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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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Yang Y, Li J, Wang H, Liu Y, Wang X, Yuan S. Factors Contributing to Muscle Fatigue of Low Back Region in ICU Nurses: A Qualitative Study. Nurs Open 2025; 12:e70146. [PMID: 40055933 PMCID: PMC11889409 DOI: 10.1002/nop2.70146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 12/04/2024] [Accepted: 01/15/2025] [Indexed: 05/13/2025] Open
Abstract
AIMS To explore ICU nurses' experiences of back and waist fatigue and establish a basis for developing effective intervention strategies to reduce low back muscle fatigue in the future. DESIGN Qualitative study using focus group. METHODS Eighteen ICU nurses participated in focus group interviews. Data were analysed using Nvivo11.0 software with content analysis. RESULTS ICU nurses frequently suffer from lower back pain due to the severity of patient conditions and the use of numerous tubes and catheters, which often lead tounsafe postures. The absence of proper lifting systems exacerbates high-risk postures, contributing to acute lower back muscle injuries. Additionally, inadequate promotion of correct posture and prevention strategies, along with insufficent training on occupational hazards, futher exacerbates the issue. CONCLUSIONS Human fator, machinery, environments, as well as their interactions significantly affect ICU nurses' experience of low back and waist muscle fatigue. REPORTING METHOD Reported according to the SRQR (Standards for Reporting Qualitative Research) guideline. IMPACT Offersnew insights into applying the human-machine-environment theory toto clinical nursing practice research. Highlightsthat the unconscious or passive adoption of poor postures by ICU nurses as a major factor contributing to muscles fatigue. Emphasizes the need for comprehensive intervention programsto prevent work-related low back muscle fatigue among ICU nurses. PATIENT OR PUBLIC CONTRIBUTION Based on our findings, we have discussed the result with hospital management highlighting the urgent need for mesures to protect ICU nurses back and waist muscles. We believe this proactive approach is essentialfor ensuring the long-term well-being of healthcare professionals and maintaining the high standards of patient care.
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Affiliation(s)
- Yuting Yang
- Teaching and Research Section of Clinical NursingXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
- Xiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
- Department of Sports MedicineXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
| | - Jing Li
- Teaching and Research Section of Clinical NursingXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
- Xiangya Nursing School, Central South UniversityChangshaHunanPeople's Republic of China
| | - Honghong Wang
- Xiangya Nursing School, Central South UniversityChangshaHunanPeople's Republic of China
| | - Yangyang Liu
- Teaching and Research Section of Clinical NursingXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
- Department of Infectious DiseasesXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
| | - Xuxin Wang
- Teaching and Research Section of Clinical NursingXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
- Xiangya Nursing School, Central South UniversityChangshaHunanPeople's Republic of China
| | - Su'e Yuan
- Teaching and Research Section of Clinical NursingXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
- Xiangya Nursing School, Central South UniversityChangshaHunanPeople's Republic of China
- Department of Infectious DiseasesXiangya Hospital, Central South UniversityChangshaHunanPeople's Republic of China
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Demir OB, Yilmaz FT. The effect of posture regulation training on musculoskeletal disorders, fatigue level and job performance in intensive care nurses. BMC Nurs 2024; 23:778. [PMID: 39438895 PMCID: PMC11498948 DOI: 10.1186/s12912-024-02387-w] [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: 04/24/2024] [Accepted: 09/26/2024] [Indexed: 10/25/2024] Open
Abstract
BACKGROUND Intensive care units (ICUs) are one of the high-risk working areas in terms of musculoskeletal disability and ergonomic risks including the environment and posture factors. Correct posture technique is often ignored by nurses working in these units. This study was conducted to determine the effect of posture regulation training on work-related musculoskeletal disorders, fatigue level and job performance in nurses working in ICUs. METHODS This quasi-experimental study with one-group pretest-posttest design included 64 intensive care nurses. The nurses received posture regulation training in three different sessions. The post-test was administered four months after the posture regulation training. RESULTS The nurses reported to frequently have aches, pains and discomfort in the neck, upper back and lumbar regions. After the posture regulation training, their level of pain, ache and discomfort in the neck, right and left shoulder, upper back, lower back and right/left foot areas decreased significantly (p < 0.05). The posture regulation training reduced the levels of behavior/severity and affect, which are sub-dimensions of fatigue, and increased the level of contribution to work, which is a sub-dimension of job performance (p < 0.05). CONCLUSION The posture regulation training decreased the level of symptoms in the neck, shoulder, upper back, lower back and foot regions of intensive care nurses and partially improved their fatigue level and job performance. Therefore, posture regulation training should be added to in-service training programs and permanent measures should be taken for ergonomic risks in ICUs.
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Affiliation(s)
- Oguzhan Bahadir Demir
- Faculty of Health Sciences, Sakarya University of Applied Sciences, Yeni Mah. Şehit Ahmet Tarım Cad. No:32/A, Akyazi, Sakarya, 54400, Turkey
- Physiotherapy and Rehabilitation Application and Research Center, Sakarya University of Applied Sciences, Sakarya, Turkey
| | - Feride Taskin Yilmaz
- Faculty of Health Sciences, Sakarya University of Applied Sciences, Yeni Mah. Şehit Ahmet Tarım Cad. No:32/A, Akyazi, Sakarya, 54400, Turkey.
