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Alyousef YS, Ross MH, Johnston V, Smith MD. Experiences of Working with Lower Limb Osteoarthritis: A Qualitative Study. JOURNAL OF OCCUPATIONAL REHABILITATION 2023:10.1007/s10926-023-10158-8. [PMID: 37995059 DOI: 10.1007/s10926-023-10158-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/07/2023] [Indexed: 11/24/2023]
Abstract
PURPOSE Pain and disability associated with lower limb osteoarthritis (OA) may contribute to difficulties at work. This study aimed to understand the perspectives of workers with lower limb OA on difficulties, concerns, and coping strategies used at work. METHODS Twenty-two individuals with lower limb OA who were working in paid employment participated in semi-structured interviews. Data were qualitatively analyzed using an inductive thematic approach. Codes were identified and refined through review of interview transcripts and discussion with the research team. RESULTS Six themes were identified in relation to experiences working with lower limb OA. Themes were as follows: weight-bearing physical demands are challenging; lower limb OA can affect work performance; emotional consequences of pain; concerns about work in the future; positive experiences of supportive colleagues and managers; and minimal effects on sedentary work. Three themes were identified relating to strategies to manage at work: adjustments at work help manage pain and avoid exacerbations; regular strategies to manage pain; and healthcare professionals are consulted, but usually not specifically for work. CONCLUSIONS Workers with lower limb OA experience physical and emotional difficulties at work that can impact work performance. Workers are concerned about longevity and job security and use a range of strategies to manage symptoms and remain at work. Employers, employees, and healthcare professionals may need to work together to create workplace accommodations to help workers with lower limb OA confidently remain in work.
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Affiliation(s)
- Yousef S Alyousef
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia
- College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia
| | - Megan H Ross
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia
| | - Venerina Johnston
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia
- School of Health and Medical Sciences, University of Southern Queensland, Ipswich, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Michelle D Smith
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia.
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Kox J, Runhaar J, Bierma-Zeinstra S, Groenewoud H, Bakker E, Miedema H, Roelofs P. What sociodemographic and work characteristics are associated with musculoskeletal complaints in nursing students? A cross-sectional analysis of repeated measurements. APPLIED ERGONOMICS 2022; 101:103719. [PMID: 35219107 DOI: 10.1016/j.apergo.2022.103719] [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: 06/16/2021] [Revised: 02/10/2022] [Accepted: 02/16/2022] [Indexed: 06/14/2023]
Abstract
Musculoskeletal complaints (MSCs) arise during nursing education. We examined cross-sectional associations between self-reported MSCs and both sociodemographic and workplace characteristics in different clinical placement settings. We included two observations among three cohorts of third-year Dutch nursing students (total N = 711) of the undergraduate nursing program of Rotterdam University of Applied Sciences. Questionnaire data on sociodemographic, physical and psychosocial work characteristics, and MSCs were used. Generalized estimating equation analysis for repeated measurements with backward elimination was used to examine associations with MSCs. In total, 79% of students experienced MSCs. Female sex (OR 0.37, 95% CI 0.22-0.62), lifting and bending (OR 1.01, 95% CI 1.00-1.03), physical job demands (OR 2.33, 95% CI 1.68-3.22) and need for recovery (OR 1.02, 95% CI 1.01-1.03), were statistically significantly associated with overall MSCs. Models for regional complaints are also presented in this article. Nursing school and clinical placement staff should consider these factors when dealing with nursing students with MSCs.
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Affiliation(s)
- Jos Kox
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, PO Box 25035, 3001, HA, Rotterdam, the Netherlands; Erasmus Medical Center, Department of General Practice, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
| | - Jos Runhaar
- Erasmus Medical Center, Department of General Practice, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
| | - Sita Bierma-Zeinstra
- Erasmus Medical Center, Department of General Practice, PO Box 2040, 3000, CA, Rotterdam, the Netherlands; Erasmus Medical Center, Department of Orthopaedics, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
| | - Hanny Groenewoud
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, PO Box 25035, 3001, HA, Rotterdam, the Netherlands.
| | - Ellen Bakker
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, PO Box 25035, 3001, HA, Rotterdam, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, P.O. Box 7057, 1007, MB, Amsterdam, the Netherlands.
| | - Harald Miedema
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, PO Box 25035, 3001, HA, Rotterdam, the Netherlands.
| | - Pepijn Roelofs
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, PO Box 25035, 3001, HA, Rotterdam, the Netherlands; Erasmus Medical Center, Department of General Practice, PO Box 2040, 3000, CA, Rotterdam, the Netherlands; University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, University of Groningen, PO Box 30001, 9700, RB, Groningen, the Netherlands.
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3
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Gohar B, Larivière M, Lightfoot N, Larivière C, Wenghofer E, Nowrouzi-Kia B. Demographic, Lifestyle, and Physical Health Predictors of Sickness Absenteeism in Nursing: A Meta-Analysis. Saf Health Work 2021; 12:536-543. [PMID: 34900373 PMCID: PMC8640582 DOI: 10.1016/j.shaw.2021.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 06/22/2021] [Accepted: 07/07/2021] [Indexed: 01/08/2023] Open
Abstract
Background Sickness absenteeism is an area of concern in nursing and is more concerning given the recent impacts of the COVID-19 pandemic on healthcare. This study is one of two meta-analyses that examined sickness absenteeism in nursing. In this study, we examined demographic, lifestyle, and physical health predictors. Methods We reviewed five databases (CINAHL, ProQuest Allied, ProQuest database theses, PsycINFO, and PubMed) for our search. We registered the systematic review (CRD de-identified) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Additionally, we used the Population/Intervention/Comparison/Outcome Tool to improve our searches. Results: Following quality testing, 17 articles were used for quantitative synthesis. Female employees were at higher risks of sickness absenteeism than their male counterparts (OR = 1.73; 95% CI: 1.33-2.25). Nursing staff who rated their health as poor had a greater likelihood of experiencing sickness absence (OR = 1.38; 95% CI: 1.19-1.60). Also, previous sick leave predicted future leaves (OR = 3.35; 95% CI: 1.37-8.19). Moreover, experiencing musculoskeletal pain (OR = 2.41 95% CI: 1.77-3.27) increased the likelihood of sickness absence with greater odds when it is a back pain (OR = 3.05; 95% CI: 1.66-5.62). Increased age, physical activity, and sleep were not associated with sick leave. Conclusion Several variables were statistically associated with the occurrence of sickness absenteeism. One primary concern is the limited research in this area despite alarming rates of sick leave in healthcare. More research is required to identify predictors of sickness absence, and thereby, implement preventative measures.
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Affiliation(s)
- Basem Gohar
- Department of Population Medicine, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada
| | - Michel Larivière
- School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Nancy Lightfoot
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada
| | - Céline Larivière
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Elizabeth Wenghofer
- School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Behdin Nowrouzi-Kia
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
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Gohar B, Larivière M, Lightfoot N, Wenghofer E, Larivière C, Nowrouzi-Kia B. Meta-analysis of nursing-related organizational and psychosocial predictors of sickness absence. Occup Med (Lond) 2021; 70:593-601. [PMID: 33313909 DOI: 10.1093/occmed/kqaa144] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Nursing is a stressful occupation with high rates of sickness absence. To date, there are no meta-analyses that statistically determined the correlates of sickness absence in this population. AIMS This meta-analysis examined organizational and psychosocial predictors of sickness absence among nursing staff. METHODS As a registered systematic review (PROSPERO: CRD42017071040), which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, five databases (CINAHL, PROQuest Allied, PROQuest database theses, PsycINFO, PubMed) were reviewed to examine predictors of sickness absence in nurses and nursing assistants between 1990 and 2019. The Population/Intervention/Comparison/Outcome tool was used to support our searches. Effect sizes were analysed using random-effects model. RESULTS Following critical appraisals using (i) National Institutes of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and (ii) Strengthening the Reporting of Observational Studies in Epidemiology, 21 studies were included. Nursing assistants had greater odds of sickness absence than nurses. Working night shifts, in paediatrics or psychiatric units, experiencing poor mental health, and fatigue, also increased the odds of sickness absence. There was no evidence that job satisfaction or job strain influenced sickness absence; however, job demand increased the likelihood. Finally, work support reduced the odds of lost-time. CONCLUSIONS We synthesized three decades of research where several factors influenced sickness absence. Due to limited recent research, the results should be interpreted with caution as some practices may have changed overtime or between countries. Nevertheless, these findings could help in applying preventative strategies to mitigate lost-time in a vulnerable working population.
