Work-related Musculoskeletal Disorders In Nurses Research Articles

PHOTOVOICE: A STRATEGY FOR IDENTIFY NURSE'S SELF-PERCEPTION OF OCCUPATIONAL EXPOSURE OF MUSCULOSKELETAL RISKS

The People's self-concept contributes to their sense of identity, and if associated with methods that promote the involvement of participants, we develop knowledge that promotes causes and social change. Introduction: In recent decades, the scientific community has identified a high prevalence of work-related musculoskeletal disorders in nurses, as a result of work processes, high physical demands, workspaces, and the emotional and sometimes stressful association of clinical contexts. Obstetric nurses, due to their specific work, have been a group that has been little studied and, above all, little involved in research processes. Research Objective: This study aims to identify the self-perception of Obstetric nurses regarding daily activities in the labour context, which are self-perceived as high risk for work-related musculoskeletal disorders. Methodology: A qualitative approach was used, utilising an empowering research method - Photovoice. Twenty who work full time in the delivery room took part. Photographic records were presented by the Obstetric nurses and their self-perceptions were shared through interviews. The interviews and photographs were then transcribed, analysed and categorised. Results: The average number of years as a Obstetric nurses was 14.4 years, but with 24.8 years working as a nurse. Twenty-two work activities with a potential risk to health were photographically recorded.

Inter- and intra-observer reliability of the Ergonomic Screening and Prioritization Tool to assess the risk level of work-related musculoskeletal disorders in nurses

Introduction: Musculoskeletal Disorders (MSDs) are among the most common occupational diseases, and ergonomics and occupational health engineering specialists need reliable and valid methods for assessing high-risk activities and the factors contributing to their occurrence. Materials and Methods: In this cross-sectional study, 100 nurses employed at Namazi Hospital in Shiraz were randomly selected. Data was collected using a demographic/occupational questionnaire, Hierarchical Task Analysis (HTA), and the Ergonomics Screening and Prioritizing Tool (ESPT). Three observers simultaneously assessed the risk of developing MSDs for each job duty. After a six-month interval, the same observers re-evaluated the same group of nurses in the same work Postures. To assess the reliability of ESPT between and within observers, the Intra-class Correlation Coefficient (ICC) and the Kappa Multi-rater Fleiss method were used. Data analysis was conducted using SPSS software version 26. Results: The results of the study showed a high agreement between each observer as well as between the three observers before and after six months. The ICC for observers 1, 2, and 3 were respectively 0.951, 0.947, and 0.927, and also between each of the three observers for the first and second time respectively 0.955 and 0.941. Conclusion: The ESPT has been shown to possess high reliability for assessing the risk of developing MSDs among nurses, and it can be used for this purpose.

The Role of Job Resources in the Relationship between Job Demands and Work-Related Musculoskeletal Disorders among Hospital Nurses in Thua Thien Hue Province, Vietnam.

(1) Background: This cross-sectional study aimed to determine the moderating effect of job resources (JR) in the relationship between job demands (JD) and work-related musculoskeletal disorders (WRMSDs) among hospital nurses in the Thua Thien Hue province, Vietnam. (2) Methods: Data were collected via a self-reporting questionnaire administrated to 225 nurses from two hospitals in the Thua Thien Hue province of Vietnam from August to September 2020. The questionnaire included information on musculoskeletal symptoms, JD and JR, and the demographics and job characteristics of participants. The simple moderation analysis was used for data analysis. (3) Results: The findings indicated that 87.6% of nurses had experienced WRMSDs in at least one body region during the previous 12 months, with lower back (65.3%), neck (61.8%), and shoulders (61.8%) being the three most common sites. Physical workloads (PW) and psychological demands (PDs) were significantly correlated with WRMSDs severity (p < 0.05). This study further underlined the moderating role of coworker support (CS) on the relationship between PW and WRMSD severity. WRMSDs severity significantly increased when PW was high alongside a low level of CS. (4) Conclusions: The current study indicated that nurses should be provided with appropriate CS to minimize WRMSDs severity. Furthermore, an intervention program for managing WRMSDs in nurses may involve minimizing physical risk factors and PDs.

Work-related musculoskeletal disorders in nurses working in the Kingdom of Saudi Arabia.

Nurses are considered the group of healthcare workers with the highest prevalence of Work-Related Musculoskeletal Disorders (WRMDs). The most common physical demands of nursing that have been found to contribute to WRMDs include lifting, working in awkward postures, stooping, and repetitive actions. Occupational therapists (OT) have a significant role in preventing WRMDs. The purpose of this study was to explore that magnitude of the WRMDs among nurses in the Kingdom of Saudi Arabia (KSA). Exploring the role of OT in increasing awareness and prevention of WRMDs among nurses. The study was conducted using a cross-sectional questionnaire design. Data was collected using the Nordic Musculoskeletal Questionnaire (NMQ). Nurses at King Abdulaziz Medical City, Riyadh, KSA, were the target of this study. Ninety-four nurses participated in this study. Most of them (63.8%) indicated that they experienced discomfort during the last 12 months in their lower back, followed by shoulders (50%), and upper back (48.9%). Twenty-four (25.5%) of the participants who indicated experiencing low back discomfort, also indicated that this discomfort reduced their work activity, and this same number indicated that the discomfort reduced their leisure activity. Nurses are at high risk for WRMDs. Occupational therapists have an important role to play in prevention. Measures should be taken by hospital administrators, the rehabilitation departments, as well as the nurses themselves to manage this global problem. Special measures should be implemented to make sure that they work in ergonomically appropriate environment, and implement proper body mechanics to limit their chances of encountering WRMDs.

