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Kolovou A, Gkougkoulias AN, Stefanou N, Samaila EM, Tsekoura M, Vlychou M, Matzaroglou C, Dailiana ZH. Musculoskeletal disorders in nursing staff. World J Methodol 2025; 15:98043. [DOI: 10.5662/wjm.v15.i2.98043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2024] [Revised: 10/17/2024] [Accepted: 11/01/2024] [Indexed: 11/27/2024] Open
Abstract
Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system. Work-related musculoskeletal disorders are common in nursing stuff and have a negative impact in their professional and daily activities. In the current editorial, the duties of nursing staff, the types of musculoskeletal disorders, the predisposing factors (including factors related to professional tasks/ergonomics and to working schedules, psychological, social and individual factors) and their impact on working ability and quality of life nursing staff are summarized and preventive measures are proposed.
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Affiliation(s)
- Agapi Kolovou
- Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Thessalia, Greece
| | - Asterios N Gkougkoulias
- Department of Radiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Thessalia, Greece
| | - Nikolaos Stefanou
- Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Thessalia, Greece
| | | | - Maria Tsekoura
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Patra 26504, Dytikí Elláda, Greece
| | - Marianna Vlychou
- Department of Radiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Thessalia, Greece
| | - Charalampos Matzaroglou
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Patra 26504, Dytikí Elláda, Greece
| | - Zoe H Dailiana
- Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Thessalia, Greece
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Chen H. Human Posture: Concept Analysis With Roy's Model Using Walker and Avant's Approach. Nurs Sci Q 2025; 38:162-173. [PMID: 40110777 DOI: 10.1177/08943184241311909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2025]
Abstract
The significance of human posture extends beyond mere body stance to its profound impact on long-term physical well-being. Guided by the Roy adaptation model and Walker and Avant's approach, in this paper the author presents a concept analysis of posture, which resulted in a proposed explanatory theory of postural functional status. By identifying attributes of posture (alignment, adaptation, and awareness), its antecedents (body parts, force of gravity, and musculoskeletal system), and consequences, this concept analysis offers fresh ideas to promote and shape postural future in nursing, wellness, and public health, with an aim to sustain the quality-of-life for individuals of all ages.
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Affiliation(s)
- Hua Chen
- Department of Nursing, Robert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts, Boston, MA, USA
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Dіrgar E, Olgun N. Evaluating the Effectiveness of a Training on Ergonomic Risks of Measuring Blood Pressure. Creat Nurs 2024; 30:324-331. [PMID: 38698300 DOI: 10.1177/10784535241248065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2024]
Abstract
Background: Musculoskeletal disorders (MSDs) occur as a result of long-term exposure to inappropriate working postures and repetitive use of body postures, leading to harmful consequences for patients, employees, and employers. Evaluating distinct working postures can contribute to effective interventions. Purpose: The aim of this study was to determine ergonomic risks of MSDs during repeated blood pressure measurement processes and to evaluate the effectiveness of a training on this topic. Methods: A pretest/posttest quasi-experimental design studied 64 nurses in a training and research hospital in Turkey. Participants were evaluated for the prevalence and risk of MSDs using the Nordic Musculoskeletal Questionnaire Extended Version and the Rapid Entire Body Assessment (REBA) Checklist, and by photographing them performing the procedure. Nurses with high risk for MSDs received an ergonomics training program and were followed up twice in 3 months. Results: Reduction in prevalence of MSDs in neck, shoulder, and hip/thigh areas, and in mean REBA scores after the training were statistically significant. Conclusion: Nurses should be trained about correct posture for specific high-risk activities that may cause MSDs, and offered exercise programs that support the musculoskeletal system.