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Affiliation(s)
- B Gohar
- Psychology Department, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - M Larivière
- School of Human Kinetics, Northern Ontario School of Medicine, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - N Lightfoot
- School of Rural & Northern Health, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - E Wenghofer
- School of Rural & Northern Health, Laurentian University, Sudbury, Canada
| | - C Larivière
- School of Human Kinetics, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - B Nowrouzi-Kia
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada
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de Paiva LG, Dalmolin GDL, Dos Santos WM. Absenteeism-disease in health care workers in a hospital context in southern Brazil. Rev Bras Med Trab 2021; 18:399-406. [PMID: 33688321 PMCID: PMC7934176 DOI: 10.47626/1679-4435-2020-521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Introduction: Absenteeism is a pervasive and growing worldwide problem. In hospital settings, it is often associated with a fast-paced environment, shift work and high occupational demands. Absenteeism in hospitals can also be attributed to poor working conditions and the high emotional burden associated with daily exposure to illness and death. These conditions often lead to sickness absence. Objectives: To assess sickness absence among health care workers in hospital settings. Methods: A cross sectional study was conducted using the data and medical records of health care workers in a hospital in Rio Grande do Sul, Brazil. The data covered the period of September 2014 to December 2018. Results: The sample consisted of 559 workers, 233 of whom were absent for at least 1 day in the year. Sickness absence was most common among women (79%) and nursing technicians (45.5%). The mean duration of absence was 5.53 days (standard deviation: 20.42), and the sickness absence rate was 2.01%. The most common reasons for sickness absence were injury, poisoning and other consequences of external causes (20.19%), followed by mental and behavioral disorders (17.90%) and diseases of the musculoskeletal system and connective tissue (11.69%). Conclusions: Greater awareness of the factors associated with sickness absence in hospital settings can contribute to the planning of occupational health initiatives targeting the most vulnerable workers.
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Affiliation(s)
- Larissa Garcia de Paiva
- Programa de Pós-graduação em Enfermagem, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Graziele de Lima Dalmolin
- Programa de Pós-graduação em Enfermagem, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Wendel Mombaque Dos Santos
- Serviço de Saúde Ocupacional e Segurança do Trabalhador, Hospital Universitário de Santa Maria, Empresa Brasileira de Serviços Hospitalares, Santa Maria, RS, Brazil
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Wong JYP. Pre-placement examinations for newly recruited health care support staff. Hong Kong J Occup Ther 2020; 33:55-62. [PMID: 33815024 PMCID: PMC8008380 DOI: 10.1177/1569186120979426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Accepted: 11/15/2020] [Indexed: 11/16/2022] Open
Abstract
Objective While musculoskeletal disorders (MSD) and physical strength have been extensively studied in health care professionals, little attention has been paid to health care support staff, such as patient care assistants and operation patient assistants, whose jobs are physically demanding. The purpose of this paper was to examine the musculoskeletal symptoms and physical strength of newly recruited health care support staff. Method Convenience sampling was conducted on 111 newly employed health care support staff in a public hospital. A custom-made pre-placement examination was performed. Data were analysed using descriptive, correlation, and regression analyses. Results Nearly one-third (32%) of the newly recruited health care support staff had experienced musculoskeletal symptoms in at least one body part during the preceding 12 months. Two-thirds (68%) of subjects were physically inactive, and sixty percent was overweight or obese. Handgrip strength was weaker than the local norm. The subjects’ dominant handgrip strength, bilateral lifting, pushing, and pulling force were significantly correlated. Only bilateral lifting was significantly associated with MSD among the newly recruited health care workers. Conclusions This study reports the baseline prevalence of MSD symptoms in the newly recruited health care support staff. Their sedentary lifestyle and suboptimal physical strength may render them susceptible to occupational injuries and disease. An effective occupational health programme that provides periodic health surveillance should be considered for high-risk health care workers to allow proper interventions in a timely manner.
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Li J, Sommerich CM, Chipps E, Lavender SA, Stasny EA. A framework for studying risk factors for lower extremity musculoskeletal discomfort in nurses. ERGONOMICS 2020; 63:1535-1550. [PMID: 32781904 DOI: 10.1080/00140139.2020.1807615] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Accepted: 07/23/2020] [Indexed: 06/11/2023]
Abstract
Lower extremity musculoskeletal discomfort (MSD) is prevalent, but understudied, in nurses. A comprehensive, theoretical, aetiological model of lower extremity work-related MSD in hospital in-patient staff nurses was developed through a review of the literature to provide a framework for aetiological and intervention research. The framework informed the design of a survey of 502 hospital staff nurses. Symptom prevalence ranged from 32% in hip/thigh to 59% in ankle/foot regions. Logistic regression modelling using survey data showed that different work and personal factors were associated with discomfort in different regions of the lower extremity. Individual factors (e.g. older age, higher BMI or having any foot condition), physical factors (e.g. higher frequency of patient handling), psychosocial factors (e.g. lower job satisfaction) were associated with discomfort in one or more parts of the lower extremity. Future research should target these factors for intervention, to attempt to reduce occurrence of lower extremity discomfort in nurses. Practitioner Summary: Practitioners may find useful the illustrated, theoretical aetiological model of factors that could influence the prevalence of lower extremity discomfort in nurses. The model could guide conversations with nurses and observational analyses of nursing work. The model and survey results may provide ideas for intervention exploration. Abbreviations: MSD: musculoskeletal discomfort; BMI: body mass index; MSK: musculoskeletal; ICU: intensive care unit; NLERF: nurses' lower extremity MSD risk factor; NASA-TLX: NASA-task load index.
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Affiliation(s)
- Jing Li
- Department of Integrated Systems Engineering, College of Engineering, The Ohio State University, Columbus, OH, USA
| | - Carolyn M Sommerich
- Department of Integrated Systems Engineering, College of Engineering, The Ohio State University, Columbus, OH, USA
- College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Esther Chipps
- College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Steven A Lavender
- Department of Integrated Systems Engineering, College of Engineering, The Ohio State University, Columbus, OH, USA
- College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Elizabeth A Stasny
- Department of Statistics, College of Arts and Sciences, The Ohio State University, Columbus, OH, USA
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Cavdar I, Karaman A, Ozhanli Y, Ozbas A. Low Back Pain in Operating Room Nurses and Its Associated Factors. Pak J Med Sci 2020; 36:1291-1296. [PMID: 32968396 PMCID: PMC7501014 DOI: 10.12669/pjms.36.6.2836] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective: To determine the presence of low back pain and the associated factors in operating room nurses. Methods: The population of the descriptive study consists of 133 operating room nurses working in the operating rooms of five major hospitals located in Istanbul, and the study sample consists of 96 operating room nurses who are not on leave or sick leave between July-2016 to February 2017. Data were collected via a question form prepared by the researchers. Results: It was determined that more than half of the operating room nurses forming the sample group had low back pain and that it is affected from the practices of operating room nurses during a shift, which may cause physical strain such as year of working as an operating room nurse, bending and staying in the same position for a long time, holding an instrument for a long time, rotational movement inadequate to body mechanics, lifting/carrying heavy medical items and pushing/pulling heavy medical equipment. Conclusion: Majority of operating room nurses had low back pain and it was associated with coercive movements during surgery.
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Affiliation(s)
- Ikbal Cavdar
- Ikbal Cavdar, MSc, PhD, Professor, Surgical Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Ahmet Karaman
- Ahmet Karaman, MSc, PhD, Surgical Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Yasemin Ozhanli
- Yasemin Ozhanli, MSc, PhD, Surgical Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Ayfer Ozbas
- Ayfer Ozbas, MSc, PhD, Professor, Surgical Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
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Employee Musculoskeletal Complaints and Supervisor Support: Implications for Behavioral Stress Reactions. J Occup Environ Med 2020; 62:728-737. [PMID: 32890212 DOI: 10.1097/jom.0000000000001949] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This research investigated the moderating role of supervisor support for employees with musculoskeletal complaints and their intentions to seek medical advice; take sick leave; transfer jobs; and resign. METHODS Cross-sectional questionnaire data were collected from 1024 Australian employees. RESULTS Regressions with bootstrapping revealed no support for the buffering role of supervisor support. In contrast to expectations, high supervisor support heightened, rather than lowered, musculoskeletal complaints on intentions to transfer jobs. For sick leave and resignation intentions, high supervisor support buffered the negative effects of musculoskeletal complaints for full-timers but exacerbated such intentions for part-timers. Furthermore, full-timers with high musculoskeletal complaints appeared more vulnerable to the exacerbating effects of low supervisor support compared with part-timers. CONCLUSIONS Supervisor support for employees with musculoskeletal complaints both weakens and strengthens behavioral stress reactions, depending on employment status.