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Tahernejad S, Hejazi A, Rezaei E, Makki F, Sahebi A, Zangiabadi Z. Musculoskeletal disorders among teachers: a systematic review and meta-analysis. Front Public Health 2024; 12:1399552. [PMID: 39430711 PMCID: PMC11486748 DOI: 10.3389/fpubh.2024.1399552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Accepted: 09/17/2024] [Indexed: 10/22/2024] Open
Abstract
Introduction As a result of the demands of their profession, teachers encounter a range of ergonomic risk factors and are highly susceptible to developing musculoskeletal disorders (MSDs). Accordingly, this systematic review and meta-analysis was carried out to examine the frequency of MSDs among teachers. Materials and methods The present research followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and its protocol was registered in international prospective register of systematic review (PROSPERO) under the code CRD42024509263. To conduct the searches, various databases such as PubMed, Scopus, Web of Science, Science Direct, SID, ISC, and Google Scholar were utilized, and the search period was until February 7th, 2024 without time restriction. A random effects model was employed for meta-analysis, and I2 index was utilized to assess heterogeneity among the studies. Data analysis was carried out using STATA (version 14). Results After an initial search across the mentioned databases, a total of 2,047 articles were identified. Following screening, study selection, and quality evaluation, 44 studies were ultimately chosen for meta-analysis, involving 15,972 teachers. The results of the meta-analysis revealed that the overall prevalence of MSDs among teachers is 68% (95% CI: 61-75, I2 = 99.2%, p < 0.001). Furthermore, the prevalence rates of MSDs in different body regions, such as the neck (47%), lower back (47%), shoulder (44%), upper back (37%), knee (35%), ankle (30%), wrist (27%), hip (22%), and elbow (13%), were reported. Conclusion The overall prevalence of MSDs among teachers is relatively high. Neck and lower back pain are more common among them compared to other body regions. It is recommended that periodic occupational medicine examinations, training, and the implementation of ergonomic interventions for this occupational group focus on assessing the risk factors for MSDs, especially in the neck and lower back regions. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=509263, identifier CRD42024509263.
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Affiliation(s)
- Somayeh Tahernejad
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Anahita Hejazi
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Ehsan Rezaei
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Faezeh Makki
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Ali Sahebi
- Non-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
- Department of Medical Emergencies and Health in Disasters and Emergencies, Ilam University of Medical Sciences, Ilam, Iran
| | - Zahra Zangiabadi
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
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Keyaerts S, Godderis L, Vanden Abeele V, Daenen L. Identifying pain profiles in employees including work-related factors and pain perceptions: a cross-sectional study in Belgian companies. BMJ Open 2024; 14:e082804. [PMID: 39134443 PMCID: PMC11331899 DOI: 10.1136/bmjopen-2023-082804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 07/26/2024] [Indexed: 08/21/2024] Open
Abstract
OBJECTIVES Studies usually investigate a limited number or a predefined combinations of risk factors for sickness absence in employees with pain. We examined frequently occurring combinations across a wide range of work-related factors and pain perceptions. DESIGN Cross-sectional study. SETTING Belgian companies that are under supervision of IDEWE, an external service for prevention and protection at work. PARTICIPANTS In total, 249 employees experiencing pain for at least 6 weeks were included and filled out an online survey. OUTCOMES Latent profile analysis was used to differentiate profiles of work-related factors (physical demands, workload, social support and autonomy) and pain perceptions (catastrophising, fear-avoidance beliefs and pain acceptance). Subsequently, profiles were compared on sociodemographics (age, gender, level of education, work arrangement, duration of complaints, multisite pain and sickness absence in the previous year) and predictors of sickness absence (behavioural intention and perceived behavioural control). RESULTS Four profiles were identified. Profile 1 (38.2%) had favourable scores and profile 4 (14.9%) unfavourable scores across all indicators. Profile 2 (33.3%) had relatively high physical demands, moderate autonomy levels and favourable scores on the other indicators. Profile 3 (13.7%) showed relatively low physical demands, moderate autonomy levels, but unfavourable scores on the other indicators. Predictors of profiles were age (OR 0.93 and 95% CI (0.89 to 0.98)), level of education (OR 0.28 and 95% CI (0.1 to 0.79)) and duration of sickness absence in the previous year (OR 2.29 and 95% CI (0.89 to 5.88)). Significant differences were observed in behavioural intention (χ2=8.92, p=0.030) and perceived behavioural control (χ2=12.37, p=0.006) across the four profiles. CONCLUSION This study highlights the significance of considering the interplay between work-related factors and pain perceptions in employees. Unfavourable scores on a single work factor might not translate into maladaptive pain perceptions or subsequent sickness absence, if mitigating factors are in place. Special attention must be devoted to employees dealing with unfavourable working conditions along with maladaptive pain perceptions. In this context, social support emerges as an important factor influencing sickness absence.
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Affiliation(s)
- Stijn Keyaerts
- Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
- Knowledge Information and Research Center, Group Idewe, Leuven, Belgium
| | - Lode Godderis
- Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
- Knowledge Information and Research Center, Group Idewe, Leuven, Belgium
| | | | - Liesbeth Daenen
- Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
- Knowledge Information and Research Center, Group Idewe, Leuven, Belgium
- Department of Physiotherapy, Human Physiology and Anatomy, VU Brussels, Brussels, Belgium
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Sepehrian R, Aghaei Hashjin A, Farahmandnia H. A systematic review of programs and interventions for reduction of sickness absence in nursing staff with work-related musculoskeletal disorders. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:205. [PMID: 39297114 PMCID: PMC11410163 DOI: 10.4103/jehp.jehp_722_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 07/08/2023] [Indexed: 09/21/2024]
Abstract
Negative consequences of musculoskeletal pain and injuries on the nurses' health and well-being can increase job dissatisfaction and impose high costs on healthcare centers due to lost workdays and compensation claims. This study aimed to identify policies, programs, and interventions that might be effective in the prevention and reduction of sickness absence and improvement of work outcomes in nursing staff with these problems. The systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Electronic databases were searched up to November 9-23, 2022. The keywords "musculoskeletal disorders", "nurse", "return to work", "sickness absence", and "sick leave" and their equivalents were combined using Boolean operators OR/AND. Reference lists of eligible literatures were also screened to identify related studies. In this study, a total of 3365 records were retrieved. After two rounds of screening, 15 studies were selected for qualitative synthesis. These studies included seven randomized controlled trial, five pre-post studies, two cohort, and one cross-sectional. Six types of interventions identified including back college, early workplace-based intervention, physical activity/training, psychosocial education, multifaceted intervention, and ergonomics program. There is insufficient evidence to identify effective interventions in preventing and reducing sickness absence, and improvement of work outcomes in nursing personnel with work-related musculoskeletal disorders. Numerous factors affected the occurrence of such disorders, and their consequences, therefore comprehensive strategy tailored to the injured person's needs should be considered.
