Nordic Musculoskeletal Questionnaire (NMQ), Quick Exposure Check (QEC) technique, and ergonomic working conditions checklist. Results: The mean age of the participants was 41.39 ± 13.64 years. The results of NMQ showed the highest prevalence of MSD symptoms was related to lower back (59.3%), knees (36.9%), and upper back (36.6%). Indeed, the QEC score was high or very high (action levels 3 and 4) in 83.1% of the farmers. Moreover, the ergonomic working conditions checklist revealed that the participants' "working postures" index had the lowest mean, indicating poor ergonomic conditions, while "hand tools" had the highest mean, indicating proper ergonomic conditions. Conclusions: The results demonstrated the high prevalence of MSD symptoms among Iranian agricultural workers. Elimination of harmful working postures was recommended to improve working conditions.
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Affiliation(s)
- Zahra Momeni
- Ergonomics Department, School of Health, Shiraz University of Medical Sciences , Shiraz, Iran
| | - Alireza Choobineh
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences , Shiraz, Iran
| | - Mohsen Razeghi
- Physiotherapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences , Shiraz, Iran
| | - Haleh Ghaem
- Department of Epidemiology, School of Health, Shiraz University of Medical Sciences , Shiraz, Iran
| | - Fatemeh Azadian
- Non-Communicable Disease Research Center, Shiraz University of Medical Sciences , Shiraz, Iran
| | - Hadi Daneshmandi
- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences , Shiraz, Iran
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20
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Koshy N, Sriraman S, Kamat Y. Patient handling in India—Evidence from a pilot study. J Family Med Prim Care 2020; 9:1397-1402. [PMID: 32509622 PMCID: PMC7266231 DOI: 10.4103/jfmpc.jfmpc_1173_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/01/2020] [Accepted: 02/13/2020] [Indexed: 11/04/2022] Open
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21
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Baberi F, Jahandideh Z, Akbari M, Shakerian M, Choobineh A. Relationship between personality type and musculoskeletal disorders among office staff. LA MEDICINA DEL LAVORO 2019; 110:293-303. [PMID: 31475691 PMCID: PMC7809998 DOI: 10.23749/mdl.v110i4.7820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Accepted: 07/05/2019] [Indexed: 11/30/2022]
Abstract
Background: Musculoskeletal disorders (MSDs) have been recognized as common health-related problems in the workplace. Accordingly, poorly-designed workstations and assigned tasks can lead to exposure to risk factors inducing MSDs among office staff. Accompanied by physical risk factors, psychological ones in working environments can also contribute to MSDs occurrence. Thus, the purpose of this study was to examine the relationship between personality types as a psychological factor and MSDs occurrence among office staff. Methods: This cross-sectional study was carried out on office staff working at Shiraz University of Medical Sciences (SUMS) in 2016. The participants included 339 employees recruited using multi-stage simple random sampling method. The required data were likewise collected via a demographic characteristics information checklist, the Personality Pattern Questionnaire (PPQ), as well as the standardized Nordic Musculoskeletal Questionnaire (NMQ). Results: The findings revealed that the participants’ mean±standard deviation (SD) age were 36.4±7.8 years. As well, the most prevalent MSDs complaints were reported in lower back, knee, and neck regions with relative frequencies of 35%, 30%, and 25% respectively. Moreover, the results demonstrated that 0.6% of the participants were determined as individuals having a strong tendency for type A personality, 26.8% of them showed tendency for type A personality, 63.1% of these employees were categorized into those having a tendency for type B personality, and 9.4% of them were identified as participants who showed a strong tendency for type B personality. Additionally, statistically significant relationships were observed between personality types and MSDs occurrence (p=0.023). Furthermore, musculoskeletal symptoms were reported more prevalent among individuals having tendency for type A personality. Conclusion: Personality types and MSDs occurrence seemed to be associated. It was thus suggested to take account of psychological factors (e.g., personality types) in macro policy-making, employee selection, and professional staff training programs.