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Paiva LG, Dalmolin GDL, Andolhe R, Dos Santos WM. Fatores associados ao absenteísmo-doença de trabalhadores da saúde: revisão de escopo. AVANCES EN ENFERMERÍA 2020. [DOI: 10.15446/av.enferm.v38n2.79437] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: identificar os fatores associados ao absenteísmo-doença de trabalhadores da saúde.Síntese de conteúdo: esta revisão de escopo da literatura realizada nas bases de dados Medline via PubMed incluiu 106 estudos, que totalizaram 388.381 profissionais de saúde. Foi identificado que os fatores individuais e interpessoais, relacionados ao cargo e à função, assim como os fatores ambientais e organizacionais influenciam a ocorrência do absenteísmo-doença no ambiente hospitalar.Conclusões: os fatores individuais e interpessoais, relacionados ao cargo e à função, assim como os fatores ambientais e organizacionais influenciam no absenteísmo-doença dos trabalhadores da saúde, com impacto tanto sobre a produtividade quanto sobre a continuidade da assistência prestada por esses profissionais. A ausência não programada destes leva à necessidade de contratação de outros servidores ou ao pagamento de horas excedentes para atender à demanda, o que pode agravar a situação econômica e financeira do sistema de saúde, e afetar diretamente a saúde de toda a população que depende desse sistema.
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Lin SC, Lin LL, Liu CJ, Fang CK, Lin MH. Exploring the factors affecting musculoskeletal disorders risk among hospital nurses. PLoS One 2020; 15:e0231319. [PMID: 32298295 PMCID: PMC7162448 DOI: 10.1371/journal.pone.0231319] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Accepted: 03/20/2020] [Indexed: 02/03/2023] Open
Abstract
Background Musculoskeletal disorder (MSD) is currently recognized as one of the most common occupational injuries for which nursing personnel in the medical service industry have been identified as a high-risk group. In this study, we explore the prevalence of MSD in various body parts as well as their risk factors among hospital nurses. Methods A cross-sectional descriptive design with stratified cluster sampling was used to collect data from 1,803 nurses. The survey included a demographic questionnaire, and Nordic Musculoskeletal Questionnaire. Results The results showed that the greatest prevalence of MSD symptoms by body regions were in the right shoulder (85.8%), the left shoulder (80.9%), the neck (62.4%), the right wrist (62.2%) and the lower back (60.4%). Risk factors for shoulder discomfort includes department type, exercise habits, and age (p < .05). Risk factors for neck discomfort includes seniority in the current unit, “job title, and “history of MDS (p < .05). Risk factors for upper back discomfort includes age and seniority in the current unit (p < .05). Risk factors for lower back discomfort including seniority in the current unit, department type, and number of days worked per week (p < .05). Conclusions The results of this study can serve as a reference for nursing administration managers and decision-makers for reducing musculoskeletal discomfort among nurses and thereby achieving superior quality in clinical care.
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Affiliation(s)
- Shu Chuan Lin
- Department of Nursing, Mackay Memorial Hospital, Taipei,Taiwan, Republic of China
| | - Li Li Lin
- Mackay Memorial Hospital, Taipei, Taiwan, Republic of China
| | - Chih Ju Liu
- Mackay Memorial Hospital, Taipei, Taiwan, Republic of China
| | - Chun Kai Fang
- Mackay Memorial Hospital, Taipei, Taiwan, Republic of China
| | - Mei Hsiang Lin
- Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, Republic of China
- * E-mail:
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Ito A, Hayashi K, Suzuki S, Ideno Y, Kurabayashi T, Ogata T, Seichi A, Akai M, Iwaya T. Association of trajectory of body mass index with knee pain risk in Japanese middle-aged women in a prospective cohort study: the Japan Nurses' Health Study. BMJ Open 2020; 10:e033853. [PMID: 32034025 PMCID: PMC7045261 DOI: 10.1136/bmjopen-2019-033853] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 12/27/2019] [Accepted: 01/09/2020] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVES To investigate whether body mass index (BMI) trajectory, lifestyle and reproductive factors are associated with knee pain risk among middle-aged women. DESIGN Prospective study of the Japan Nurses' Health Study (JNHS). SETTING The JNHS investigates the health of female nurses in Japan. Biennial follow-up questionnaires are mailed to the participants. PARTICIPANTS The 7434 women aged over 40 years who responded to the 10-year self-administered follow-up questionnaire. PRIMARY OUTCOME MEASURE Self-reported knee pain at the 10-year follow-up was the primary outcome. We analysed BMI (normal or overweight) trajectory data from a baseline survey to the 10-year follow-up survey using group-based trajectory modelling. Exposure measurements were BMI trajectory, BMI at age 18 years, lifestyle variables and reproductive history. RESULTS BMI trajectories from baseline to the 10-year follow-up were divided into four groups: remained normal, remained overweight, gained weight or lost weight. At the 10-year follow-up, 1281 women (17.2%) reported knee pain. Multivariable logistic regression analysis revealed that compared with the remained normal group, multivariable-adjusted ORs (95% CI) of knee pain were 1.93 (1.60 to 2.33) for the remained overweight group, 1.60 (1.23 to 2.08) for the gained weight group and 1.40 (0.88 to 2.21) for the lost weight group. The attributable risk percent (95% CI) of the remained overweight group was 48.1% (37.3% to 57.0%) compared with the reference group of remained normal. Alcohol intake at baseline was significantly associated with knee pain. CONCLUSIONS The lost weight group had a lower risk than the remained overweight group and the gained weight group and did not carry statistically significant risks for knee pain. Weight reduction and maintaining a normal BMI in middle age was important for preventing knee pain in women.
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Affiliation(s)
- Ayumi Ito
- Unit of International and Community Health Sciences, Graduate School of Health Sciences, Gunma University, Maebashi, Japan
| | - Kunihiko Hayashi
- Unit of International and Community Health Sciences, Graduate School of Health Sciences, Gunma University, Maebashi, Japan
| | - Shosuke Suzuki
- Faculty of Medicine, Gunma University, Maebashi, Japan
- Eco-Health Research Group, Isesaki, Japan
| | - Yuki Ideno
- Center for Mathematics and Data Science, Gunma University, Maebashi, Japan
| | - Takumi Kurabayashi
- Department of Obstetrics & Gynecology, Niigata City General Hospital, Niigata, Japan
| | - Toru Ogata
- Center for Sport Science and Health Promotion, Department of Rehabilitaion for the Movement Functions, National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan
| | - Atsushi Seichi
- Department of Orthopaedic Surgery, Mitsui Memorial Hospital, Chiyoda-ku, Japan
| | - Masami Akai
- Graduate School, International University of Health and Welfare Kohokai Group, Minato-ku, Japan
| | - Tsutomu Iwaya
- Nagano University of Health and Medicine, Nagano, Japan
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Gaowgzeh RAM. Low back pain among nursing professionals in Jeddah, Saudi Arabia: Prevalence and risk factors. J Back Musculoskelet Rehabil 2019; 32:555-560. [PMID: 30530963 DOI: 10.3233/bmr-181218] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Lower back pain (LBP) is often work-related and is commonly observed among nurses. LBP occurs below the 12th rib and above the gluteal fold. In nurses, back disorders are mainly associated with heavy physical activity, such as lifting and moving patients. OBJECTIVE The aim of the presented work is to evaluate the prevalence, risk factors, and associations of personal characteristics, general health status, and physical load with complaints of LBP. METHODS In this study, sixty nurses were randomly chosen to answer self-administered questionnaires. The results were analyzed using the SPSS system. RESULTS An incidence rate of 61.7% for LBP among nurses was noticed. Among the sites of injury, LBP predominated with a rate of 51.2%. Severity of injury mostly ranged between mild to moderate levels of severity, and 20% of the nurses with LBP were working in obstetrics and gynecology units. Our study also showed that 66.7% of the participating nurses had experienced LBP only after taking on nursing jobs. CONCLUSIONS The present study demonstrated that nurses working in Jeddah exhibit a high prevalence of lower back pain. In order to reduce the risk of work-related musculoskeletal disorders among nurses, the physical therapist's role is vital and nurses' practice of relaxation and stretching exercises in between work schedules is mandatory.