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Affiliation(s)
- Razieh Sepehrian
- Department of Health Services Management, School of Health Services Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Asgar Aghaei Hashjin
- Department of Health Services Management, School of Health Services Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Hojat Farahmandnia
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
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Hwang J, Park DJ, Lee J, Lee KS. Evaluation of ergonomic risks for work-related musculoskeletal disorders of nursing tasks in Korea. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024; 30:1-8. [PMID: 36494891 DOI: 10.1080/10803548.2022.2157123] [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: 12/14/2022]
Abstract
Among all industrial accident-induced diseases, musculoskeletal disorders (MSDs) are most prominently observed among nurses. The physical load of everyday tasks involved in nursing work was assessed in this study using a developed risk index, whereby the physical burden was evaluated using the exposure duration and work intensity levels. This survey targeted nine small, medium and large-sized hospitals in South Korea and categorized representative nursing tasks into six groups. The subtasks within these six categories (evaluated as high risk) included changing a patient's posture and assisting with walkers or wheelchairs, transporting/handling drug carts, bathing patients, replacing bedding, traction therapy, cardiopulmonary resuscitation and artificial manual breathing unit, and computer work. The risk index ratio was significantly different by task type for each task. We demonstrated that the risk index developed in this study can be used to evaluate MSDs in hospitals.
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Affiliation(s)
- Jaejin Hwang
- Department of Industrial and Systems Engineering, Northern Illinois University, DeKalb, IL
| | - Du-Jin Park
- Department of Physical Therapy, Catholic University of Pusan, Busan, Republic of Korea
| | - Jinwon Lee
- Department of Industrial and Management Engineering, Gangneung-Wonju National University, Wonju, Gangwon-do, Republic of Korea
| | - Kyung-Sun Lee
- Division of Energy Resources Engineering and Industrial Engineering, Kangwon National University, Chuncheon, Gangwon-do, Republic of Korea
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Liyanage E, Chellapillai D, Liyanage I, Samarakoon C, Samarasekara H, Rikas M. Sinhala version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work 2024; 77:547-559. [PMID: 37718826 DOI: 10.3233/wor-220295] [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: 09/19/2023] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders (WMSDs) are highly prevalent among people who work in sedentary jobs. The Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) is a valid tool to assess WMSDs, but is not available in the local language of Sri Lanka (Sinhala). OBJECTIVE To cross-culturally adapt the original CMDQ from English to Sinhala and evaluate its psychometric properties. METHODS The linguistic and cultural adaptation of the CMDQ to the Sinhala (Si-CMDQ) language followed international guidelines. The adapted pre-version was tested for comprehensibility among 32 subjects from different educational and occupational backgrounds. The Content Validity Index (CVI) was computed with ratings from five experts. The questionnaire was validated further by 111 security guards employed at the university. The tool was validated with reference to the Numeric Rating Scale. Test-retest reliability was assessed at two time points one week apart and internal consistency was tested. RESULTS The Si-CMDQ showed adequate cross-cultural, content and construct validity, internal consistency, and test-retest reliability. The Kappa coefficient showed excellent agreement between NRS and Si-CMDQ frequency scale. Spearman's correlation coefficients showed a moderate to a strong significant positive correlation between NRS and the severity scale of Si-CMDQ. The Kappa values for test-retest reliability were moderate to excellent for the three scales of CMDQ. The internal consistency was high. CONCLUSION The Si-CMDQ fulfilled the psychometric requirement for questionnaires. This tool will be beneficial to assess WMSDs among sedentary workers in different occupations in Sri Lanka.
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Affiliation(s)
- Esther Liyanage
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Kandy, Sri Lanka
| | - Dhananjee Chellapillai
- Department of Physiotherapy, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Colombo, Sri Lanka
| | - Indrajith Liyanage
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Kandy, Sri Lanka
| | - Chamini Samarakoon
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Kandy, Sri Lanka
| | - Heshani Samarasekara
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Kandy, Sri Lanka
| | - Mohamed Rikas
- Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Kandy, Sri Lanka
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Liu F, Jia N, Wu C, Sun J, Li G, Zhang H, Li D, Wang R, Liu J, Li T, Liu J, Ling R, Wang Z. The association between adverse ergonomic factors and work-related musculoskeletal symptoms among medical staff in China: a cross-sectional study. ERGONOMICS 2023; 66:2212-2222. [PMID: 36940236 DOI: 10.1080/00140139.2023.2193868] [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: 05/28/2022] [Accepted: 03/16/2023] [Indexed: 06/18/2023]
Abstract
We investigated the prevalence of work-related musculoskeletal symptoms (WMSs) among medical staff and evaluated the associations of different levels of adverse ergonomic factors with WMSs. A total of 6099 Chinese medical staff were asked to complete a self-reported questionnaire to assess the prevalence and risk factors of WMSs from June 2018 to December 2020. A prevalence rate of 57.5% was observed for WMSs among overall medical staffs, which mainly affected the neck (41.7%) and shoulder (33.5%). 'Keeping sitting for long hours very frequently' (OR = 1.26, 95% CI: 1.04, 1.53) was positively associated with WMSs in doctors, while 'keeping sitting for long hours occasionally' (OR = 0.91, 95% CI: 0.85, 0.97) was identified as a protective factor of WMSs in nurses. The associations of adverse ergonomic factors, organisational factors, and environmental factors with WMSs were different among medical staff in different positions.Practitioner summary: We conducted a multi-city study concerning the risk factors of WMSs by carrying out a face-to-face one-to-multiple questionnaire survey among medical staff in China. As a risk factor of WMSs in medical staff, adverse ergonomic factors should be paid more attention by the standard setting department and policy makers.Abbreviations: WMSDs: work-related musculoskeletal disorders; WMSs: work-related musculoskeletal symptoms; MSDs: musculoskeletal disorders; NMQ: Nordic Musculoskeletal Questionnaires; DMQ: Dutch Musculoskeletal Questionnaires; NIOSH: National Institute for Occupational Safety and Health; ORs: odds ratios.