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Affiliation(s)
- Ezgi Dіrgar
- Faculty of Health Sciences, Gaziantep University, Turkey
| | - Nermin Olgun
- Faculty of Health Sciences, Hasan Kalyoncu University, Turkey
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Ayvaz Ö, Özyıldırım BA, İşsever H, Öztan G, Atak M, Özel S. Ergonomic risk assessment of working postures of nurses working in a medical faculty hospital with REBA and RULA methods. Sci Prog 2023; 106:368504231216540. [PMID: 38018149 PMCID: PMC10686032 DOI: 10.1177/00368504231216540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
The aim of the study is to reach objective results about the ergonomic risks of nurses' working postures not only by using questionnaires but also by using Rapid Entire Body Assessment (REBA) and Rapid Upper Limb Assessment (RULA) methods, which are risk assessment methods used in engineering fields. This study is a cross-sectional study. First of all, 383 nurses were evaluated with a survey. 91.4% of the nurses were women and 6.5% were men. Average age (female: 38.20; male: 31.5), average weight (female: 65.60 kg; male: 81.50 kg), average height (female: 162.7 cm; male: 176.80 cm) and average body mass index (female: 24.80; male: 26) were calculated. In the hospital, which we grouped into in the hospital, which we divided into eight workstations, the REBA and RULA scores of the three nurses working at each workstation were calculated and the average REBA and RULA scores of the workstations were determined. The percentage of those who experienced musculoskeletal pain in the last 1 year at each workstation and the mean REBA-RULA scores were as follows; ward (92%; 6.92-5.69), operating room (98%; 10-7), emergency department (100%; 6.08-5.33), outpatient clinic (75%; 5.5-5.16), intensive care (94%; 6.21-5.57), administrative affairs (94%; 5-5), laboratory (95%; 5.80-5.2) and interventional procedure (92%; 6.4-5.4). In these stations, the highest scores were seen in the operating room. In the questionnaire, 92.46% of the nurses reported having complaints in at least one part of the musculoskeletal system in the last year. The hospital weighted mean score was REBA 6.86 and RULA 5.71. When REBA and RULA measurements were evaluated, it was determined that the risk in the departments where the nurses worked was generally at the medium risk level. REBA and RULA scores indicate that ergonomic changes and adjustments should be made. For this determination, the risks of working postures should be determined with quantitative methods.
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Affiliation(s)
- Özkan Ayvaz
- Department of Public Health, İstanbul University Faculty of Medicine, İstanbul, Turkey
| | - Bedia Ayhan Özyıldırım
- Department of Public Health, Bezmıalem Vakıf University Faculty of Medicine, İstanbul, Turkey
| | - Halim İşsever
- Department of Public Health, İstanbul University Faculty of Medicine, İstanbul, Turkey
| | - Gözde Öztan
- Department of Medical Biology, İstanbul University Faculty of Medicine, İstanbul, Turkey
| | - Muhammed Atak
- Department of Public Health, İstanbul University Faculty of Medicine, İstanbul, Turkey
| | - Sevda Özel
- Department of Biostatistics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
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Nasaif H, Alaradi M, Hammam R, Bucheeri M, Abdulla M, Abdulla H. Prevalence of self-reported musculoskeletal symptoms among nurses: a multicenter cross-sectional study in Bahrain. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2023; 29:192-198. [PMID: 34989658 DOI: 10.1080/10803548.2021.2025315] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Objectives. This study aimed to assess the prevalence of self-reported musculoskeletal symptoms among nurses in Bahrain and determine the factors that contribute to the occurrence of these symptoms. Methods. A cross-sectional study was conducted using data from a convenience sample of 550 nurses working in three hospitals in the Kingdom of Bahrain. The prevalence of self-reported musculoskeletal symptoms in the last 12 months was assessed using the self-administered Nordic musculoskeletal questionnaire (NMQ). Results. A total of 550 nurses participated in the study. Most were females (n = 488, 89.1%) between 31 and 40 years of age (n = 239, 43.8%). The overall self-reported prevalence of musculoskeletal complaints of all joints in the past 12 months was 88.1%. The highest prevalence was in the lower back (72.3%), followed by the shoulder (52.8%) and the neck (49%). The lowest prevalence was the elbow (12.1%). The prevalence of lower back symptoms was significantly associated with age (p < 0.001), coexisting medical conditions (p < 0.001), area of practice (p < 0.001), number of tasks (p < 0.001) and types of shifts (p < 0.001). Conclusion. The findings indicate a high prevalence of symptoms among nurses. There is a need to implement strategies in healthcare facilities to improve working environment conditions and reduce the prevalence rate.