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Alperovitch-Najenson D, Weiner C, Ribak J, Kalichman L. Sliding Sheet Use in Nursing Practice: An Intervention Study. Workplace Health Saf 2019; 68:171-181. [DOI: 10.1177/2165079919880566] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Background: Previous studies have discovered that the utilization of sliding sheets in patient care is a valuable technique for repositioning bedridden patients compared with traditional cotton sheets or carriers. Our aim was to examine the effects of sliding sheet usage on work-related musculoskeletal disorders and disability, perceived workload, burnout, and job satisfaction, among nurses and nursing assistants. Method: This repeated measurement study included 41 female nurses and nursing assistants from three internal medicine departments who provided direct patient care. Participants completed an eight-part questionnaire (demographics, Neck Disability Index, Quick Disability of the Arms, Shoulder and Hand Questionnaire, Modified Oswestry Low Back Pain Disability Questionnaire, BackAche Disability Index workload, burnout, and job satisfaction) 4 times during the study period: 3 months prior to the intervention, on the first day of the intervention, and 3 and 6 months after commencement of the intervention. Findings: After 3 and 6 months of sliding sheet usage, pain and disability decreased in the neck ( p < .001); arms, shoulders, hands ( p = .041); and lower back ( p < .001), with an increase in job satisfaction ( p < .001). Discussion/Application to Practice: The findings of our study indicate a clear influence of reducing work-related musculoskeletal pain and disability while increasing job satisfaction when sliding sheets are introduced into nursing practice. Occupational health nurses in health care should consider this type of low-cost intervention as a method for reducing musculoskeletal injury among direct patient care providers.
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Health-care utilisation for low back pain: a systematic review and meta-analysis of population-based observational studies. Rheumatol Int 2019; 39:1663-1679. [DOI: 10.1007/s00296-019-04430-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2019] [Accepted: 08/20/2019] [Indexed: 01/07/2023]
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16
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Bazazan A, Dianat I, Bahrampour S, Talebian A, Zandi H, Sharafkhaneh A, Maleki-Ghahfarokhi A. Association of musculoskeletal disorders and workload with work schedule and job satisfaction among emergency nurses. Int Emerg Nurs 2019; 44:8-13. [PMID: 30902617 DOI: 10.1016/j.ienj.2019.02.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2018] [Revised: 01/09/2019] [Accepted: 02/04/2019] [Indexed: 10/27/2022]
Abstract
BACKGROUND The emergency department is a highly demanding work environment, considered by high workload and stress. The impact of work-related factors on musculoskeletal disorders (MSDs) in emergency nurses (ENs) are not yet well understood. We investigated the association of MSDs and workload with work schedule (permanent day and night work) and job satisfaction in ENs. METHOD Data were collected through a questionnaire including individual and work-related factors, workload (National Aeronautics and Space Administration-Task Load Index [NASA-TLX]) and MSDs (Standardized Nordic Questionnaire) from 380 ENs in five hospitals. RESULTS The findings revealed that work schedule and job satisfaction levels were significantly associated with the MSDs in different body regions. Work schedule was significantly related to physical demand, performance, frustration, and overall workload, whereas it was not to the mental and temporal demands and effort. Job satisfaction level was negatively associated with mental demand and frustration. A high prevalence of musculoskeletal problems, particularly in knees, upper back, lower back, neck and shoulders were found. CONCLUSION MSDs are highly prevalent among ENs involved in night work and with low job satisfaction levels. The results are discussed in terms of their implications for emergency hospital nurses. The findings can help to better understand the working conditions and emphasize the need for ergonomic interventions in order to reduce MSDs and workload. Also, the study findings highlight the importance of mental aspects of workload in this occupational group.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Samira Bahrampour
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Amirhosein Talebian
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hojat Zandi
- Department of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Health, Safety, and Environment (HSE), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Azam Maleki-Ghahfarokhi
- Student Research Committee, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
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Li L, Deng X, Zhang H, Yang H, Chen J, Hou X, Ning N, Li J. A Cross-Sectional Survey of Low Back Pain in Nurses Working in Orthopedic Departments. Workplace Health Saf 2018; 67:218-230. [PMID: 30574847 DOI: 10.1177/2165079918807231] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The study aimed to gain knowledge about low back pain (LBP) in nurses working in the orthopedic departments of tertiary hospitals in Sichuan province, China. We used a cross-sectional survey to examine the prevalence of LBP among 797 inpatient nurses who had worked for 1 year in an orthopedic department in one of 29 hospitals (Grade 3A) in Sichuan province. The survey included a questionnaire to determine the prevalence of LBP and factors related to LBP, a screening graph of LBP symptoms, the Roland Morris Disability Questionnaire (RMDQ), and the Fear Avoidance Beliefs Questionnaire (FABQ) for LBP. The 1-year period prevalence of LBP in the nursing population was 66.8% and the point prevalence was 51.3%. Among the 523 nurses who had experienced LBP, the mean total number of days that LBP had been experienced during the past year was 20.2 ± 16.3 days (range = 1-90 days). The annual number of episodes of LBP was 5.7 ± 4.5 times/year (range = 1-20 times/year). More than half the orthopedic nurses (51.1%) planned to quit, and 5.8% thought of leaving their job due to LBP. These study findings indicate that nurses in this region experience a burden of LBP similar to those in other regions in the world.
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Affiliation(s)
- Lingli Li
- 1 West China Hospital, Sichuan University
| | | | | | - Hui Yang
- 4 Sichuan Provincial Cancer Hospital
| | - Jiali Chen
- 1 West China Hospital, Sichuan University
| | | | - Ning Ning
- 1 West China Hospital, Sichuan University
| | - Jiping Li
- 1 West China Hospital, Sichuan University
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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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Agaliotis M, Mackey MG, Jan S, Fransen M. Perceptions of working with chronic knee pain: A qualitative study. Work 2018; 61:379-390. [PMID: 30373994 DOI: 10.3233/wor-182817] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND People with chronic knee pain may opt to continue to work without seeking specific ergonomic adaptations or disclose the existence or severity of their pain to work colleagues or supervisors due to the pressures of maintaining employment. To gain a deep personal perspective on how people with chronic knee pain cope while working [7, 8, 17, 18], qualitative research methods are a useful way of in encouraging meaningful discussion amongst workers with chronic knee pain of potential work-related strategies to minimize their work-related disability. OBJECTIVE To conduct an in-depth exploration of the impact of chronic knee pain on the working life of selected individuals. The specific aim was to identify barriers and enablers for promoting sustainable work within the work environment following the methodological principles from grounded theory. METHOD Eleven workers with chronic knee pain participated in one of three focus groups (age range 51-77 years). All focus group sessions were audiotaped and transcribed verbatim. Two researchers independently identified themes around the common challenges for continuing employment among older people with chronic knee pain. RESULTS The main themes expressed in these focus groups were: 1) the effect of knee pain on work productivity, 2) strategies to improve work productivity, and 3) future suggestions about sustainable work for older people with chronic knee pain. New insights gained from the focus groups included the extent of physical limitations due to chronic knee pain, lack of ergonomic policies within the workplace, types of work transitions utilized to accommodate knee pain, complexity of disclosure, social support at work, and the unpredictability of future arthritis progression. CONCLUSION This research suggests that in providing the appropriate work environment to enable individuals with knee pain to continue to be productive members of society, workplace strategies are needed to minimize the stigma and encourage communication about chronic knee pain, as well investment in appropriate ergonomic support equipment.
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Affiliation(s)
- Maria Agaliotis
- The University of New South Wales (UNSW), Faculty of Medicine, School of Public Health & Community Medicine, Sydney, NSW, Australia
| | - Martin G Mackey
- The University of Sydney, Physiotherapy, Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences, NSW, Australia
| | - Stephen Jan
- The George Institute for Global Health, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - Marlene Fransen
- The University of Sydney, Physiotherapy, Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences, NSW, Australia
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Gold JE, Kurowski A, Gore RJ, Punnett L. Knee pain in nursing home workers after implementation of a safe resident handling program. Am J Ind Med 2018; 61:849-860. [PMID: 30156000 PMCID: PMC6430608 DOI: 10.1002/ajim.22902] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2018] [Indexed: 12/25/2022]
Abstract
PURPOSE Approximately 25-30% of nursing personnel experience knee pain (KP). We sought to identify physical and psychosocial work exposures, and personal factors related to prevalent, incident, and persistent KP 5-8 years after safe resident handing program (SRHP) implementation in nursing homes. METHODS Health and exposure information was obtained from worker surveys 5-6 years ("F5") and 7-8 years ("F6") post-SRHP implementation. Prevalent KP correlates were examined at F5; persistent and incident KP predictors were analyzed at F6, utilizing robust Poisson multivariable regression. RESULTS F5 KP prevalence (19.7%) was associated with combined physical exposures, and with either high job strain or low social support, in separate models. Two-year persistent KP was similarly associated with these psychosocial exposures. Being overweight was associated with KP in all analyses. CONCLUSIONS The SRHP program did not eliminate knee physical loading, which should be reduced to prevent nursing home worker KP. Workplace psychosocial exposures (high job strain, low social support) also appeared germane.