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Affiliation(s)
- Fei Liu
- Hubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, China
| | - Ning Jia
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Chuansha Wu
- Department of Environmental Hygiene and Occupational Medicine, School of Public Health, Medical College, Wuhan University of Science and Technology, Wuhan, China
| | - Jingzhi Sun
- Hubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, China
| | - Gang Li
- Liaoning Provincial Health Service Center, Shenyang, China
| | - Huadong Zhang
- Chongqing Center for Disease Control and Prevention, Chongqing, China
| | - Dongxia Li
- Guizhou Prevention and Treatment Institute for Occupational Disease, Guiyang, China
| | - Rugang Wang
- Beijing Center for Disease Control and Prevention, Beijing, China
| | - Jing Liu
- Tianjin Center for Disease Control and Prevention, Tianjin, China
| | - Tianlai Li
- Shaanxi Provincial Center for Disease Control and Prevention, Xian, China
| | - Jixiang Liu
- Ningxia Provincial Center for Disease Control and Prevention, Yinchuan, China
| | - Ruijie Ling
- Hubei Provincial Hospital of Integrated Chinese and Western Medicine (Hubei Provincial Hospital of Occupational Diseases), Wuhan, China
| | - Zhongxu Wang
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China
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Darko EM, Kleib M, Lemermeyer G, Tavakoli M. Robotics in Nursing: Protocol for a Scoping Review. JMIR Res Protoc 2023; 12:e50626. [PMID: 37955956 PMCID: PMC10682918 DOI: 10.2196/50626] [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] [Received: 07/11/2023] [Revised: 09/29/2023] [Accepted: 10/10/2023] [Indexed: 11/14/2023] Open
Abstract
BACKGROUND Globally, health care systems are challenged with the shortage of health care professionals, particularly nurses. The decline in the nursing workforce is primarily attributed to an aging population, increased demand for health care services, and a shortage of qualified nurses. Stressful working conditions have also increased the physical and emotional demands and perceptions of burnout, leading to attrition among nurses. Robotics has the potential to alleviate some of the workforce challenges by augmenting and supporting nurses in their roles; however, the impact of robotics on nurses is an understudied topic, and limited literature exists. OBJECTIVE We aim to understand the extent and type of evidence in relation to robotics integration in nursing practice. METHODS The Joanna Briggs Institute methodology and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist will guide the scoping review. The MEDLINE (Ovid), Embase (Ovid), CINAHL Plus with Full Text (EBSCOhost), Scopus, Cochrane Library, and IEEE Xplore electronic bibliographic databases will be searched to retrieve papers. In addition, gray literature sources, including Google Scholar, dissertations, theses, registries, blogs, and relevant organizational websites will be searched. Furthermore, the reference lists of included studies retrieved from the databases and the gray literature will be hand-searched to ensure relevant papers are not missed. In total, 2 reviewers will independently screen retrieve papers at each stage of the screening process and independently extract data from the included studies. A third reviewer will be consulted to help decision-making if conflicts arise. Data analysis will be completed using both descriptive statistics and content analysis. The results will be presented using tabular and narrative formats. RESULTS The review is expected to describe the current evidence on the integration and impact of robots and robotics into nursing clinical practice, provide insights into the current state and knowledge gaps, identify a direction for future research, and inform policy and practice. The authors expect to begin the data searches in late January 2024. CONCLUSIONS The robotics industry is evolving rapidly, providing different solutions that promise to revamp health care delivery with possible improvements to nursing practice. This review protocol outlines the steps proposed to systematically investigate this topic and provides an opportunity for more insights from scholars and researchers working in the field. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/50626.
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Affiliation(s)
| | - Manal Kleib
- Faculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada
| | - Gillian Lemermeyer
- Faculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada
| | - Mahdi Tavakoli
- College of Natural and Applied Sciences, Electrical and Computer Engineering, University of Alberta, Edmonton, AB, Canada
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Moon HW, Park DSM, Jung SY. Use of the Smart Excretion Care System Linked to Electronic Medical Records to Alleviate Nursing Burden and Enhance Patient Convenience: Mixed Methods Study. JMIR Form Res 2023; 7:e36324. [PMID: 37902820 PMCID: PMC10644194 DOI: 10.2196/36324] [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: 01/11/2022] [Revised: 09/16/2023] [Accepted: 10/05/2023] [Indexed: 10/31/2023] Open
Abstract
BACKGROUND The surge in older demographics has inevitably resulted in a heightened demand for health care, and a shortage of nursing staff is impending. Consequently, there is a growing demand for the development of nursing robots to assist patients with urinary and bowel elimination. However, no study has examined nurses' opinions of smart devices that provide integrated nursing for patients' urinary and bowel elimination needs. OBJECTIVE This study aimed to evaluate the feasibility of the Smart Excretion Care System tethered to electronic medical records in a tertiary hospital and community care setting and discuss the anticipated reductions in the burden of nursing care. METHODS Focus group interviews were conducted using the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. The interviews were conducted in March 2021 and involved 67 nurses who had worked at Seoul National University Bundang Hospital for more than 1 year and had experience in assisting patients with excretion care. Data were collected using purposive and snowball sampling methods. RESULTS A total of four themes relevant to the Smart Excretion Care System were found: (1) expected reductions in the burden of nursing care, (2) applicable indications (by departments and diseases), (3) preferred features/functions, and (4) expected benefits of using the Smart Excretion Care System in clinical facilities. Nurses from comprehensive nursing care wards had the highest burden when it came to excretion care. It was a common opinion that the Smart Excretion Care System would be very useful in intensive care units and should be applied first to patients with stroke or dementia. CONCLUSIONS Excretion care is one of the most burdensome tasks for nurses, increasing their workload. The development of the Smart Excretion Care System as a digital health intervention could help improve nurses' work efficiency, reduce their burden, and extend to caregivers and guardians.