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Affiliation(s)
- Fatemeh Baberi
- Student Research Committee, Shiraz University of Medical Sciences/Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran..
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22
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Rostamabadi A, Kargar Shouroki F, Jalilian H, Choobineh A, Azmoon H, Shakerian M. The relationship between work-related psychosocial factors and burnout among Iranian nurses: Job Demand-Control-Support model. LA MEDICINA DEL LAVORO 2019; 110:312-320. [PMID: 31475693 PMCID: PMC7809992 DOI: 10.23749/mdl.v110i4.8025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 07/05/2019] [Indexed: 12/15/2022]
Abstract
Background: Nursing work environment consists of a number of work-related psychosocial risk factors such as excessive workloads, lack of social support, emotional demands, job insecurity and confronting with challenging situations all of which may induce burnout. The aim of the current study was to investigate the relationship between work-related psychosocial factors and burnout among Iranian nurses. Methods: A cross-sectional study was carried out among 522 nurses. The data related to work-related psychosocial factors and burnout was gathered using Job Content Questionnaire (JCQ) and Maslach Burnout Inventory (MBI), respectively. Pearson’s correlation coefficients were used to examine the relationship between work-related psychosocial factors and burnout. Results: Mean scores of the dimensions of burnout for emotional exhaustion, depersonalization, and reduced personal accomplishment were 13.6 (SD=8.6), 18.42 (SD=7.1), and 28.45 (SD= 9.15), respectively. Psychological and physical job demands were positively correlated with different dimensions of burnout while social support and job control showed negative correlation with them. Conclusion: Appropriate interventions on reducing job demands both psychologically and physically and increasing social support and job control are suggested in prevention of burnout among the studied nurses.
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Affiliation(s)
- Akbar Rostamabadi
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
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23
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Kusma B, Pietsch A, Riepenhof H, Haß S, Kuhn D, Fischer K, Nienhaus A. The Back College for nurses - an evaluation of intermediate effects. J Occup Med Toxicol 2019; 14:19. [PMID: 31249605 PMCID: PMC6584993 DOI: 10.1186/s12995-019-0239-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Accepted: 06/10/2019] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Nursing staff and care workers run an increased risk of work related musculoskeletal disorders such as low back pain. The Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) offers its insured persons the opportunity to participate in a three-week Back College with the aim of preventing them having to abandon their profession due to back problems. The aim of the study was to record the effectiveness and sustainability of the Back College on an intermediate basis (6 months). METHODS As part of a single-group pre-post measurement on three survey dates - at the start (T0) and end (T1) of rehabilitation and 6 months later (T2) - in 2013 all participants in the Back College at three locations were surveyed using a standard questionnaire. Wilcoxon signed-rank tests were performed to evaluate statistically significant changes. RESULTS For measurement dates T0 to T2 we had 570 complete datasets (response rate 70.81%). There was a significant decrease in reported back pain and the general state of health and quality of life index improved. Participants' emotional strain decreased and they showed an improved understanding of illness as well as of having acquired knowledge-based abilities and skills for dealing with the disease. After training, they recorded back-friendly behaviour in everyday life and opportunities to relieve strain on the spinal column were utilised at work more often. Participants' subjective assessment of their ability to work (Work Ability Index) improved. CONCLUSION The present study proved the intermediate effectiveness of the Back College curriculum. Whether these effects remain stable in the long term will be tested on the subsequent measurement date (T3, after 24 months).