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Affiliation(s)
- Judith E. Gold
- Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, University of Gävle, Gävle, Sweden
- Gold Standard Research Consulting, Bryn Mawr, Pennsylvania
| | - Alicia Kurowski
- Center for the Promotion of Health in the New England Workplace, University of Massachusetts Lowell, Lowell, Massachusetts
| | - Rebecca J. Gore
- Center for the Promotion of Health in the New England Workplace, University of Massachusetts Lowell, Lowell, Massachusetts
| | - ProCare Research Team
- Center for the Promotion of Health in the New England Workplace, University of Massachusetts Lowell, Lowell, Massachusetts
| | - Laura Punnett
- Center for the Promotion of Health in the New England Workplace, University of Massachusetts Lowell, Lowell, Massachusetts
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Unruh L, Asi Y. Determinants of Workplace Injuries and Violence Among Newly Licensed RNs. Workplace Health Saf 2018; 66:482-492. [PMID: 29897023 DOI: 10.1177/2165079918756909] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Workplace injuries, such as musculoskeletal injuries, needlestick injuries, and emotional and physical violence, remain an issue in U.S. hospitals. To develop meaningful safety programs, it is important to identify workplace factors that contribute to injuries. This study explored factors that affect injuries in a sample of newly licensed registered nurses (NLRNs) in Florida. Regressions were run on models in which the dependent variable was the degree to which the respondent had experienced needlesticks, work-related musculoskeletal injuries, cuts or lacerations, contusions, verbal violence, physical violence, and other occupational injuries. A higher probability of these injuries was associated with greater length of employment, working evening or night shifts, working overtime, and reporting job difficulties and pressures. A lower probability was associated with working in a teaching hospital and working more hours. Study findings suggest that work environment issues must be addressed for safety programs to be effective.
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Macaluso M, Summerville LA, Tabangin ME, Daraiseh NM. Enhancing the detection of injuries and near-misses among patient care staff in a large pediatric hospital. Scand J Work Environ Health 2018; 44:377-384. [PMID: 29777614 DOI: 10.5271/sjweh.3739] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objectives Compared to other industries, healthcare has one of the highest rates of non-fatal occupational injury/illness. Evidence indicates these rates are underestimated, highlighting the need for improved injury surveillance. This study aims to demonstrate the feasibility of integrating active data collection in a passive injury surveillance system to improve detection of injuries in a healthcare establishment. Methods Using digital voice recorders (DVR), pediatric healthcare providers prospectively recorded events throughout their shift for two weeks. This sample-based active injury surveillance was then integrated into an institutional surveillance system (ISS) centered on passive data collection initiated by employee reports. Results Injuries reported using DVR during two-week intervals from February 2014 to July 2015 were 40.7 times more frequent than what would be expected on the basis of the usual ISS reports. Psychological injuries (eg, stress, conflict) and near-misses were captured at a rate of 16.1 per 1000 days [95% confidence interval (CI) 14.1-18.3] and 35.6 per 1000 days (95% CI 32.7-38.8), respectively. Finally, 68% (95% CI 65-72%) of participants preferred using DVR either as an alternative or complement to the existing ISS. Conclusions This study showed that it is feasible to improve injury surveillance in a healthcare establishment by integrating active data collection based on voice recording within a passive injury surveillance system. Enhanced surveillance provides richer information that can guide the development of effective injury prevention strategies.
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Affiliation(s)
- Maurizio Macaluso
- Research in Patient Services; Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave. Cincinnati, OH 45229, USA. MLC 7014.
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Burgel BJ, Elshatarat RA. Psychosocial work factors and low back pain in taxi drivers. Am J Ind Med 2017; 60:734-746. [PMID: 28524238 DOI: 10.1002/ajim.22732] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2017] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Taxi drivers are at high risk for low back pain (LBP). AIM Identify the association between psychosocial-work factors (Job strain, Iso-strain, effort-reward imbalance [ERI], unfairness, and mental exertion) and LBP in taxi drivers. METHODS A cross-sectional study was done with 129 taxi drivers. RESULTS Approximately 63% reported LBP in the prior 12 months. Chi square or t-test analyses identified the associations between demographic, work, health, and psychosocial work factors, and self-report of LBP in the prior 12 months. Depression, perceived physical exertion, dispatcher and manager support, unfair treatment at work, and unfair treatment due to nationality were significantly associated with LBP in bivariate analyses. Multivariate logistic regression was done to identify the predictors of LBP. High dispatcher support remained the sole significant predictor for lower prevalence of LBP (OR = 0.66, P = 0.017). CONCLUSION Greater understanding of psychosocial work factors may aid in developing interventions to prevent LBP in taxi drivers.
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Affiliation(s)
- Barbara J. Burgel
- Department of Community Health Systems, School of Nursing; University of California; San Francisco California
| | - Rami A. Elshatarat
- Department of Medical and Surgical Nursing, College of Nursing; Taibah University; Madinah Kingdom of Saudi Arabia
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Personal and Workplace Environmental Factors Associated With Reduced Worker Productivity Among Older Workers With Chronic Knee Pain: A Cross-Sectional Survey. J Occup Environ Med 2017. [PMID: 28628054 DOI: 10.1097/jom.0000000000001000] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The aim of this study was to explore personal and workplace environmental factors as predictors of reduced worker productivity among older workers with chronic knee pain. METHODS A questionnaire-based survey was conducted among 129 older workers who had participated in a randomized clinical trial evaluating dietary supplements. Multivariable analyses were used to explore predictors of reduced work productivity among older workers with chronic knee pain. RESULTS The likelihood of presenteeism was higher in those reporting knee pain (≥3/10) or problems with other joints, and lower in those reporting job insecurity. The likelihood of work transitions was higher in people reporting knee pain (≥3/10), a high comorbidity score or low coworker support, and lower in those having an occupation involving sitting more than 30% of the day. CONCLUSION Allowing access to sitting and promoting positive affiliations between coworkers are likely to provide an enabling workplace environment for older workers with chronic knee pain.
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Weiner C, Kalichman L, Ribak J, Alperovitch-Najenson D. Repositioning a passive patient in bed: Choosing an ergonomically advantageous assistive device. APPLIED ERGONOMICS 2017; 60:22-29. [PMID: 28166880 DOI: 10.1016/j.apergo.2016.10.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2016] [Revised: 10/03/2016] [Accepted: 10/08/2016] [Indexed: 05/16/2023]
Abstract
Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. Our aim was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated by the Lumbar Motion Monitor (LMM) and perceived load (Borg scale) were measured in female nurses performing 27 patient transfers [represented by a mannequin weighing 55 (12 nurses), 65 (24 nurses) and 75 kg (12 nurses) in bed] using a regular sheet, a sliding sheet and a carrier. The lowest rates of perceived exertion were found when the sliding sheet and/or carrier were used, for all tasks (p ≤ 0.009). According to the predicted risk for Low Back Disorder (LBD) based on the LMM inputs, negligible differences between assistive devices were found. In a 75 kg mannequin, the participants were able to perform all tasks only by using a sliding sheet. Utilizing sliding sheets is an advantageous technique in comparison to traditional cotton sheets and even carriers.
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Affiliation(s)
- Chava Weiner
- Zeide School of Nursing, Bnai-Zion Medical Center, Haifa, Israel.
| | - Leonid Kalichman
- Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences at Ben-Gurion University of the Negev, P.O.B. 653 Beer-Sheva, 84105, Israel
| | - Joseph Ribak
- Department of Environmental and Occupational Health, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Deborah Alperovitch-Najenson
- Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences at Ben-Gurion University of the Negev, P.O.B. 653 Beer-Sheva, 84105, Israel; Department of Environmental and Occupational Health, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Kourmousi N, Alexopoulos EC. Stress Sources and Manifestations in a Nationwide Sample of Pre-Primary, Primary, and Secondary Educators in Greece. Front Public Health 2016; 4:73. [PMID: 27148519 PMCID: PMC4838612 DOI: 10.3389/fpubh.2016.00073] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Accepted: 04/06/2016] [Indexed: 11/23/2022] Open
Abstract
Background Teachers experience high levels of stress as a result of their professional duties, and research has shown a growing interest in this phenomenon during the recent years. Aim of this study was to explore the associations of stress sources and manifestations with individual and job-related characteristics in educators of all levels. Methods In a cross-sectional design, following an informative e-campaign on the study aims through the official and the main teachers’ portals in Greece, respondents completed online the teachers stress inventory (TSI) and the 14-item Perceived Stress Scale. Nine hundred seventy-four male and 2473 female pre-primary, primary, and secondary educators with a mean age of 41.2 years responded. Results Women and younger teachers reported significantly higher levels of stress, mainly due to lack of time and other work-related stressors, and also more emotional and gastronomic manifestations. Increased age and working experience were associated with lower levels of several stress sources. Teachers of administrative positions had increased time management stressors, but less professional distress, professional investment, and discipline and motivation stressors. Additionally, working and residing far from family increased teachers’ stress levels associated with control, motivation, and investment. Teachers of pre-primary education had reduced professional investment and motivation stress factors, while vocational lyceum teachers of secondary education reported less work-related stressors and manifestations and more discipline and motivation-related ones. Having students supported or in need of support from special educators and students with difficulties in speaking or comprehension was associated with most of the teachers’ stress sources and manifestations (i.e., TSI subscales). Finally, colleagues’ and mainly supervisors’ support seemed to provide a strong and consistent protection against both stress sources and manifestations. Conclusion Stress factors and manifestations vary among educators by gender, seniority, and teaching level. Training in coping and communication skills starting in teachers’ undergraduate studies might have a major impact on their stress alleviation.