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Affiliation(s)
- Hui-Woun Moon
- Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
| | - Da Som Me Park
- Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
| | - Se Young Jung
- Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
- Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
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Jung SY, Moon HW, Park DSM, Sung S, Jung H. Nurses' Burden of Elimination Care: Sequential Explanatory Mixed-Methods Design. Int J Gen Med 2023; 16:4067-4076. [PMID: 37700744 PMCID: PMC10493134 DOI: 10.2147/ijgm.s424424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 08/29/2023] [Indexed: 09/14/2023] Open
Abstract
Background Inpatients commonly experience problems with elimination due to incontinence, urinary retentions, and complications with indwelling catheters. Although elimination care (EC) is an important nursing area, few studies explore the burden of EC on nurses. Aim To identify the burden on EC by analyzing nurses' opinions using sequential explanatory mixed method. Methods This research was conducted using a sequential explanatory mixed-methods design. A total of 59 nurses at a tertiary hospital in South Korea participated in the study from January 1 to March 31, 2022. For quantitative analysis, information about number of delays of work due to EC, required time for serving bedpan or diaper changes, percentage of EC per shift, and percentage of patients who need EC was collected through a survey. For qualitative analysis, focus group interviews were conducted to identify factors that put a burden on EC. Important themes were derived by analyzing nurses' opinions on EC. Results For nurses in intensive care units, general wards, and integrated nursing care wards, the number of work delays due to EC was 3.6 ± 1.5, 2.3 ± 1.2, and 4.8 ± 2.4 (p<0.01), respectively. The mean percentage of EC work out of total nursing tasks per shift was 36.2 ± 19.0, 29.3 ± 14.4, and 43.8 ± 14.1 (p=0.02), respectively. The mean percentage of patients requiring EC out of patients a nurse cares was 85.4 ± 16.6, 41.3 ± 26.1, and 58.8 ± 21.9 (p<0.01), respectively. Following qualitative analysis, four themes related to nurses' EC burden were derived: physical burden, frequent care needs, delay of other jobs due to EC, and complications. Among them, frequent care needs were found to be the primary factor requiring consideration to reduce nurses' burden. Conclusion This research found that EC is one of the most burdensome tasks that nurses want to avoid. To alleviate their burden, effective EC protocol or smart medical devices assisting with EC should be developed.
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Affiliation(s)
- Se Young Jung
- Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
- Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Hui-Woun Moon
- Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Da Som Me Park
- Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Sumi Sung
- Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea
| | - Hyesil Jung
- Department of Nursing, College of Medicine, Inha University, Incheon, Republic of Korea
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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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Rainbow JG, Dudding KM, Bethel C. 'Powering through': A qualitative descriptive study of nurses working while in pain. J Clin Nurs 2022. [PMID: 36128943 DOI: 10.1111/jocn.16538] [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: 01/12/2022] [Revised: 07/27/2022] [Accepted: 08/30/2022] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To describe the experience of nurses working while in pain and the potential impact on work performance. Pain is described more broadly and inclusive of musculoskeletal injuries, psychological and emotional pain. BACKGROUND Nurse have been recognised as developing pain and injuries; however, the experience of nurses working while in pain and its impact is not well-described. DESIGN A qualitative descriptive analysis of interviews from an explanatory mixed methods study. METHODS Twenty direct care nurses who experienced pain in the past week participated in the semi-structured interviews. Transcripts were analysed using content analysis. Guidelines for reporting following the COREQ checklist. RESULTS Categories identified: (1) pain provocation, quality of pain, refers, severity, and time (PQRST); (2) Avoiding pain at work; (3) Hiding pain's impact; (4) Tools at Work; (5) Pain recovery at home; (6) Career consequences; and (7) 'Supernurse' culture; (8) Stigma and its impact on pain management; and (9) Dream work environment. CONCLUSIONS Pain was described as part of nursing and impacted nurses' career plans and performance. Nurses described minimising the direct impact on their patient care but admitted that there was an impact on teamwork and thinking which have been linked to negative patient outcomes. RELEVANCE TO CLINICAL PRACTICE Clinical practice was an aggravating factor for all nurses in the study and impacted their performance and career trajectory. Workplace tools to decrease nurse injury and pain exist; however, tools were not used often due to lack of resources and training. The culture of nursing that accepts pain as part of the job needs to be addressed.
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Affiliation(s)
| | - Katherine M Dudding
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Claire Bethel
- College of Nursing, University of Arizona, Tucson, Arizona, USA
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Nguyen TT, Nguyen TH, Hoang DL, Hoang TG, Pham MK. Effectiveness of Interventions to Prevent Musculoskeletal Disorders among District Hospital Nurses in Vietnam. BIOMED RESEARCH INTERNATIONAL 2022; 2022:1539063. [PMID: 35309175 PMCID: PMC8930246 DOI: 10.1155/2022/1539063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 02/07/2022] [Accepted: 02/22/2022] [Indexed: 11/18/2022]
Abstract
Background Nurses are one of the population groups with the highest prevalence of musculoskeletal disorders (MSDs). Preventive measures in Vietnamese hospitals on the job have not been proposed to study their effectiveness due to barriers related to the lack of knowledge about MSDs by health care administrators and the lack of human resources with expertise in MSD management in hospitals. Objectives This study is aimed at evaluating the effectiveness of basic interventions (education, physical exercise) to prevent MSDs among district hospital nurses in Vietnam. Material and Methods. A quasi-experimental study was carried out before/after over a period of one year among two groups of nurses, one receiving the intervention (n = 162) and the other the control group (n = 128). The intervention includes 3 components: training on MSDs, ergonomics training, and instructions for physical exercise. The pre- and postintervention assessment tools included the Modified Nordic, Quality of Life Enjoyment and Satisfaction Short-Form (Q-LES-Q-SF), and the Kessler Psychological Distress Questionnaire (K6). A generalized estimating equation analysis was performed to assess the difference between the two groups at two points in time (before and after the intervention) on some indicators (prevalence of MSDs in the last 12 months and 7 days, score for quality of life and psychological distress). Results There was a significant difference of the test on the prevalence of MSDs in the last 7 days between the 2 groups before and after the intervention with the p value = 0.016. This difference occurred in 4 anatomical sites: neck, shoulder/upper arm, wrists/hand, and lower back, with p values being 0.013, 0.011, 0.038, and 0.009, respectively. Conclusions The intervention measures are probably effective in reducing the prevalence of MSDs at 4 anatomical sites in the last 7 days. More in-depth studies are needed with a combination of measures over a longer period of time to obtain stronger evidence of interventions.