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Affiliation(s)
- Bianca Kusma
- Institution for Statutory Accident Insurance in the Health and Welfare Services, Pappelallee 35/37, 22089 Hamburg, Germany
| | - Aki Pietsch
- BG Hospital Hamburg, Bergedorfer Straße 10, 21033 Hamburg, Germany
| | - Helge Riepenhof
- BG Hospital Hamburg, Bergedorfer Straße 10, 21033 Hamburg, Germany
| | - Sören Haß
- BG Nordsee Reha-Klinik, Wohldweg 7, 25826 St. Peter-Ording, Germany
| | - Daniel Kuhn
- BG Hospital Bergmannstrost Halle, Merseburger Straße 165, 06112 Halle (Saale), Germany
| | - Klaus Fischer
- BG Hospital Bergmannstrost Halle, Merseburger Straße 165, 06112 Halle (Saale), Germany
| | - Albert Nienhaus
- Institution for Statutory Accident Insurance in the Health and Welfare Services, Pappelallee 35/37, 22089 Hamburg, Germany
- Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), Martinistrasse 52, 20246 Hamburg, Germany
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24
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Xia T, Collie A. Work-related injury and illness in the Victorian healthcare sector: a retrospective analysis of workers' compensation claim records. AUST HEALTH REV 2018; 44:24-30. [PMID: 30514433 DOI: 10.1071/ah18017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 09/14/2018] [Indexed: 11/23/2022]
Abstract
Objective Health and social care workers have a significantly higher rate of work-related injury and illness than workers in other industries. The objective of this study was to examine the rate and distribution of work-related injury and illness in the Victorian health and social care sector by demographic, occupation and injury characteristics. Methods A retrospective cohort analysis was conducted of population-level workers' compensation claim records, including 43910 claims from the Victorian health and social care over a 10-year period from 2006 to 2015. Negative binomial regression was used to compare claim rates between occupation categories. Results The 55-64 year age group had the highest injury rate compared with the 15-24 year age group (rate ratio 2.26; 95% confidence interval 1.91-2.68). Ambulance officers had the highest overall injury claim rates and had a fluctuating trend of musculoskeletal, psychological and neurological injury claims during the study period. Social workers had the second highest rate of psychological injury and up to threefold the risk of psychological injury compared with nurse professionals. Conclusions Although the greatest volume of claims was observed in nurses, ambulance officers and paramedics were at higher risk for injury, followed by social workers. The differential patterns of injury and illness among occupation groups suggests a need for primary and secondary prevention responses tailored by occupation. What is known about the topic? The health and social care industry is a large and diverse industry. Health and social care workers encounter unique occupational health risks, with exposure varying by occupation. What does this paper add? This study provides evidence of a high rate of work-related injury and illness among health and social care workers, with ambulance officers and social workers at highest risk. Notably, there are also high rates of psychological injury claims among these two occupations. What are the implications for policy makers? This study compares rates of compensable injury and illness in the Victorian health and social care sector by occupation. The study provides guidance on which occupations and which health conditions require greatest attention.
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Affiliation(s)
- Ting Xia
- Insurance Work and Health Group, Faculty of Medicine Nursing and Health Sciences, Monash University, 553St Kilda Road, Melbourne, Vic. 3004, Australia. Email
| | - Alex Collie
- Insurance Work and Health Group, Faculty of Medicine Nursing and Health Sciences, Monash University, 553St Kilda Road, Melbourne, Vic. 3004, Australia. Email
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Passali C, Maniopoulou D, Apostolakis I, Varlamis I. Work-related musculoskeletal disorders among Greek hospital nursing professionals: A cross-sectional observational study. Work 2018; 61:489-498. [DOI: 10.3233/wor-182812] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Christina Passali
- Department of Health Services Organization and Management, National School of Public Health, Athens, Greece
| | - Dionysia Maniopoulou
- Department of Health Services Organization and Management, National School of Public Health, Athens, Greece
| | - Ioannis Apostolakis
- Department of Health Services Organization and Management, National School of Public Health, Athens, Greece
| | - Iraklis Varlamis
- Department of Informatics and Telematics, Harokopio University of Athens, Greece