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Affiliation(s)
- Husain Nasaif
- School of Nursing & Midwifery, Royal College of Surgeons in Ireland and Medical University of Bahrain, Bahrain
| | - Maryam Alaradi
- School of Nursing & Midwifery, Royal College of Surgeons in Ireland and Medical University of Bahrain, Bahrain
| | - Ridha Hammam
- Intensive Care Unit, Ministry of Health, Bahrain
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Letvak S, Apple B, Jenkins M, Doss C, McCoy TP. At Risk Safety Behaviors of the Perioperative Nursing Team: A Direct Observational Study. Healthcare (Basel) 2023; 11:healthcare11050698. [PMID: 36900703 PMCID: PMC10000593 DOI: 10.3390/healthcare11050698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/11/2023] [Accepted: 02/22/2023] [Indexed: 03/02/2023] Open
Abstract
BACKGROUND The operating room setting has unique workforce hazards and extremely high ergonomic demands due to patient lifting/positioning requirements, long periods of standing, and the heavy equipment and supplies that are needed for surgical procedures. Despite worker safety policies, injuries among registered nurses are increasing. Most of the research on the ergonomic safety of nurses is conducted utilizing survey methodology, which may not provide accurate data. It is imperative to understand the at-risk safety behaviors that perioperative nurses face if we are to design interventions to prevent injury. METHODS Two perioperative nurses were directly observed during 60 different operating room surgical procedures (n = 120 different nurses). Data were collected utilizing the job safety behavioral observation process (JBSO), which is designed specifically for the operating room environment. RESULTS There were 82 total at-risk behaviors observed amongst the 120 perioperative nurses. More specifically, 13 (11%) of the surgical procedures had at least one perioperative nurse observed in a position of at-risk behavior, and a total of 15 (12.5%) individual perioperative nurses performed at least one at-risk behavior. CONCLUSION More attention must be placed on the safety of the perioperative nurse if we are to retain a healthy, productive workforce to provide the highest quality patient care.
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Affiliation(s)
- Susan Letvak
- Adult Health Nursing Department, University of North Carolina, Greensboro, NC 27215, USA
- Correspondence:
| | - Brandi Apple
- Chapel Hill School of Nursing, University of North Carolina, Greensboro, NC 27215, USA
| | | | - Carrie Doss
- Adult Health Nursing Department, University of North Carolina, Greensboro, NC 27215, USA
| | - Thomas P. McCoy
- Adult Health Nursing Department, University of North Carolina, Greensboro, NC 27215, USA
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Hernández CO, Li S, Astudillo RJ, Rodríguez IM. What affects musculoskeletal risk in nursing assistants and orderlies? Work 2022; 75:145-155. [DOI: 10.3233/wor-210651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: There are many musculoskeletal disorders in staff members at health centres, given the specific characteristics of their work. OBJECTIVE: The objective was to analyse the postural risk of patient handling tasks performed by nursing assistants and orderlies, as well as task factors, individual or organisational, that may be associated with increased postural risk. METHOD: This is a cross-sectional observational study. Analysis was done on 170 postures in five different tasks performed by 39 participants at three hospitals in Andalusia (Spain). The questionnaires collected sociodemographic variables, the task done, and REBA were used for assessment of postural risk. RESULTS: Overall the average REBA score was 9.0±2.4. Moving the patient to the head of the bed was the task with the highest risk (9.8). Handling involving more than two participants at once increased postural risk. Using mechanical aids were associated with high risk in the legs. Logistic regression analyses showed that age, stature, and not having adjustable beds available were associated with postural risk (p < 0.05). CONCLUSION: Health centre staff perform many tasks with high musculoskeletal disorder risk. Age, stature of the participants, and adjustment of bed height were associated with postural risk.