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Affiliation(s)
- Ntina Kourmousi
- Directorate of Primary Education of Eastern Attica , Attica , Greece
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Alexopoulos EC, Argyriou E, Bourna V, Bakoyannis G. Reliability and Validity of the Greek Version of the Job Content Questionnaire in Greek Health Care Workers. Saf Health Work 2016; 6:233-9. [PMID: 26929833 PMCID: PMC4674485 DOI: 10.1016/j.shaw.2015.02.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 02/03/2015] [Accepted: 02/07/2015] [Indexed: 01/05/2023] Open
Abstract
Background The Job Content Questionnaire (JCQ), which is based on the Demand–Control–Support model, is designed to measure the psychosocial characteristics of the respondent's work, and has been identified to predict health and psychological outcomes. The purpose of this study was to investigate the psychometric properties of this instrument and the subsequent adaptation of its scales to the population of Greek health workers. Methods The Greek version of the JCQ was developed by using forward- and back-translation in accordance with the JCQ policy. The reliability and validity of the measure were investigated in a sample of health workers working in a hospital in Athens, Greece. The internal consistency of the scales was examined based on Cronbach α coefficients, and the validity was evaluated subjecting the items of the three main scales of the JCQ (decision latitude, psychological job demands, and social support) to exploratory and confirmatory factor analysis. Results The reliability of the scales was found to be acceptable for all the scales, except for the skill discretion subscale. Confirmatory factor analysis confirmed a slightly modified version of the original construct including several items to more than one factor. Conclusion Our findings suggest that the Greek JCQ is reliable and valid for investigating psychosocial job characteristics among Greek health workers.
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Affiliation(s)
- Evangelos C Alexopoulos
- School of Social Sciences, Hellenic Open University, Patras, Greece; Occupational Health Department, Onassis Cardiac Surgery Center, Kallithea, Greece
| | - Evangelia Argyriou
- Department of Psychology, School of Philosophy, University of Athens, Athens, Greece
| | - Virginia Bourna
- Occupational Health Department, Onassis Cardiac Surgery Center, Kallithea, Greece
| | - Giorgos Bakoyannis
- Department of Biostatistics, Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA
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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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Alperovitch-Najenson D, Sheffer D, Treger I, Finkels T, Kalichman L. Rehabilitation versus Nursing Home Nurses' Low Back and Neck-Shoulder Complaints. Rehabil Nurs 2015; 40:286-93. [DOI: 10.1002/rnj.172] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2014] [Indexed: 11/08/2022]
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Davis KG, Kotowski SE. Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review. HUMAN FACTORS 2015; 57:754-92. [PMID: 25899249 DOI: 10.1177/0018720815581933] [Citation(s) in RCA: 201] [Impact Index Per Article: 22.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2013] [Accepted: 03/20/2015] [Indexed: 05/14/2023]
Abstract
OBJECTIVE The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides. BACKGROUND Nurses and nursing aides suffer from work-related pain and musculoskeletal disorders (MSDs). Although there have been a plethora of studies on MSDs, an overall understanding of the prevalence of MSDs and pain can lead to better prioritization of research needs with respect to the health care industry. METHOD A total of 132 articles on prevalence of MSD pain and injuries were included in the review. All articles were published in peer-reviewed English-speaking journals and subjected to a quality review. RESULTS Reported prevalence of MSD pain for nurses and nursing aides was highest in the low back, followed by shoulders and neck. However, the majority of the studies have been concentrated on 12-month pain in the low back and predominantly in hospitals. Few researchers have investigated pain in the upper and lower extremities (less than 27% of the studies). Even fewer researchers have evaluated reported injuries or even subjective lost-time injuries (less than 15% of the studies). CONCLUSION MSD pain in the nursing profession has been widely investigated worldwide, with a major focus on low-back pain. Given new directions in health care, such as patients who live longer with more chronic diseases, bariatric patients, early mobility requirements, and those who want to be at home during sickness, higher prevalence levels may shift to different populations--home health care workers, long-term care workers, and physical therapists--as well as shift to different body regions, such as shoulders and upper extremities.
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Weiner C, Alperovitch-Najenson D, Ribak J, Kalichman L. Prevention of Nurses’ Work-Related Musculoskeletal Disorders Resulting From Repositioning Patients in Bed. Workplace Health Saf 2015; 63:226-32; quiz 233. [DOI: 10.1177/2165079915580037] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Repositioning patients in bed to promote comfort and prevent impairments caused by continuously lying in a prone position is a task frequently performed by nurses and nursing assistants. Repositioning is a high-risk activity, frequently causing occupational injuries. These occupational injuries are attributed to excessive physical demands on nurses due to patients’ weight and awkward nurse postures. During repositioning, risk of injury can be lowered by reducing friction between the patient and the bed. Hence, certain friction-reducing devices have been developed to reduce the manual force required to move patients. Nevertheless, further research is needed to evaluate the potential effectiveness of these devices. Therefore, the aim of this review was to present current research about the risk factors, prevention strategies, and assistive devices that could reduce work-related musculoskeletal disorders caused by repositioning patients in bed.
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Abstract
Changing demographics mean that many patients with soft tissue rheumatism, osteoarthritis, inflammatory arthritis, large joint prostheses and age-related co-morbidities are seeking to work beyond the traditional retirement age. In this chapter, we review the evidence on musculoskeletal health and work at older ages. We conclude that musculoskeletal problems are common in older workers and have a substantial impact on their work capacity. Factors that influence their job retention are described, together with approaches that may extend working life. Many gaps in evidence were found, notably on the health risks and benefits of continued work in affected patients and on which interventions work best. The roles of physicians and managers are also considered.
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Affiliation(s)
- Keith T Palmer
- Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK; ARUK-MRC Centre for Musculoskeletal Health and Work, UK.
| | - Nicola Goodson
- ARUK-MRC Centre for Musculoskeletal Health and Work, UK; Department of Musculoskeletal Biology 1, Institute of Aging and Chronic Diseases, University of Liverpool, University Hospital Aintree, Liverpool L9 7AL, UK.
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Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud 2014; 52:635-48. [PMID: 25480459 DOI: 10.1016/j.ijnurstu.2014.11.003] [Citation(s) in RCA: 217] [Impact Index Per Article: 21.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2014] [Revised: 10/31/2014] [Accepted: 11/04/2014] [Indexed: 11/22/2022]
Abstract
OBJECTIVES To estimate the association between psychosocial risk factors in the workplace and musculoskeletal disorders (MSD) in nurses and aides. DESIGN Systematic review and meta-analysis. DATA SOURCES An electronic search was performed using MEDLINE (Pubmed), Psychinfo, Web of Science, Tripdatabase, Cochrane Central Controlled Trials, NIOSHTIC and Joanna Briggs Institute of Systematic Reviews on Nursing and Midwifery, to identify observational studies assessing the role of psychosocial risk factors on MSD in hospital nurses and nursing aides. REVIEW METHODS Two reviewers independently assessed eligibility and extracted data. Quality assessment was conducted independently by two reviewers using an adapted version of the Standardized Quality Scale. Random-effects meta-analysis was performed by subsets based on specific anatomical site and the exposure to specific psychosocial risk factors. Heterogeneity for each subset of meta-analysis was assessed and meta-regressions were conducted to examine the source of heterogeneity among studies. RESULTS Twenty-four articles were included in the review, seventeen of which were selected for meta-analysis. An association was identified between high psychosocial demands-low job control with prevalent and incident low back pain (OR 1.56; 95% CI 1.22-1.99 and OR 1.52; 95% CI 1.14-2.01, respectively), prevalent shoulder pain (OR 1.89; 95% CI 1.53-2.34), prevalent knee pain (OR 2.21; 95% CI 1.07-4.54), and prevalent pain at any anatomical site (OR 1.38; 95% CI 1.09-1.75). Effort-reward imbalance was associated with prevalent MSD at any anatomical site (OR 6.13; 95% CI 5.32-7.07) and low social support with incident back pain (OR 1.82; 95% CI 1.43-2.32). Heterogeneity was generally low for most subsets of meta-analysis. CONCLUSION This meta-analysis suggests that psychosocial risk factors at the workplace are associated with MSD in hospital nurses and nursing aides. Although most preventive strategies at the workplace are focused on ergonomic risk factors, improving the psychosocial work environment might have an impact on reducing MSDs.