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Nourollahi M, Afshari D, Dianat I. Awkward trunk postures and their relationship with low back pain in hospital nurses. Work 2018; 59:317-323. [PMID: 29630574 DOI: 10.3233/wor-182683] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Low back pain (LBP) is the most common work-related musculoskeletal problem among healthcare workers including nurses. Awkward trunk postures have been recognized as one common problem in this groupOBJECTIVE:The aims of this study were to: a) continuously assess trunk postures for an entire shift work in various hospital wards, and b) examine the relationship between the duration of exposure to awkward trunk postures and the occurrence of low back pain (LBP) among nurses. METHODS Eighty nurses from eight wards in a hospital participated in this cross-sectional study. The prevalence of LBP was determined using the revised Nordic Musculoskeletal Questionnaire. Full-shift work trunk posture exposure was measured using an inclinometer. RESULTS The prevalence of LBP among hospital nurses was 72%. The highest percentage of time spent in awkward postures in the sagittal plane (trunk flexion ≥45°) and in the frontal plane (lateral bend ≥20°) was recorded in the general (65.6% ± 12.2) and orthopedic (48.4% ± 7.4) wards, respectively. Logistic regression analyses showed that the duration of exposure to awkward trunk postures had a significant relationship with LBP (P < 0.05). CONCLUSIONS The results highlight the potential risks of nursing job in terms of frequent and extreme trunk awkward postures, which may lead to the development of LBP. The findings can help to develop guidelines regarding prioritizing ergonomic interventions to reduce the prevalence of LBP among hospital nurses.
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Affiliation(s)
- Maryam Nourollahi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Davood Afshari
- Department of Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Iman Dianat
- Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
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Sezgin D, Esin MN. Effects of a PRECEDE-PROCEED model based ergonomic risk management programme to reduce musculoskeletal symptoms of ICU nurses. Intensive Crit Care Nurs 2018; 47:89-97. [DOI: 10.1016/j.iccn.2018.02.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Revised: 12/21/2017] [Accepted: 02/20/2018] [Indexed: 11/27/2022]
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Thinkhamrop W, Sawaengdee K, Tangcharoensathien V, Theerawit T, Laohasiriwong W, Saengsuwan J, Hurst CP. Burden of musculoskeletal disorders among registered nurses: evidence from the Thai nurse cohort study. BMC Nurs 2017; 16:68. [PMID: 29200964 PMCID: PMC5697361 DOI: 10.1186/s12912-017-0263-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 11/10/2017] [Indexed: 11/21/2022] Open
Abstract
Background Musculoskeletal disorders (MSDs) are a major public health problem among registered nurses (RNs) in Thailand. Information on their burdens at a national level is limited. This study estimated the prevalence of MSDs among RNs using the 2009 Thai Nurse Cohort, a nationally representative sample of RNs in Thailand. Methods This study is part of the first wave survey of the Thai Nurse Cohort Study (TNCS) conducted in 2009. Members of the cohort consisted of 18,756 RNs across Thailand. A 13-page self-administered questionnaire was sent to participants where MSDs were measured by self-reported answers to questions related to experiencing MSDs during a previous year. However, 1070 RNs were excluded from this study since they were unemployed during a previous year, therefore the final sample size was 17,686 RNs. A 12-month prevalence of MSDs and its 95% confidence interval (95% CI) were estimated based on normal approximation to binomial distribution. Chi-square test for trend was used. Results Of the 17,686 RNs, 47.8% (95% CI: 47.0–48.5) reported having MSDs during the previous 12 months. The prevalence of MSDs significantly increased with age, body mass index, and working duration (all P < 0.001). Compared to the non-MSD group, RNs with MSDs had a higher proportion who perceived MSDs as a long-term, chronic medical condition (78.1% vs 20.7%; p < 0.001), being currently on medication (49.4% vs 14.7%; p < 0.001), using pain relief medication almost every day (9.0% vs 1.9%; p < 0.001), experiencing sickness absence (15.7% vs 1.1%; p < 0.001), seeking medical specialist consultations (odds ratio, OR 2.2; 95% CI: 2.0–2.3; p < 0.001), and seeking alternative medications (OR 2.5; 95% CI: 2.3–2.7; p < 0.001). Conclusions Musculoskeletal disorders affected almost half of the RNs in Thailand annually. They placed a major healthcare burden and were a major cause of working days lost due to sick leaves, diminished productivity and quality of patient care. More attention should be paid to the prevention and effective management of MSDs in RNs in Thailand. Further study on ergonomics related to MSDs and its prevention are needed.