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Affiliation(s)
- Coral Oliver Hernández
- Department of Social, Work and Differential Psychology, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain
| | - Shimeng Li
- Interuniversity Doctoral Program in Health Sciences, University of Seville, Seville, Spain
| | - Raúl Jiménez Astudillo
- Department of Social, Work and Differential Psychology, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain
| | - Inmaculada Mateo Rodríguez
- Andalusian School of Public Health, Granada, Spain
- CIBER of Epidemiology and Public Health –CIBERESP, Madrid, Spain
- Department of Social and Organizational Psychology, Faculty of Psychology, National University of Distance Education –UNED, Madrid, Spain
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Solnik A. Incorporating Movement to Support Well-being. AORN J 2022; 116:P13-P16. [PMID: 35758732 DOI: 10.1002/aorn.13739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 05/04/2022] [Indexed: 11/06/2022]
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Kim KY. The Association between Working Posture and Workers’ Depression. Healthcare (Basel) 2022; 10:healthcare10030477. [PMID: 35326955 PMCID: PMC8954532 DOI: 10.3390/healthcare10030477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 03/01/2022] [Accepted: 03/01/2022] [Indexed: 11/16/2022] Open
Abstract
Various studies have focused on the association between physical health and working posture. However, little research has been conducted on the association between working posture and mental health, despite the importance of workers’ mental health. This study aimed to examine the association between working posture and workers’ depression. A total of 49,877 workers were analyzed using data from the 5th Korean Working Conditions Survey. We utilized multiple logistic regression to analyze the variables associated with workers’ depression. This study showed that several working postures, such as tiring or painful positions, lifting or moving people, standing, and sitting, were associated with depression in workers. Furthermore, occupation types, job satisfaction, and physical health problems related to back pain and pain in upper (neck, shoulder, and arm) and lower (hip, leg, knee, and foot) body parts were associated with workers’ depression. Therefore, this study demonstrated that working posture is associated with workers’ depression. In particular, working postures causing musculoskeletal pain, improper working postures maintained for a long time, and occupation types were associated with workers’ depression. Our findings demonstrate the need for appropriate management and interventions for addressing pain-inducing or improper working postures in the workplace.
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Affiliation(s)
- Ka Young Kim
- Department of Nursing, College of Nursing, Gachon University, Incheon 21936, Korea
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ARSLAN ÖZDEMİR E, ÖRSAL Ö. Yoğun Bakım Hemşirelerinin Kas İskelet Ağrılarını Etkileyen Değişkenler ve Ergonomik Risk İlişkisinin İncelenmesi. DÜZCE ÜNIVERSITESI SAĞLIK BILIMLERI ENSTITÜSÜ DERGISI 2021. [DOI: 10.33631/duzcesbed.733299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Apple B, Letvak S. Ergonomic Challenges in the Perioperative Setting. AORN J 2021; 113:339-348. [PMID: 33788237 DOI: 10.1002/aorn.13345] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/22/2020] [Accepted: 11/02/2020] [Indexed: 12/13/2022]
Abstract
Working in health care can be physically stressful. The perioperative setting, which is largely concealed from other health care workers and the general public, places unique physical demands on its workers. Perioperative personnel are responsible for a variety of physical tasks, including moving and positioning patients, holding extremities, and moving equipment and supplies. As the nursing workforce ages, the physical demands of the perioperative environment may affect the development of musculoskeletal disorders in older nurses. The purpose of this article is to review published research and describe the ergonomic challenges of working in the OR. There currently is a paucity of literature on the effects of ergonomic risk factors on perioperative nurses in the United States. This article also provides some recommendations for perioperative staff members and leaders that may assist them with creating and maintaining a healthy and safe work environment.
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Tugba Y, Andsoy II. Musculoskeletal System Disorders among Surgical Nurses Related to Health Industry in Northwestern Turkey: A Cross-sectional Study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:2119-2124. [PMID: 34266370 DOI: 10.1080/10803548.2021.1956797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Introduction. Nurses may encounter musculoskeletal disorders (MSDs) and pain episodes stemming from regular exposure to health industry risk factors.Aim. To determine prevalence of MSDs and its associated factors among Turkish surgical nurses.Methods. A cross-sectional design which used a self-administered questionnaire surveys was employed with 169 surgical nurses. The survey included an individual data questionnaire, and Nordic Musculoskeletal Questionnaire- Extended (NMQ-E).Results. 88.8 %of the surgical nurses had musculoskeletal system disorders, and most experienced these problems were related health industry. The interventions causing physical strain in the participants were identified as constant standing up, patient care, carrying heavy loads, sudden movements, patient transfer, and pulling-pushing practices. It was found that the nurses used coping methods including walking, exercising, receiving physiotherapist support, pilates and yoga. The most frequently encountered problems were in the back region. A significant relationship was found between musculoskeletal system problems and the clinic of work, years of work, age, and gender (p < 0.05).Conclusions. Nurses experience musculoskeletal problems related to health industry. It is crucial to determine the real causes of musculoskeletal problems and take appropriate preventive measures to improve workplace ergonomics.