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Affiliation(s)
- Thi Tham Nguyen
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Vietnam
| | - Thanh Hai Nguyen
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Vietnam
| | - Duc Luan Hoang
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Vietnam
- Phu Tho College of Medicine and Pharmacy, Vietnam
| | - Thi Giang Hoang
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Vietnam
| | - Minh Khue Pham
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Vietnam
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Rey-Merchán MDC, López-Arquillos A, Rey-Merchán AM. Characteristics of Occupational Injuries among Spanish Nursing Workers. Healthcare (Basel) 2022; 10:healthcare10020220. [PMID: 35206835 PMCID: PMC8872059 DOI: 10.3390/healthcare10020220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 01/17/2022] [Accepted: 01/18/2022] [Indexed: 11/16/2022] Open
Abstract
Introduction: Nursing professionals face a multitude of daily occupational hazards that can cause occupational accidents. AIM: The objective of this work is to analyze the personal variables included in official accident reports, to evaluate their influence on occupational accidents suffered by nursing and nursing assistant professionals. Methodology: A total of 187,821 occupational accidents recorded in Spain from 2011 to 2019 were analyzed in the sector using contingency tables, chi-square, and corrected standardized residuals. Results: The results showed that the older the professional, the probability that once the accident had occurred, its severity would be more serious. Regarding gender, men are more likely to suffer more serious accidents compared to accidents registered by women. Results about the length of service and nationality did not reach statistical significance in the group of accidents analyzed. Conclusions: The planning of preventive measures must be adapted to the profiles of the workers in the most vulnerable sector.
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Affiliation(s)
| | - Antonio López-Arquillos
- Departamento de Economía y Administración de Empresas, Universidad de Málaga, 29071 Málaga, Spain
- Correspondence:
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Keyaerts S, Godderis L, Delvaux E, Daenen L. The association between work-related physical and psychosocial factors and musculoskeletal disorders in healthcare workers: Moderating role of fear of movement. J Occup Health 2022; 64:e12314. [PMID: 35043512 PMCID: PMC8766293 DOI: 10.1002/1348-9585.12314] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 01/03/2022] [Accepted: 01/05/2022] [Indexed: 11/25/2022] Open
Abstract
Objectives Knowledge is lacking on the interaction between fear of movement (FOM) and work‐related physical and psychosocial factors in the development and persistence of musculoskeletal disorders (MSDs). Methods In this cross‐sectional study, 305 healthcare workers from several Belgian hospitals filled out a questionnaire including sociodemographic factors, work‐related factors (social support, autonomy at work, workload, and physical job demands), FOM, and MSDs for different body regions during the past year. Path analysis was performed to investigate (1) the association between the work‐related factors, FOM and MSDs, and (2) the moderating role of FOM on the association between the work‐related factors and MSDs among healthcare workers. Results Complaints were most frequently located at the neck–shoulder region (79.5%) and lower back (72.4%). Physical job demands (odds ratio [OR] 2.38 and 95% confidence interval [CI] 1.52–3.74), autonomy at work (OR 1.64 CI [1.07–2.49]) and FOM (OR 1.07 CI [1.01–1.14] and OR 1.12 CI [1.06–1.19]) were positively associated with MSDs. Healthcare workers who experienced high social support at work (OR 0.61 CI [0.39–0.94]) were less likely to have MSDs. Fear of movement interacted negatively with workload (OR 0.92 CI [0.87–0.97]) and autonomy at work (OR 0.94 CI [0.88–1.00]) on MSDs. Conclusions Work‐related physical and psychosocial factors as well as FOM are related to MSDs in healthcare workers. FOM is an important moderator of this relationship and should be assessed in healthcare workers in addition to work‐related physical and psychosocial factors to prevent or address MSDs.
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Affiliation(s)
- Stijn Keyaerts
- Knowledge, Information and Research Center (KIR)Group Idewe (External Service for Prevention and Protection at Work)LeuvenBelgium
- Department of Public Health and Primary CareKU LeuvenLeuvenBelgium
| | - Lode Godderis
- Knowledge, Information and Research Center (KIR)Group Idewe (External Service for Prevention and Protection at Work)LeuvenBelgium
- Department of Public Health and Primary CareKU LeuvenLeuvenBelgium
| | - Ellen Delvaux
- Knowledge, Information and Research Center (KIR)Group Idewe (External Service for Prevention and Protection at Work)LeuvenBelgium
- Department of Social and Cultural PsychologyFaculty of Psychology and Educational SciencesKU LeuvenLeuvenBelgium
| | - Liesbeth Daenen
- Knowledge, Information and Research Center (KIR)Group Idewe (External Service for Prevention and Protection at Work)LeuvenBelgium
- Department of Public Health and Primary CareKU LeuvenLeuvenBelgium
- Department of Physiotherapy, Human Physiology and AnatomyFaculty of Physical Education and PhysiotherapyVrije Universiteit BrusselBrusselsBelgium
- Pain in Motion International Research GroupBrusselsBelgium
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Krishnan KS, Raju G, Shawkataly O. Prevalence of Work-Related Musculoskeletal Disorders: Psychological and Physical Risk Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9361. [PMID: 34501950 PMCID: PMC8430476 DOI: 10.3390/ijerph18179361] [Citation(s) in RCA: 60] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 08/30/2021] [Accepted: 09/01/2021] [Indexed: 01/20/2023]
Abstract
Purpose-This study aimed to estimate the prevalence and risk factors of MSD pain in various anatomical regions among nurses. Method-A cross-sectional study involving a self-administered questionnaire by registered nurses with clinical experience. Data was collected using convenience sampling after obtaining informed consent. The results were drawn from a total of 300 nurses. Results-The nurses presented with occasional mental exhaustion (44.3%) and often physical exhaustion (44.0%). Almost all (97.3%) the nurses complained of having work-related pain during the last 12 months. Body parts with the most pain were the lower back (86.7%), ankles (86.7%), neck (86.0%), shoulders (85.0%), lower legs (84.7%) and upper back (84.3%). The pain frequency was rated as occasional pain for the neck and upper back, pain was often felt for the rest of the parts. Nurses complained of severe pain in the lower back (19.7%), right shoulder (29.7%) and left shoulder (30.3%). The frequency of having musculoskeletal symptoms in any body region was increased with age, lower education level, female gender, high BMI, job tenure and lifestyle. Conclusions-Nurses' WRMSD complaints should be taken seriously to curb further risk and musculoskeletal hazards.