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Affiliation(s)
| | - Krisada Sawaengdee
- International Health Policy Program, Ministry of Public Health, Nonthaburi, 11000 Thailand
| | | | - Tuangtip Theerawit
- International Health Policy Program, Ministry of Public Health, Nonthaburi, 11000 Thailand
| | - Wongsa Laohasiriwong
- Faculty of Public Health, Board Committee of Research and Training Centre for Enhancing Quality of Life of Working Age People (REQW), Khon Kaen University, Khon Kaen, 40002 Thailand
| | - Jiamjit Saengsuwan
- Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002 Thailand
| | - Cameron Paul Hurst
- Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002 Thailand
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Labbafinejad Y, Danesh H, Imanizade Z. Assessment of upper limb musculoskeletal pain and posture in workers of packaging units of pharmaceutical industries. Work 2017; 56:337-344. [PMID: 28211842 DOI: 10.3233/wor-172495] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders are defined as the disabling or painful injury to the muscles, nerves or tendons that are caused by work or aggravated by it. Some studies confirm the association between working in packaging units in various industries and the pain in the upper limb, but also there are controversies about the possible risk factors among different working populations. OBJECTIVE The present study aims to define the potential ergonomic risk factors for musculoskeletal pain in the upper limb. METHODS The Nordic Musculoskeletal Questionnaire was used for assessment of the musculoskeletal pain. Some other questions about the possible risk factors were included in the questionnaire. In order to assess posture, rapid upper limb assessment (RULA) test was performed by trained ergonomists. RESULTS The findings of the study reveals that shoulder pain is associated with work history (P-value = 0.01), smoking (P-value = 0.02), the level of education (P-value = 0.04) and age more than 40 years old (P-value = 0.01). Wrist pain was associated with shiftwork (P-value = 0.04) and especially fixed shiftwork (P-value = 0.04) and also age more than 40(P-value = 0.03) and missed days from work with a cut point of 7 days (P-value = 0.03). After regression, only the work history (OR = 14.4 for 10 to 20 years and OR = 32.2 for more than 20 years) and shiftwork (OR = 2.35) remained statistically significant. CONCLUSIONS In this study, RULA was not associated with symptoms in the upper limb in non-heavy working industries so we do not recommend it for screening purposes. The use of decades of working history and shiftwork can be considered for this purpose in the shoulder and wrist pain respectively.
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Affiliation(s)
- Yasser Labbafinejad
- Occupational Medicine Department and Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Hossein Danesh
- Occupational Medicine Department, Hormozgan University of Medical Sciences, Bandar abbas, Iran
| | - Zahra Imanizade
- Occupational Medicine Department, Hormozgan University of Medical Sciences, Bandar abbas, Iran
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Samaei SE, Mostafaee M, Jafarpoor H, Hosseinabadi MB. Effects of patient-handling and individual factors on the prevalence of low back pain among nursing personnel. Work 2017; 56:551-561. [DOI: 10.3233/wor-172526] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Affiliation(s)
- Seyed Ehsan Samaei
- Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran
- Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
| | - Maryam Mostafaee
- Science and Research Branch of Islamic Azad University, Tehran, Iran
| | - Hasanali Jafarpoor
- Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran
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Salmani Nodooshan H, Choobineh A, Razeghi M, Shahnazar Nezhad Khales T. Designing, prototype making and evaluating a mechanical aid device for patient transfer between bed and stretcher. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2017; 23:491-500. [PMID: 28041534 DOI: 10.1080/10803548.2016.1274161] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
INTRODUCTION The present study aimed at designing, prototype making and evaluating a new assistive device to improve patient transfer conditions. METHODS A new aid device for patient transfer was designed and its prototype was made. Comfort and perceived physical exertion of users and stability and applicability of the device were examined. The test subjects included 37 healthcare workers from a hospital with patient transfer experience. The data collection tools consisted of visual analog scales (VAS) and Borg's rating physical effort scale. The rapid entire body assessment (REBA) method was applied to evaluate working posture. RESULTS The results showed that in 70% of the wards, patient transfer was performed manually more than five times per shift. While using the newly designed device, the mean (SD) of the users' comfort, and the clients' comfort and safety, was measured as 8.59 (0.87), 8.46 (0.92) and 8.67 (0.71), respectively, as reported by VAS. The results revealed a significant reduction in the users' rating of perceived exertion (p < 0.001). Additionally, the REBA score was lower in mechanical transfer. CONCLUSION The new assistive device increased the users' and the clients' comfort, reduced the users' physical exertion and improved working postures.