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Affiliation(s)
- Yilmaz Tugba
- Karabuk University Teaching and Training Hospital, Karabuk-Turkey, 78050 E-mail: ; Phone: 00905069389391
| | - Isil Isik Andsoy
- Karabuk University, Health Sciences Faculty, Nursing Department, Karabuk- Turkey E mail: ; Phone: 00905326417803
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Siddiqi A, Horan T, Molloy RM, Bloomfield MR, Patel PD, Piuzzi NS. A clinical review of robotic navigation in total knee arthroplasty: historical systems to modern design. EFORT Open Rev 2021; 6:252-269. [PMID: 34040803 PMCID: PMC8142596 DOI: 10.1302/2058-5241.6.200071] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Robotic-assisted total knee arthroplasty (RA-TKA) has shown improved reproducibility and precision in mechanical alignment restoration, with improvement in early functional outcomes and 90-day episode of care cost savings compared to conventional TKA in some studies. However, its value is still to be determined.Current studies of RA-TKA systems are limited by short-term follow-up and significant heterogeneity of the available systems.In today's paradigm shift towards an increased emphasis on quality of care while curtailing costs, providing value-based care is the primary goal for healthcare systems and clinicians. As robotic technology continues to develop, longer-term studies evaluating implant survivorship and complications will determine whether the initial capital is offset by improved outcomes.Future studies will have to determine the value of RA-TKA based on longer-term survivorships, patient-reported outcome measures, functional outcomes, and patient satisfaction measures. Cite this article: EFORT Open Rev 2021;6:252-269. DOI: 10.1302/2058-5241.6.200071.
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Affiliation(s)
- Ahmed Siddiqi
- Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA
| | - Timothy Horan
- Philadelphia College of Osteopathic Medicine, Department of Orthopedics, Philadelphia, Pennsylvania, USA
| | - Robert M. Molloy
- Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA
| | | | - Preetesh D. Patel
- Cleveland Clinic Florida, Department of Orthopedics, Weston, Florida, USA
| | - Nicolas S. Piuzzi
- Cleveland Clinic Foundation, Department of Orthopedics Cleveland, Ohio, USA
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Hita-Gutiérrez M, Gómez-Galán M, Díaz-Pérez M, Callejón-Ferre ÁJ. An Overview of REBA Method Applications in the World. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082635. [PMID: 32290561 PMCID: PMC7215911 DOI: 10.3390/ijerph17082635] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 04/05/2020] [Accepted: 04/08/2020] [Indexed: 11/16/2022]
Abstract
The objective of this work is to review literature, worldwide, in which the Rapid Entire Body Assessment (REBA) ergonomic assessment method was applied and count the number of times that REBA was applied together with other methods and subsequent incidence. The database used was the "Web of Science-Core Collection". Only scientific articles and bibliographic reviews were included, analysing a total of 314 documents and selecting only 91. The use of the REBA method is indicated in terms of knowledge, country, year and journal sectors. It was most used in the knowledge areas of "Manufacturing" (24.18%), "Agriculture, forestry and fishing" (21.98%) and in "Other activities" (19.78%). One of the benefits of REBA is that it evaluates different body parts: upper limbs (arm, forearm and wrist), lower extremities, trunk and neck. It is a useful method to identify the forced postures adopted by workers to thus develop improvement measures if necessary. It is concluded that REBA method use has increased over the last decade, probably due to the digitization of knowledge. It is almost always applied in combination with other methods, and its use can be a positive indicator of company sustainability.
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Affiliation(s)
- Manuel Hita-Gutiérrez
- Department of Engineering, University of Almería, Research Center CIMEDES (CeiA3), 04120 Almería, Spain; (M.H.-G.); (M.G.-G.); (M.D.-P.)
| | - Marta Gómez-Galán
- Department of Engineering, University of Almería, Research Center CIMEDES (CeiA3), 04120 Almería, Spain; (M.H.-G.); (M.G.-G.); (M.D.-P.)
| | - Manuel Díaz-Pérez
- Department of Engineering, University of Almería, Research Center CIMEDES (CeiA3), 04120 Almería, Spain; (M.H.-G.); (M.G.-G.); (M.D.-P.)
| | - Ángel-Jesús Callejón-Ferre
- Department of Engineering, University of Almería, Research Center CIMEDES (CeiA3), 04120 Almería, Spain; (M.H.-G.); (M.G.-G.); (M.D.-P.)