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Affiliation(s)
| | - Gunasunderi Raju
- School of Distance Education, Universiti Sains Malaysia, Gelugor 11800, Malaysia;
| | - Omar Shawkataly
- UniKL MICET Lot 1988, Kawasan Perindustrian Bandar Vendor, Taboh Naning, Alor Gajah 78000, Malaysia;
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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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Prevalence and Factors Associated with Musculoskeletal Disorders among Secondary Schoolteachers in Hail, Saudi Arabia: A Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126632. [PMID: 34203032 PMCID: PMC8296446 DOI: 10.3390/ijerph18126632] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 06/11/2021] [Accepted: 06/17/2021] [Indexed: 12/02/2022]
Abstract
Musculoskeletal disorders (MSDs) are one of the most common occupational health hazards and serious health concerns among teachers. About 39% to 95% of teachers suffer from musculoskeletal pain that can lead to a decline in their performance, frequent sick leaves and early retirement, and can have a negative impact on their quality of life. The aim of this study was to investigate the prevalence of and risk factors for MSDs among secondary schoolteachers in Hail, Saudi Arabia. A cross-sectional study was conducted through an electronic survey. A self-reported and validated Arabic version of the Nordic Musculoskeletal Questionnaire (NMQ) was used. Participants were recruited randomly through a two-stage sampling technique. A total of 251 respondents (57.8% males and 42.2% females) returned the questionnaire. The overall prevalence of MSDs was 87.3%. Female teachers (95.3%) suffered more than their male counterparts (81.4%). The most common site was the lower back (62.55%), followed by the shoulders (53.39%) and knees (41.04%). Most of the participants (72.7%) reported MSDs in multiple sites. Binomial logistic regression predicted that smoking is a significant risk factor for lower back disorders (p < 0.05). A high prevalence of MSDs can be due to a substantial lack of awareness and practice of ergonomics, which warrant the development of preventive strategies and educational programs.
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Clari M, Godono A, Garzaro G, Voglino G, Gualano MR, Migliaretti G, Gullino A, Ciocan C, Dimonte V. Prevalence of musculoskeletal disorders among perioperative nurses: a systematic review and META-analysis. BMC Musculoskelet Disord 2021; 22:226. [PMID: 33637081 PMCID: PMC7908783 DOI: 10.1186/s12891-021-04057-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 02/08/2021] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND To evaluate the prevalence of work-related musculoskeletal disorders (WRMSDs) in perioperative nurses and to explore their association with personal characteristics. METHODS Medline, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Cochrane Library and Joanna Briggs Institute Database were systematically searched. A meta-analysis calculating event rates, and relative 95% Confidence Intervals (CI) was performed for each musculoskeletal body region. The contribution of perioperative nurses' sex, age, and BMI was assessed through a meta-regression. RESULTS Twenty-two studies, considering 3590 perioperative nurses, were included in the systematic review. The highest prevalence of WRMSDs was found for the lower-back (62%; 95% CI 0.54-0.70), followed by knee (47%; 95% CI 0.36-0.59), shoulder (44%; 95% CI 0.37-0.51), waist (42%; 95% CI 0.31-0.53), neck (39%; 95% CI 0.29-0.51), ankle-feet (35%; 95% CI 0.22-0.51), upper-back (34%; 95% CI 0.25-0.44), hand-wrist (29%; 95% CI 0.20-0.40), and elbow (18%; 95% CI 0.12-0.26). Meta-regression showed that sex, age, and BMI were not significant predictors of low-back disorders (p = 0.69; R2 = 0). CONCLUSIONS WRMSDs represent a high prevalence issue among perioperative nurses. Perioperative nurses, in general, are steadily exposed to both physical and temporal risk factors. Further studies should be addressed to identify specific interventions aimed at reducing the burden of WRMSDs including ergonomic education and physical rehabilitation. Our data could be used in future studies as a reference to assess the risk of WRMSDs in other health-care professionals' population.
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Affiliation(s)
- Marco Clari
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy
| | - Alessandro Godono
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy
| | - Giacomo Garzaro
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy. .,Città della Salute e della Scienza di Torino University Hospital, Turin, Italy.