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Affiliation(s)
| | - Alireza Choobineh
- b Research Center for Health Sciences , Institute of Health, Shiraz University of Medical Sciences , Iran
| | - Mohsen Razeghi
- c Department of Physiotherapy , Shiraz University of Medical Sciences , Iran
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Assessing the Risk of Manual Handling of Patients and Its Relationship with the Prevalence of Musculoskeletal Disorders Among Nursing Staff: Performance Evaluation of the MAPO and PTAI Methods. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016. [DOI: 10.5812/ircmj.39860] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Petit A, Mairiaux P, Desarmenien A, Meyer JP, Roquelaure Y. French good practice guidelines for management of the risk of low back pain among workers exposed to manual material handling: Hierarchical strategy of risk assessment of work situations. Work 2016; 53:845-50. [DOI: 10.3233/wor-162258] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Audrey Petit
- Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine of Angers, LUNAM University, Angers, France
- Occupational Health Department, University Hospital of Angers, Angers, France
| | - Philippe Mairiaux
- Department of Occupational Medicine and Health Education, University of Liège, Liège Belgium
| | | | - Jean-Pierre Meyer
- Department of Humans and Work, French National Institute for Research and Security, Vandoeuvre, France
| | - Yves Roquelaure
- Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine of Angers, LUNAM University, Angers, France
- Occupational Health Department, University Hospital of Angers, Angers, France
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Stolt M, Suhonen R, Virolainen P, Leino-Kilpi H. Lower extremity musculoskeletal disorders in nurses: A narrative literature review. Scand J Public Health 2015; 44:106-15. [PMID: 26355119 DOI: 10.1177/1403494815602989] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2015] [Indexed: 02/03/2023]
Abstract
AIMS The aim of the narrative review was to describe and analyze lower extremity musculoskeletal disorders (MSDs) in nurses and to identify factors associated with these disorders. The ultimate goal was to promote lower extremity health in nurses by recognizing factors that could improve their well-being at work. METHODS A systematic search on the Medline, CINAHL, and PsychInfo databases was conducted, producing altogether 945 citations, of which 35 were selected for this review. The studies were analyzed by content analysis. RESULTS Nurses have different MSDs in their lower extremities, with which the knee, foot, and ankle being most commonly affected. These problems are often correlated, and problems in the ankle can first appear as knee problems. CONCLUSIONS Musculoskeletal disorders in lower extremities and their resulting disability are common within the nursing workforce worldwide, representing a major cause of sick leave absence and often leading to long-term absence.
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Affiliation(s)
- Minna Stolt
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Riitta Suhonen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Petri Virolainen
- Department of Orthopedics and Traumatology, Turku University Hospital, Turku, Finland Department of Orthopaedics and Traumatology, University of Turku, Finland
| | - Helena Leino-Kilpi
- Department of Nursing Science, University of Turku, Turku, Finland Turku University Hospital, Turku, Finland
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