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Agaliotis M, Mackey MG, Jan S, Fransen M. Burden of reduced work productivity among people with chronic knee pain: a systematic review. Occup Environ Med 2014; 71:651-9. [PMID: 24872332 DOI: 10.1136/oemed-2013-101997] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
OBJECTIVE The aims of this systematic review were to determine the prevalence of reduced work productivity among people with chronic knee pain as well as specifically categorise determinants of work productivity losses into individual, disease and work-related factors, conduct an evaluation of study methodological quality and present a best-evidence synthesis. METHODS We searched the literature using combinations of key words such as knee pain, knee osteoarthritis, absenteeism (days taken off work) and presenteeism (reduced productivity while at work) for observational studies published in English. Methodological quality appraisal and a best-evidence synthesis were used to pool the study findings. RESULTS The studies were conducted exclusively in high income countries of North America, Western Europe and Hong Kong. 17 studies were included in the review, 10 measuring absenteeism and six measuring presenteeism. Of the 10 studies reporting absenteeism, seven found a 12-month absenteeism prevalence ranging from 5% to 22%. Only two studies evaluated presenteeism prevalence and reported a range from 66% to 71%. Using best-evidence synthesis: three high quality cohort studies and three cross-sectional studies provided strong evidence that knee pain or knee osteoarthritis was associated with absenteeism; two high quality cross-sectional studies and one cohort study provided limited evidence for an association with presenteeism; one cross-sectional study provided limited evidence for an association among age, high job demands and low coworker support and absenteeism among nurses with knee pain. No studies examined individual or work-related factors associated with presenteeism. CONCLUSIONS A number of high quality studies consistently demonstrated that chronic knee pain or knee osteoarthritis is associated with absenteeism. However, data are lacking regarding presenteeism and individual or work-related risk factors for reduced work productivity among older workers with chronic knee pain. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO registry number: CRD42013004137.
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Affiliation(s)
- Maria Agaliotis
- Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia
| | - Martin G Mackey
- Discipline of Physiotherapy, Ageing, Work and Health Research Unit, Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia
| | - Stephen Jan
- The George Institute for Global Health, Camperdown, New South Wales, Australia
| | - Marlene Fransen
- Discipline of Physiotherapy, Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales, Australia
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Ovayolu O, Ovayolu N, Genc M, Col-Araz N. Frequency and severity of low back pain in nurses working in intensive care units and influential factors. Pak J Med Sci 2014; 30:70-6. [PMID: 24639834 PMCID: PMC3955545 DOI: 10.12669/pjms.301.3455] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2013] [Revised: 07/01/2013] [Accepted: 12/09/2013] [Indexed: 11/29/2022] Open
Abstract
Objective: The purpose of this research was to determine the frequency and severity of low back pain and influencing factors in nurses working in intensive care units. Methods: This research was conducted as a cross-sectional study with 114 nurses working in the intensive care units in the province of Gaziantep, Turkey. Study data were collected using a questionnaire form and visual analogue scale. Results: It was found that 84.2% of the nurses experienced low back pain, and 66.7% of the nurses evaluated this pain as “a pain with moderate severity”. It was determined that nurses who had not received any education on low back pain, who remained standing for long periods of time, who performed interventions that required bending forward, who lifted and repositioned patients, and who did not use any aiding equipment during interventions, experienced more pain and had higher average pain scores. In addition, average pain scores were higher among nurses with master’s and doctorate degrees, and those working in internal medicine and pediatric intensive care units and working in shifts. Conclusion: It was observed that many of the nurses working in intensive care units experienced low back pain, and especially those working in internal medicine and pediatric intensive care units and working in shifts had higher average pain scores.
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Affiliation(s)
- Ozlem Ovayolu
- Ozlem Ovayolu, RN, PhD, Gaziantep University, Faculty of Health Science, Gaziantep, Turkey
| | - Nimet Ovayolu
- Nimet Ovayolu, RN, PhD, Associate Professor, Gaziantep University, Faculty of Health Science, Gaziantep, Turkey
| | - Mehtap Genc
- Mehtap Genc, RN, BSN, Instructor, Bitlis Eren University, Bitlis, Turkey
| | - Nilgun Col-Araz
- Nilgun Col-Araz, Gaziantep University, Faculty of Medicine, Department of Pediatric, Gaziantep, Turkey
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Alperovitch-Najenson D, Treger I, Kalichman L. Physical therapists versus nurses in a rehabilitation hospital: comparing prevalence of work-related musculoskeletal complaints and working conditions. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2014; 69:33-39. [PMID: 23930794 DOI: 10.1080/19338244.2012.719555] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The objective of this study was to investigate the prevalence and work avoidance of work-related musculoskeletal complaints and to compare patient handling tasks and psychosocial factors of physical therapists (PTs) and nurses in a rehabilitation hospital. Cross-sectional observational study was carried out using questionnaires relating to basic demographics, prevalence of musculoskeletal morbidity, workload, and job satisfaction. Comparing 26 PTs and 54 nurses, all females, lower back pain was significantly more prevalent in PTs, even after adjusting for the confounding demographic factors; PTs performed full and partial manual patient transfer, as well as trunk bending and walking assistance more frequently than the nurses and were significantly more satisfied. Unique physical load could be the main factor for the high prevalence of lower back pain in PTs. They should urgently initiate a "no-lift policy" in treatment.
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Affiliation(s)
- D Alperovitch-Najenson
- Department of Environmental and Occupational Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Tsiba JB, Mabiala Babela JR, Ngoulou MN, Niambi Poaty G, Moukouyou Ndombo M, Moukassa D. [Professional absenteeism in the pediatric service of the general hospital of Loandjili in Pointe-Noire (Congo)]. BULLETIN DE LA SOCIETE DE PATHOLOGIE EXOTIQUE (1990) 2013; 106:286-289. [PMID: 24046005 DOI: 10.1007/s13149-013-0309-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2013] [Indexed: 06/02/2023]
Abstract
The supply and the quality of care dispensed in a service depend on the quality of the technical and human tray, but also from effective presence of the staff during the work time. The purpose of this study is to determine the absenteeism level of the paramedical staff in General Pediatric and Neonatology of Loandjili General Hospital (Pointe Noire) and identifying causes. A cross-sectional study has been conducted from January 1(st) to June 30(th) 2011 on 21 nurses in General Pediatric and 20 in Neonatology. The absenteeism level was obtained by the link of the number of missing days out of the number of the work days x 100. The absence was justified when it relieved from a reason informed by the administrative texts of the firm; and authorized when it requested the authorization of the administration of the firm. In total, 370 absences have been unregistered, the average absenteeism level was of 8.4%. The absence was justified in 242 cases (65.4%) and authorized in 178 cases (48.1%) which 84 times in writing and 94 times verbally. When the absence was justified, it was the fact of the disease of a member of the family in 82 cases, of the death or the burial of a member of the family in 81 cases, of the agent disease, 84 cases, or other reasons in the remains of cases. The absence occurred between 7 a.m. and 14 p.m. in 57.3%, 14 p.m. and 7 p.m.in, 25.7% and between 7 p.m. and 7 a.m. in 17.0%. The absenteeism was mainly observed (85.7%) for the nurses of about 30 years old and those (59.5%) whom the seniority in the service was inferior or equal 5 years. The absences justified were more observed (p< 10(-4)) for nurses of about 30 years old and those whom the seniority did not pass 5 years. The absenteeism of nurses constitutes a real social and administrative problem that deserves a particular attention considering its impact on the supply and the quality of cares.
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Affiliation(s)
- J B Tsiba
- Service de pédiatrie, Hôpital général de Loandjili, Pointe-Noire, Congo
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Are musculoskeletal complaints, related work impairment and desirable adjustments in work age-specific? Int Arch Occup Environ Health 2013; 87:647-54. [DOI: 10.1007/s00420-013-0903-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Accepted: 08/15/2013] [Indexed: 10/26/2022]
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Belita A, Mbindyo P, English M. Absenteeism amongst health workers--developing a typology to support empiric work in low-income countries and characterizing reported associations. HUMAN RESOURCES FOR HEALTH 2013; 11:34. [PMID: 23866770 PMCID: PMC3721994 DOI: 10.1186/1478-4491-11-34] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Accepted: 07/01/2013] [Indexed: 05/06/2023]
Abstract
The contribution of inadequate health worker numbers and emigration have been highlighted in the international literature, but relatively little attention has been paid to absenteeism as a factor that undermines health-care delivery in low income countries. We therefore aimed to review the literature on absenteeism from a health system manager's perspective to inform needed work on this topic. Specifically, we aimed to develop a typology of definitions that might be useful to classify different forms of absenteeism and identify factors associated with absenteeism. Sixty-nine studies were reviewed, only four were from sub-Saharan Africa where the human resources for health crisis is most acute. Forms of absenteeism studied and methods used vary widely. No previous attempt to develop an overarching approach to classifying forms of absenteeism was identified. A typology based on key characteristics is proposed to fill this gap and considers absenteeism as defined by two key attributes, whether it is: planned/unplanned, and voluntary/involuntary. Factors reported to influence rates of absenteeism may be broadly classified into three thematic categories: workplace and content, personal and organizational and cultural factors. The literature presents an inconsistent picture of the effects of specific factors within these themes perhaps related to true contextual differences or inconsistent definitions of absenteeism.