- Laboratory-Observatory Andalusian Working Conditions in the Agricultural Sector (LASA), 41092 Seville, Spain
- Correspondence: ; Tel.: +34-950-214-236; Fax: +34-950-015-491
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15
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Silva B, Maduro P, Silva T, Trombini-Souza F. Are body posture and self-reported musculoskeletal symptoms different between employees in the healthcare and administrative sectors? Work 2019; 64:283-290. [DOI: 10.3233/wor-192980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Bruno Silva
- Department of Physiotherapy, University of Pernambuco – UPE Campus Petrolina, Petrolina, PE, Brazil
| | - Paula Maduro
- University Hospital of the São Francisco Valley Federal University (HU-UNIVASF), Petrolina, PE, Brazil
| | - Tarcísio Silva
- Department of Physiotherapy, University of Pernambuco – UPE Campus Petrolina, Petrolina, PE, Brazil
| | - Francis Trombini-Souza
- Department of Physiotherapy, University of Pernambuco – UPE Campus Petrolina, Petrolina, PE, Brazil
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16
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Ogg MJ, Anderson MA. Clinical Issues—August 2019. AORN J 2019; 110:195-203. [DOI: 10.1002/aorn.12767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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17
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Bazazan A, Dianat I, Mombeini Z, Aynehchi A, Asghari Jafarabadi M. Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses. ACCIDENT; ANALYSIS AND PREVENTION 2019; 126:31-36. [PMID: 29454465 DOI: 10.1016/j.aap.2018.01.042] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 01/31/2018] [Accepted: 01/31/2018] [Indexed: 06/08/2023]
Abstract
The aims of this study were to investigate the relationships among quality of life (QoL), mental health problems and fatigue among hospital nurses, and to test whether fatigue and its multiple dimensions would mediate the effect of QoL on mental health problems. Data were collected using questionnaires (including the World Health Organization Quality of Life-BREF [WHOQOL-BREF], General Health Questionnaire [GHQ-12] and Multidimensional Fatigue Inventory [MFI-20] for evaluation of QoL, mental health problems and fatigue, respectively) from 990 Iranian hospital nurses, and analysed by generalized structural equation modelling (GSEM). The results indicated that QoL, mental health problems and fatigue were interrelated, and supported the direct and indirect (through fatigue) effects of QoL on mental health problems. All domains of the WHOQOL-BREF, and particularly physical (sleep problems), psychological (negative feelings) and environmental health (leisure activities) domains, were strongly related to the mental health status of the studied nurses. Fatigue and its multiple dimensions partially mediated the relationship between QoL and mental health problems. The results highlighted the importance of physical, psychological and environmental aspects of QoL and suggested the need for potential interventions to improve fatigue (particularly physical fatigue along with mental fatigue) and consequently mental health status of this working population. The findings have possible implications for nurses' health and patient safety outcomes.
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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.
| | - Zohreh Mombeini
- Department of Occupational Health, Jundishapur University of Medical Sciences, Ahvaz, Iran.
| | - Aydin Aynehchi
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
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Cocchiara RA, Peruzzo M, Mannocci A, Ottolenghi L, Villari P, Polimeni A, Guerra F, La Torre G. The Use of Yoga to Manage Stress and Burnout in Healthcare Workers: A Systematic Review. J Clin Med 2019; 8:E284. [PMID: 30813641 PMCID: PMC6462946 DOI: 10.3390/jcm8030284] [Citation(s) in RCA: 84] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 02/18/2019] [Accepted: 02/22/2019] [Indexed: 12/17/2022] Open
Abstract
The purpose of this systematic review is to analyze and summarize the current knowledge regarding the use of yoga to manage and prevent stress and burnout in healthcare workers. In February 2017, a literature search was conducted using the databases Medline (PubMed) and Scopus. Studies that addressed this topic were included. Eleven articles met the inclusion criteria. Seven studies were clinical trials that analyzed yoga interventions and evaluated effectiveness by gauging stress levels, sleep quality and quality of life. A study on Chinese nurses showed statistical improvement in stress levels following a six-month yoga program (χ2 = 16.449; p < 0.001). A population of medical students showed improvement in self-regulation values after an 11-week yoga program (from 3.49 to 3.58; p = 0.04) and in self-compassion values (from 2.88 to 3.25; p = 0.04). Four of the included articles were observational studies: They described the factors that cause stress in the work environment and highlighted that healthcare workers believe it is possible to benefit from improved physical, emotional and mental health related to yoga activity. According to the literature, yoga appears to be effective in the management of stress in healthcare workers, but it is necessary to implement methodologically relevant studies to attribute significance to such evidence.