Ergonomic risk factors and risk exposure level of nursing tasks: association with work-related musculoskeletal disorders in nurses

Objectives To identify the risk exposure level of nursing tasks and explore the association with ergonomic factors such as biomechanical, organisational, psychosocial, and environmental job factors. Also, the association among the risk exposure level of nursing tasks among nurses with the prevalence of work-related musculoskeletal disorders (WMSDs), activity limitation, and physician visits for the past 12 months were analysed. Methods In phase one, 68 registered nurses (median age: 33.5 years, females: 89.70%, males: 10.20%) completed the standardised Nordic musculoskeletal questionnaire (NMQ) and ErgoEnf questionnaire on ergonomic risk factors. In phase two, 25 participants were observed at inpatient care using the workplace ergonomic risk assessment tool (WERA) to profile the risk exposure levels during nursing tasks. Results In the patient repositioning task, 24% of the nurses scored low, 76% scored medium-risk exposure level, and none of the nurses obtained a high-risk exposure level. Biomechanical, environmental, and organisational factors were significantly associated with risk exposure levels (p < .05), while no association was found with the psychosocial factors. Conclusions This study showed a significant association between nursing task-specific risk-exposure scores, ergonomic risk factors and the prevalence of WMDs. The risk exposure scores were significantly associated with the reported WMSDs of the lower back, neck, and hip/thigh regions; these prevented normal activities at least once in the last 12 months. Possible interventions are discussed in the realms of human factors framework.

The associations of work style and physical exercise with the risk of work-related musculoskeletal disorders in nurses.

This study aimed to investigate the prevalence of work-related musculoskeletal disorders (WMSD) in nurses, and to explore the association of work style and physical exercise with WMSD in this professional group. In this study, a cross-sectional survey design was applied. A questionnaire survey was conducted on 692 nurses in 5 municipal hospitals, in the period August-October 2015. The survey included personal information, lifestyle, physical exercise and symptoms of WMSD. Chi2 test and logistic regression were used to identify the risk factors of WMSD. The prevalence of WMSD was 84% in all parts of the body in the previous year, with the highest prevalence in the neck (68.2%), followed by waist (67.6%) and shoulder (54.6%). Both univariate and multivariate analyses showed that physical exercise, night shifts and staying up late were associated with WMSD in nurses. The lack of exercise, night shifts and a tendency to stay up significantly increased the risk of WMSD (p < 0.05). The prevalence of musculoskeletal disorders among the municipal hospital nursing staff is high. An elevated risk of WMSD is observed in nurses who do not do exercises, work shifts and stay up late. Int J Occup Med Environ Health. 2019;32(1):15-24.

Work-related musculoskeletal disorders in nurses working in South African spinal cord rehabilitation units

Work-related musculoskeletal disorders in nurses working in South African spinal cord rehabilitation units

Prevalence of Work-Related Musculoskeletal Disorders in the Nurses Working in Hospitals of Xinjiang Uygur Autonomous Region.

Objective To investigate the status of work-related musculoskeletal disorders (WMSDs) in nurses working in the hospitals in Xinjiang Uygur Autonomous Region. Methods The prevalence of WMSDs since working and in the previous 12 months was evaluated using self-administrated modified musculoskeletal questionnaire based on North European questionnaire. In this cross-sectional study, 6674 nurses involved in the nursing profession were selected from 16 hospitals using the stratified cluster sampling method. Results The most commonly affected regions by WMSDs were lower back, neck, shoulder, and back, with an annual prevalence of 62.71%, 59.77%, 49.66%, and 39.50%, respectively. Statistical differences were noticed in the annual prevalence of WMSDs in those with different ages (P < 0.01) and working durations (P < 0.01). Logistic regression analysis indicated that the following risk factors were associated with the prevalence of WMSDs: working duration of ≥6 years; working in the Emergency Department, Department of Anesthesia, or Supply Room; night shift of more than once, working duration of >40 hrs per week; poor health status; and feeling of fatigue. Rest time of >10 min and no history of WMSDs were the protective factors of WMSDs. Conclusions Shift and working/rest duration was closely related to WMSDs.