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Affiliation(s)
- Alice Belita
- Kenya Medical Research Institute -Wellcome Trust Research Programme, Kenyatta National Hospital, Hospital Road, Nairobi, 00100, Kenya
| | - Patrick Mbindyo
- Kenya Medical Research Institute -Wellcome Trust Research Programme, Kenyatta National Hospital, Hospital Road, Nairobi, 00100, Kenya
| | - Mike English
- Kenya Medical Research Institute -Wellcome Trust Research Programme, Kenyatta National Hospital, Hospital Road, Nairobi, 00100, Kenya
- Nuffield Department of Medicine and Department of Paediatrics, University of Oxford, Old Road Campus, Oxford, OX3 7BN, UK
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Sembajwe G, Tveito TH, Hopcia K, Kenwood C, O'Day ET, Stoddard AM, Dennerlein JT, Hashimoto D, Sorensen G. Psychosocial stress and multi-site musculoskeletal pain: a cross-sectional survey of patient care workers. Workplace Health Saf 2013; 61:117-25. [PMID: 23452130 DOI: 10.1177/216507991306100304] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2012] [Accepted: 10/15/2012] [Indexed: 11/17/2022]
Abstract
The aim of this study was to assess the relationship between psychosocial factors at work and multi-site musculoskeletal pain among patient care workers. In a survey of 1,572 workers from two hospitals, occupational psychosocial factors and health outcomes of workers with single and multi-site pain were evaluated using items from the Job Content Questionnaire that was designed to measure psychological demands, decision latitude, and social support. An adapted Nordic Questionnaire provided data on the musculoskeletal pain outcome. Covariates included body mass index, age, gender, and occupation. The analyses revealed statistically significant associations between psychosocial demands and multi-site musculoskeletal pain among patient care associates, nurses, and administrative personnel, both men and women. Supervisor support played a significant role for nurses and women. These results remained statistically significant after adjusting for covariates. These results highlight the associations between workplace psychosocial strain and multi-site musculoskeletal pain, setting the stage for future longitudinal explorations.
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Affiliation(s)
- Grace Sembajwe
- City University New York School of Public Health at Hunter College, New York, NY 10035, USA.
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Sembajwe G, Tveito TH, Hopcia K, Kenwood C, O’Day ET, Stoddard AM, Dennerlein JT, Hashimoto D, Sorensen G. Psychosocial Stress and Multi-site Musculoskeletal Pain: A Cross-sectional Survey of Patient Care Workers. Workplace Health Saf 2013. [DOI: 10.3928/21650799-20130226-01] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Andersen LL, Clausen T, Persson R, Holtermann A. Perceived physical exertion during healthcare work and prognosis for recovery from long-term pain in different body regions: Prospective cohort study. BMC Musculoskelet Disord 2012; 13:253. [PMID: 23253634 PMCID: PMC3540008 DOI: 10.1186/1471-2474-13-253] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Accepted: 11/28/2012] [Indexed: 11/28/2022] Open
Abstract
Background The prevalence of musculoskeletal pain is high among healthcare workers. Knowledge about risk factors at work is needed to efficiently target preventive strategies. This study estimates the prognosis for recovery from long-term musculoskeletal pain in different body regions among healthcare workers with different levels of perceived physical exertion during healthcare work. Methods Prospective cohort study among 4,977 Danish female healthcare workers responding to a baseline and follow-up questionnaire in 2005 and 2006, respectively. We defined long-term pain, short-term pain and pain-free as > 30, 1–30 and 0 days with pain during the last year, and included in the analyses only those with long-term pain at baseline in the low back (N=1,089), neck/shoulder (N=1,400) and knees (N = 579), respectively. Using cumulative logistic regression analysis, the prognosis for recovering from long-term pain at baseline to short-term pain or pain-free at follow-up in the respective body regions when experiencing moderate or light (reference: strenuous) physical exertion during healthcare work was modeled. Results Among those with long-term pain at baseline 34% (low back), 29% (neck/shoulders), and 29% (knees) recovered to short-term pain at follow-up and 7% (low back), 8% (neck/shoulders), and 17% (knees) recovered to being pain-free. After adjusting for potential confounders (age, BMI, tenure, smoking status, leisure physical activity and psychosocial work conditions), light perceived physical exertion during healthcare work was associated with improved prognosis for recovery from long-term pain in the low back (OR 1.42, 95% CI 1.01 – 1.99) and neck/shoulders (OR 1.89, 95% CI 1.43 – 2.50), but not in the knees. Moderate physical exertion was not associated with improved prognosis for recovery from long-term pain for any of the body regions. Conclusion In the present study, healthcare workers with light perceived physical exertion during healthcare work had the best prognosis for recovery from long-term pain in the low back and neck/shoulders. This suggests that efforts to reduce perceived exertion during work may improve recovery from chronic pain.
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Affiliation(s)
- Lars L Andersen
- National Research Centre for the Working Environment, Lersø Parkalle 105, DK, 2100, Copenhagen Ø, Denmark.
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Andersen LL, Clausen T, Persson R, Holtermann A. Perceived physical exertion during healthcare work and risk of chronic pain in different body regions: prospective cohort study. Int Arch Occup Environ Health 2012; 86:681-7. [PMID: 22878558 DOI: 10.1007/s00420-012-0808-y] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2012] [Accepted: 07/26/2012] [Indexed: 11/28/2022]
Abstract
PURPOSE To estimate the risk of developing chronic musculoskeletal pain in different body regions from varying degrees of perceived physical exertion during healthcare work. METHODS Prospective cohort study among 4,977 Danish female healthcare workers responding to a baseline and follow-up questionnaire in 2005 and 2006, respectively. Using multi-adjusted logistic regression analysis, the risk of developing chronic pain (>30 days last year) at follow-up in the low back, neck/shoulder, and knees-among those without pain (0 days last year) in these respective body regions at baseline-from moderate and strenuous (reference: light) perceived physical exertion during healthcare work was modeled. RESULTS Adjusted for age, BMI, tenure, smoking status, and leisure physical activity, strenuous perceived physical exertion during healthcare work increased the risk of chronic low back pain (OR 3.16, 95 % CI 1.79-5.57) and chronic knee pain (OR 1.87, 95 % CI 1.19-2.94) at follow-up among those without pain in these respective body regions at baseline. With additional adjustment for psychosocial work conditions, only the risk of developing chronic low back pain from strenuous physical exertion remained significant (OR 1.99, 95 % CI 1.02-3.88). Strenuous physical exertion was not a risk factor for chronic neck pain, and moderate physical exertion was not a risk factor for chronic pain in any of the body regions. CONCLUSION Strenuous perceived physical exertion during healthcare work is a risk factor especially for developing chronic pain in the low back. The possible preventive effect of reducing strenuous physical exertion should be tested in randomized controlled trials.
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Affiliation(s)
- Lars L Andersen
- National Research Centre for the Working Environment, Lersø Parkalle 105, 2100 Copenhagen Ø, Denmark.
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Msaouel P, Keramaris NC, Apostolopoulos AP, Syrmos N, Kappos T, Tasoulis A, Tripodaki E, Kagiampaki E, Lekkas I, Siegrist J. The Effort‐reward Imbalance Questionnaire in Greek: Translation, Validation and Psychometric Properties in Health Professionals. J Occup Health 2012; 54:119-30. [DOI: 10.1539/joh.11-0197-oa] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Pavlos Msaouel
- Greek Junior Doctors and Health Scientists SocietyGreece
- Department of Internal MedicineJacobi Medical Center, Albert Einstein College of MedicineUSA
| | | | | | | | | | | | | | | | - Ioannis Lekkas
- Greek Junior Doctors and Health Scientists SocietyGreece
| | - Johannes Siegrist
- Department of Medical SociologyUniversity of Dűsseldorf, DűsseldorfGermany
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