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Affiliation(s)
| | - Margherita Peruzzo
- Department of Oral and Maxillofacial Sciences, Sapienza University, 00161 Rome, Italy.
| | - Alice Mannocci
- Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy.
| | - Livia Ottolenghi
- Department of Oral and Maxillofacial Sciences, Sapienza University, 00161 Rome, Italy.
| | - Paolo Villari
- Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy.
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, Sapienza University, 00161 Rome, Italy.
| | - Fabrizio Guerra
- Department of Oral and Maxillofacial Sciences, Sapienza University, 00161 Rome, Italy.
| | - Giuseppe La Torre
- Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy.
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19
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Kim J, Park B, Mun S, Shim J, Choi E, Noh H. Differences in plantar pressure by REBA scores in dental hygienists. Int J Dent Hyg 2018; 17:177-182. [DOI: 10.1111/idh.12375] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 11/07/2018] [Accepted: 11/25/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Jiyen Kim
- Department of Dental Hygiene, The Graduate School Yonsei University Wonju Korea
| | - Bo‐young Park
- Department of Dental Hygiene, The Graduate School Yonsei University Wonju Korea
| | - So‐Jung Mun
- Department of Dental Hygiene, Wonju College of Medicine Yonsei University Wonju Korea
| | - Jemyung Shim
- Department of Physical Therapy, College of Health and Science Kangwon National University Kangwon Korea
| | - Eun‐Sil Choi
- Department of Public Health Sciences, The Graduate School Korea University Seoul Korea
| | - Hiejin Noh
- Department of Dental Hygiene, Wonju College of Medicine Yonsei University Wonju Korea
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20
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Ogg MJ. Clinical Issues—November 2018. AORN J 2018; 108:557-564. [DOI: 10.1002/aorn.12395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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21
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Nourollahi M, Afshari D, Dianat I. Awkward trunk postures and their relationship with low back pain in hospital nurses. Work 2018; 59:317-323. [PMID: 29630574 DOI: 10.3233/wor-182683] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Low back pain (LBP) is the most common work-related musculoskeletal problem among healthcare workers including nurses. Awkward trunk postures have been recognized as one common problem in this groupOBJECTIVE:The aims of this study were to: a) continuously assess trunk postures for an entire shift work in various hospital wards, and b) examine the relationship between the duration of exposure to awkward trunk postures and the occurrence of low back pain (LBP) among nurses. METHODS Eighty nurses from eight wards in a hospital participated in this cross-sectional study. The prevalence of LBP was determined using the revised Nordic Musculoskeletal Questionnaire. Full-shift work trunk posture exposure was measured using an inclinometer. RESULTS The prevalence of LBP among hospital nurses was 72%. The highest percentage of time spent in awkward postures in the sagittal plane (trunk flexion ≥45°) and in the frontal plane (lateral bend ≥20°) was recorded in the general (65.6% ± 12.2) and orthopedic (48.4% ± 7.4) wards, respectively. Logistic regression analyses showed that the duration of exposure to awkward trunk postures had a significant relationship with LBP (P < 0.05). CONCLUSIONS The results highlight the potential risks of nursing job in terms of frequent and extreme trunk awkward postures, which may lead to the development of LBP. The findings can help to develop guidelines regarding prioritizing ergonomic interventions to reduce the prevalence of LBP among hospital nurses.