| | - Gianluca Voglino
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy
| | - Maria Rosaria Gualano
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy
| | - Giuseppe Migliaretti
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy
| | - Attilia Gullino
- Città della Salute e della Scienza di Torino University Hospital, Turin, Italy
| | - Catalina Ciocan
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy.,Città della Salute e della Scienza di Torino University Hospital, Turin, Italy
| | - Valerio Dimonte
- Department of Public Health and Pediatrics, University of Torino, Via Zuretti 29, 10126, Turin, Italy.,Città della Salute e della Scienza di Torino University Hospital, Turin, Italy
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Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam. BIOMED RESEARCH INTERNATIONAL 2020; 2020:3254605. [PMID: 32596296 PMCID: PMC7277022 DOI: 10.1155/2020/3254605] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 03/13/2020] [Indexed: 11/17/2022]
Abstract
Background Musculoskeletal disorders (MSDs) are commonly observed among workers around the world. These diseases not only affect the health of workers, their quality of life, and their performance, but the effects of such diseases also represent a great burden for the health and social systems. These issues are even more prevalent in developing countries, and nurses are no exception. Many studies worldwide have shown a high prevalence of work-related MSDs in each body position among nurses. However, there are very few studies that have mentioned multisite musculoskeletal symptoms (MMS). Objectives To describe the prevalence and characteristics of MMS among district hospital nurses in Haiphong, Vietnam. Material and Methods. A cross-sectional study was carried out on 1179 nurses working in all 15 district hospitals using the Modified Nordic Questionnaire at 9 anatomical sites on the body (neck, shoulder/upper arm, elbow/forearm, wrist/hand, upper back, lower back, hip/thigh, knee/lower leg, and ankle/foot). The following main indicators were calculated: the prevalence of musculoskeletal symptoms (MS) (at least 1 of 9 sites), MMS (two or more sites), and widespread musculoskeletal symptoms (WMS) (MS of the upper limb, the lower limb, and the back or the neck). Results The prevalence of MS during the past 12 months and symptoms lasting for at least 30 days was 60.6% and 17.2% in men and 77.6% and 21.5% in women, respectively. The lower back, neck, upper back, and shoulder/upper arm were the most common sites affected. In terms of MMS, the prevalence was 37.6% in men and 57.1% in women during the past 12 months while 8.6% of men and 11.3% of women reported that symptoms lasted for at least 30 days. The prevalence of MMS tended to increase with age, seniority, having a history of musculoskeletal diseases, and in nurses working in district hospitals located in urban areas. Nearly 90% of MMS concerned two or three anatomical regions during the past 12 months, and almost 80% of MMS lasting at least 30 days involved two or three anatomical regions. The prevalence of WMS was 10.4% in men and 18.6% in women during the past 12 months and 0.9% in men and 2.1% in women lasting at least 30 days. Conclusions This study showed the high prevalence of MMS and WMS among nursing staff. Further and more extensive research is needed to improve our understanding of multisite musculoskeletal symptoms and act as the foundation for developing preventive measures for nurses.
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Kasa AS, Workineh Y, Ayalew E, Temesgen WA. Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies. BMC Musculoskelet Disord 2020; 21:310. [PMID: 32416726 PMCID: PMC7231416 DOI: 10.1186/s12891-020-03341-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 05/08/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Nurses in Africa are arguably the most important frontline healthcare workers available in most healthcare facilities, performing a broad range of tasks. Such tasks are considerably presumed in the causation of workload. Nursing is listed among the highly risky professions for developing low back pain. The nursing profession is ranked within the top ten professions which have a great risk of low back pain. Hence, this review aimed to ascertain whether low back pain is a significant concern for nurses in African healthcare facilities. METHODS A comprehensive literature search of different databases with no date limit was conducted from September to November 2018 using the PRISMA guideline. The quality of the included studies was assessed using a 12-item rating system. Subgroup and sensitivity analyses were performed. Cochran's Q and the I2 test were used to assess heterogeneity. The presence of publication bias was evaluated by using Egger's test and visual inspection of the symmetry in funnel plots. RESULT In this review, 19 studies from different African regions with a total sample size of 6110 nurses were included. All the studies were carried out between 2000 and 2018. Among these, the lowest and the highest prevalence were found to be 44.1 and 82.7% respectively. The estimation of the prevalence rate of low back pain among nurses using the random-effects model was found to be 64.07% (95% CI: 58.68-69.46; P-value < 0.0001). Heterogeneity of the reviewed studies was I2 = 94.2% and heterogeneity Chi-squared = 310.06 (d.f = 18), P-value < 0.0001. The subgroup analyses showed that the highest prevalence of LBP among nurses was from West African region with prevalence rates of 68.46% (95% CI: 54.94-81.97; P-value < 0.0001) and followed by North Africa region with prevalence rate of 67.95% (95% CI: 55.96-79.94; P-value < 0.0001). CONCLUSION Even though the overall prevalence of the present study is lower when compared to the Western and Asian studies, it indicated that the prevalence of low back pain among nurses is substantial.
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Affiliation(s)
- Ayele Semachew Kasa
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Yinager Workineh
- Department of Child Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Emiru Ayalew
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Worku Animaw Temesgen
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
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Clari M, Garzaro G, Di Maso M, Donato F, Godono A, Paleologo M, Dimonte V, Pira E. Upper Limb Work-Related Musculoskeletal Disorders in Operating Room Nurses: A Multicenter Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E2844. [PMID: 31395811 PMCID: PMC6720415 DOI: 10.3390/ijerph16162844] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 08/05/2019] [Accepted: 08/07/2019] [Indexed: 11/20/2022]
Abstract
This study aimed to evaluate the association between personal and job characteristics and the risk of upper limb work-related musculoskeletal disorders (WMSDs) among operating room nurses (ORNs). To this end, we collected data from 148 ORNs working at 8 Italian hospitals and measured any upper limb disabilities experienced in the previous year using the Italian version of the disabilities of the arm, shoulder and hand (DASH) questionnaire. The associations between personal and job characteristics and risk of upper limb WMSDs were estimated by unconditional logistic regression models. The prevalence of upper limb WMSDs was 45.9%. Multivariate analysis showed the "female gender" and "monthly hours spent working as a scrub nurse" to be directly associated with a higher DASH score (adjusted OR for gender = 5.37, 95% CI: 1.65-17.51, p < 0.01; adjusted OR for monthly hours as scrub nurse = 3.09, 95% CI: 1.33-7.19, p < 0.01). Overall, our findings indicate that a full-time job (>120 h/month) as a scrub nurse significantly increases the risk of developing upper limb WMSDs among female ORNs. Thus, to reduce such risk in this particularly sensitive population, we recommend urgent implementation of ergonomic interventions on surgical equipment alongside job rotation and medical surveillance programs.
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Affiliation(s)
- Marco Clari
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Giacomo Garzaro
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy.
| | - Matteo Di Maso
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
- Department of Clinical Sciences and Community Health, Branch of Medical Statistics, Biometry and Epidemiology "G.A. Maccacaro", Università degli Studi di Milano, 20133 Milan, Italy
| | - Francesca Donato
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Alessandro Godono
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Mario Paleologo
- Directorate of Allied Health Professionals, Città della Salute e della Scienza di Torino University Hospital, 10126 Turin, Italy
| | - Valerio Dimonte
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Enrico Pira
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
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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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