Current status of work-related musculoskeletal disorders in nurses in Xinjiang, China

Objective: To investigate the prevalence of work-related musculoskeletal disorders (WMSDs) in nurses in Xinjiang, China, to analyze the influencing factors for the development of WMSDs, and to provide a reference for the prevention and treatment of WMSDs in nurses. Methods: Stratified cluster sampling was used to randomly select 8 422 nurses in 8 tertiary hospitals and 4 secondary hospitals in Xinjiang from January to October, 2015. A questionnaire survey was performed to investigate the prevalence of WMSDs in nurses from departments of internal medicine, surgery, gynecology, pediatrics, emergency, and intensive care and operating rooms and analyze related influencing factors. Results: A total of 3 000 questionnaires were distributed, and 2 851 questionnaires were returned, resulting in a recovery rate of 95.00%. In the nurses who participated in the survey, the prevalence of WMSDs was 78.58%. As for different body parts, the prevalence of WMSDs was 63.36% in the waist, 61.79% in the neck, 52.52% in the shoulder, 41.83% in the back, 35.56% in the knees, 33.35% in the ankles, 26.02% in the wrists, 23.41% in the hip, and 17.62% in the elbows. There were significant differences in the prevalence of WMSDs across the nurses with different ages and working years (χ2=28.29 and 27.73, both P<0.01) , and the prevalence of WMSDs tended to increase with the increasing age and working years (χ2=22.94 and 17.56, both P<0.01) . The results of multivariate logistic regression analysis showed that sex, working years, intensive care/emergency, outpatient service, surgical anesthesia, weekly working hours, physical condition, and fatigue in work were risk factors for WMSDs in nurses. Conclusion: In the nurses in Xinjiang, the prevalence of WMSDs in the neck, shoulder, back, and waist is high, and nurses with different ages, working years, departments, sexes, physical conditions, and weekly working hours have varying degrees of risk of WMSDs.

The Effectiveness of a Participatory Ergonomic Intervention for Preventing Work-related Musculoskeletal Disorders in Nurses

The Effectiveness of a Participatory Ergonomic Intervention for Preventing Work-related Musculoskeletal Disorders in Nurses

Development and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasks

Problem statement Nurses have one of the highest rates of work-related musculoskeletal injury of any profession. Over the past 30 years, efforts to reduce work-related musculoskeletal disorders in nurses have been largely unsuccessful. Specific aims The primary goal of this program was to create safer working environments for nursing staff who provide direct patient care. Our first objective was to design and implement a multifaceted program that successfully integrated evidence-based practice, technology, and safety improvement. The second objective was to evaluate the impact of the program on injury rate, lost and modified work days, job satisfaction, self-reported unsafe patient handling acts, level of support for program, staff and patient acceptance, program effectiveness, costs, and return on investment. Intervention The intervention included six program elements: (1) Ergonomic Assessment Protocol, (2) Patient Handling Assessment Criteria and Decision Algorithms, (3) Peer Leader role, “Back Injury Resource Nurses”, (4) State-of-the-art Equipment, (5) After Action Reviews, and (6) No Lift Policy. Methods A pre-/post design without a control group was used to evaluate the effectiveness of a patient care ergonomics program on 23 high risk units (19 nursing home care units and 4 spinal cord injury units) in 7 facilities. Injury rates, lost work days, modified work days, job satisfaction, staff , and patient acceptance, program effectiveness, and program costs/savings were compared over two nine month periods: pre-intervention (May 2001–January 2002) and post-intervention (March 2002–November 2002). Data were collected prospectively through surveys, weekly process logs, injury logs, and cost logs. Results The program elements resulted in a statistically significant decrease in the rate of musculoskeletal injuries as well as the number of modified duty days taken per injury. While the total number of lost workdays decreased by 18% post-intervention, this difference was not statistically significant. There were statistically significant increases in two subscales of job satisfaction: professional status and tasks requirements. Self-reports by nursing staff revealed a statistically significant decrease in the number of ‘unsafe’ patient handling practices performed daily. Nurses ranked program elements they deemed to be “extremely effective”: equipment was rated as most effective (96%), followed by No Lift Policy (68%), peer leader education program (66%), ergonomic assessment protocol (59%), patient handling assessment criteria and decision algorithms (55%), and lastly after action reviews (41%). Perceived support and interest for the program started at a high level for managers and nursing staff and remained very high throughout the program implementation. Patient acceptance was moderate when the program started but increased to very high by the end of the program. Although the ease and success of program implementation initially varied between and within the facilities, after six months there was strong evidence of support at all levels. The initial capital investment for patient handling equipment was recovered in approximately 3.75 years based on annual post-intervention savings of over $200,000/year in workers’ compensation expenses and cost savings associated with reduced lost and modified work days and worker compensation. Conclusions This multi-faceted program resulted in an overall lower injury rate, fewer modified duty days taken per injury, and significant cost savings. The program was well accepted by patients, nursing staff, and administrators. Given the significant increases in two job satisfaction subscales (professional status and task requirements), it is possible that nurse recruitment and retention could be positively impacted.