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Affiliation(s)
- Maryam Nourollahi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Davood Afshari
- Department of Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Iman Dianat
- Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
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22
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Mont MA, Khlopas A, Chughtai M, Newman JM, Deren M, Sultan AA. Value proposition of robotic total knee arthroplasty: what can robotic technology deliver in 2018 and beyond? Expert Rev Med Devices 2018; 15:619-630. [DOI: 10.1080/17434440.2018.1515011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Michael A. Mont
- Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
- Department of Orthopaedic Surgery, Lenox-Hill Hospital, New York, NY, USA
| | - Anton Khlopas
- Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
| | - Morad Chughtai
- Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
| | - Jared M. Newman
- Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Mathew Deren
- Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
| | - Assem A Sultan
- Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
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23
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Bazazan A, Dianat I, Rastgoo L, Zandi H. Relationships between dimensions of fatigue and psychological distress among public hospital nurses. Health Promot Perspect 2018; 8:195-199. [PMID: 30087842 PMCID: PMC6064747 DOI: 10.15171/hpp.2018.26] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Accepted: 05/20/2018] [Indexed: 12/02/2022] Open
Abstract
Background: Fatigue and psychological distress are fairly common among nursing personnel,but their relationship is not clearly understood. Methods: In this cross-sectional study, we investigated the relationships between dimensions of fatigue and psychological distress among 699 public hospital nurses in Iran. The Multidimensional Fatigue Inventory (MFI–20) and General Health Questionnaire (GHQ–12) were used for evaluation of fatigue and psychological distress, respectively. Results: The total fatigue score of the MFI–20 was 52.5 (SD = 11.8). The general fatigue (mean± SD = 13.2±3.1) and reduced motivation (mean ± SD = 9.2±2.7) were the fatigue dimensions with the highest and lowest mean scores, respectively. The percentage of psychological distress(e.g., those nurses scored above the cut-off point [GHQ–12 ≥ 4]) was 29.1%. Stepwise multiple linear regression analysis indicated that general (P<0.001), physical (P<0.001) and mental (P<0.001) aspects of fatigue were significantly related to the psychological distress, so that the scores of these fatigue dimensions were significantly higher for those nurses with a higher level of psychological distress (above the cut-off point) than those with a lower level of psychological distress (below the cut-off point). Conclusion: The results emphasize the need for multi-component interventions aimed at decreasing both mental and physical fatigue, and consequently reducing the psychological distress among this group of healthcare professionals.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Rastgoo
- Department of Occupational Health and Ergonomics, 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
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24
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Andrade MF, Chaves ÉDCL, Miguel MRO, Simão TP, Nogueira DA, Iunes DH. Evaluation of body posture in nursing students. Rev Esc Enferm USP 2017; 51:e03241. [PMID: 28902322 DOI: 10.1590/s1980-220x2016027303241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Accepted: 03/21/2017] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVE To investigate the body posture of nursing students before and after clinical practice. METHOD The study was developed in two stages. Initially the body posture of students of the 2nd, 4th, 6th, and 8th periods were assessed through photogrammetry. All images were analyzed in a random and masked manner with CorporisPro® 3.1.3 software. Three evaluations were performed for each angle and then the mean value was calculated. Two years later, when the 4th period students had developed their clinical internships, their body posture was again evaluated. RESULTS The total sample consisted of 112 students. Comparison of their posture with the normality pattern showed that all the angles presented significant differences (p< 0.00), except for the angle of the Thales triangle. Reassessment of these students evidenced significant differences in the angles of the acromioclavicular joint (p=0.03), knee flexion (p< 0.00) and in the tibiotarsal angle (p< 0.00). CONCLUSION All the students presented alterations when compared to the normality values. The segments that presented significant differences between before and after practice were the acromioclavicular angle, knee flexion, and tibiotarsal angle; the latter two were in the rolling position. OBJETIVO Investigar a postura dos estudantes de enfermagem antes e após a prática clínica. MÉTODO O estudo foi desenvolvido em duas etapas, inicialmente com estudantes (2º, 4°, 6° e 8º períodos) tiveram sua postural corporal avaliada por meio da fotogrametria. Todas as imagens foram analisadas, de maneira aleatória e mascarada, por meio do software CorporisPro® 3.1.3. Foram realizadas três avaliações para cada ângulo e calculada a média. Dois anos depois, quando os estudantes do 4º período desenvolveram os estágios clínicos, foram novamente avaliados quanto à postura corporal. RESULTADOS A amostra total foi composta por 112 estudantes. Comparando-se os estudantes com o padrão de normalidade, todos os ângulos apresentaram diferença significativa (p< 0,00), com exceção do ângulo triângulo de Tales. Reavaliando os mesmos estudantes, houve diferença significativa nos ângulos da articulação acromioclavicular (p=0,03), da flexão de joelhos (p< 0,00) e no ângulo tibiotársico (p< 0,00). CONCLUSÃO Todos os estudantes apresentaram alterações, comparadas aos valores de normalidade. Os segmentos com diferença significativa, comparando-se antes e após a prática, foram o ângulo acromioclavicular, flexo de joelho e ângulo tibiotársico, sendo os dois últimos na posição de rolamento.
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Affiliation(s)
| | | | | | - Talita Prado Simão
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil
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