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Manual Handling Workload and Musculoskeletal Discomfort in Nursing Personnel

01 Jan 2001-
TL;DR: This paper presents a meta-analysis of the literature on screening for Musculoskeletal Disorders and results show that screening for WMSDs in nurses’ high-risk patient care units results is positive.
Abstract: iv Chapter 1: Introduction 1 Scope and Cost of Back Pain 2 Relationship of Musculoskeletal Pain to Workers’ Compensation Claims 3 Association with Strenuous Tasks 3 Chapter 2: Review of the Literature 6 Causes of Musculoskeletal Disorders 6 Body Parts Affected by WMSDs in Nursing 6 WMSD Risk Factors 6 Patient Handling and Movement Risk Factor Assessment 10 Patient Weight As Risk Factor 12 Assessing Risk 12 Exposure Assessment 16 Nursing Workload Measurement Systems 17 Risk Reduction Factors 19 Characteristics of James A. Haley VAMC High-Risk Patient Care Units 19 Screening for Musculoskeletal Disorders 20 Null Hypotheses 22 Definition of Terms 22 Chapter 3: Methods 27 Study Design 27 Sample and Sampling Procedures 27 Data Collection Procedures 28 Chapter 4: Results 30 Sample Size/Power Analysis 30 Data Analysis 30 Sample 30 Data Coding 32 Independent Variables 32

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Journal ArticleDOI
TL;DR: Measuring the change in current back pain prevalence yields more timely information about the effectiveness of an ergonomic intervention than assessing injury incidence rates, because of the high percent of nursing staff members who work in pain but delay filing workers' compensation claims.
Abstract: 1. The problem of work related musculoskeletal disorders of the low back in nursing personnel has been well documented in the literature by cross sectional studies showing high prevalence rates in licensed nurses and nursing aides. However, it is difficult to compare findings among these studies because of the use of nonstandardized symptom surveys, variations in case definitions, and other methodological inconsistencies. 2. Measuring the change in current back pain prevalence yields more timely information about the effectiveness of an ergonomic intervention than assessing injury incidence rates, because of the high percent of nursing staff members who work in pain but delay filing workers' compensation claims. 3. As employers attempt to reduce manual handling injuries, occupational health nurses may be called upon to survey workers for musculoskeletal symptom prevalence and document the effectiveness of ergonomic interventions. Before using or developing any musculoskeletal disorder symptom survey for workplace surveillance or research, occupational health nurses should determine whether the survey has adequate reliability, validity, responsiveness, and practicality.

76 citations


Cites background from "Manual Handling Workload and Muscul..."

  • ...Forty six studies, including the author's doctoral research (Menzel, 2001), were chosen for further review....

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Journal ArticleDOI
TL;DR: The prevalence of work related musculoskeletal disorders among nurses was high in the study area and working in mal-positions, working in the same positions for long period of time, working with disoriented patients and bending or twisting back during work were identified associated factors.
Abstract: Background: Musculoskeletal disorders represent a significant occupational problem among nurses; however, there is paucity of information on work related musculoskeletal disorder among nurses in Ethiopia. Objective: To assess work related musculoskeletal disorders and associated factors among nurses working in Jimma Zone Public hospitals, South west Ethiopia. Methods: Institutional based cross-sectional study was conducted in Jimma Zone public hospitals from March 12-27, 2015. Systematic random sampling technique was used to select 333 participants. Data were analyzed by using binary logistic regression and Odds ratios with 95% confidence intervals used to examine associations between dependent and independent variables. Results: The prevalence of work related musculoskeletal disorders at any body site was 60.8% and the highest report 124 (67.8%) was seen in the lower back which was followed by the neck 44 (24%) and knees 43 (23.6%). Lifting and transferring dependent patients [AOR 2.1 (1.1-4.3)], giving wound care [AOR 4.2 (1.9-8.9)], working in medical ward [AOR 9.6 (2.4-38.3)] and Intensive care unit [AOR 3.4 (1.2-9.7)], working in mal-positions [AOR 9.7 (2.2-42.6)], working in the same positions for long period of time [AOR, 6.1 (1.3-28.7)], working with disoriented patients [AOR 2.6 ( 1.1-5.7) and bending or twisting back during work [AOR 5.1 (1.1-23.7)] were identified associated factors. Conclusion: The prevalence of work related musculoskeletal disorders among nurses was high in the study area. Lifting and transferring dependent patients, giving wound care, working in medical ward and Intensive care unit, working in mal-positions, working in the same positions for long period of time, working with disoriented patients and bending or twisting back during work were identified associated factors.

6 citations

Journal Article
TL;DR: Age and experience were significantly associated with musculoskeletal symptoms in the different body regions and the results indicated out of every 10 workers, in the last work week, seven reported complaints in the lower legs.
Abstract: Although Musculoskeletal Disorders (MSDs) represents a common occupational problem, few epidemiological studies have investigated MSDs among industrial workers. MSDs are a common industrial health problem throughout the world and a serious cause of disability among the industrial workers.The goal of the study was to investigate the prevalence of musculoskeletal symptoms (ache, pain, or discomfort) among rubber workers in Iran, using the standard Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). The study population consisted of 100 males with mean age 31.73. Out of every 10 workers, in the last work week, seven reported complaints in the lower legs. The results are also indicated age and experience were significantly associated with musculoskeletal symptoms in the different body regions.

4 citations


Cites background from "Manual Handling Workload and Muscul..."

  • ...[21]; Nursing personnel [19]; Information Technology professionals [22]; Production assembly workers [23]; Dental students [24]; notebook computer users [25]....

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References
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Journal ArticleDOI
TL;DR: The physical workload of ambulance assistants was assessed by means of the Ovako Working posture Analysis System (OWAS) observation method and a Work and Health Questionnaire (WHQ) for measuring perceived workload and a biomechanical model was applied to several specifically strenuous conditions.
Abstract: The physical workload of ambulance assistants was assessed by means of the Ovako Working posture Analysis System (OWAS) observation method and a Work and Health Questionnaire (WHQ) for measuring perceived workload. In addition, a biomechanical model was applied to several specifically strenuous conditions that were simulated in a laboratory situation. Bad postures were identified for a number of activities: 16% to 29% of a work shift was spent in harmful positions. Strenuous situations occur particularly during rides in emergency situations. The results of observed and perceived workload are generally in agreement. A number of practical recommendations are made. They concern, for example, the equipment in ambulance cars, training of ambulance assistants and adaptations in working procedures.

53 citations

Journal ArticleDOI
TL;DR: It is proposed that ergonomic interventions alone may be sub-optimal in controlling musculoskeletal problems among nurses and the additional provision of psychosocial information to challenge misconceptions and encourage self-management is proposed.
Abstract: This study retrospectively surveyed 1,216 nurses at hospitals in Belgium and The Netherlands. Data concerning workloads, musculoskeletal symptoms, work loss and psychosocial factors were collected by questionnaire. Lifetime prevalence rates for musculoskeletal problems and low back trouble were significantly lower in the Dutch hospitals than the Belgian hospitals, but a significantly higher proportion of Dutch nurses had 'heavy' workloads. Overall, symptoms and work loss in the previous 12 months were not related to workload, nor was the perception that work was causative; a change of duties because of symptoms was rare (< 3%). The Dutch nurses differed strikingly from Belgian nurses on the psychosocial variables; they were less depressed and significantly more positive about pain, work and activity. It is proposed that ergonomic interventions alone may be sub-optimal in controlling musculoskeletal problems among nurses. The additional provision of psychosocial information to challenge misconceptions and encourage self-management is proposed.

52 citations


"Manual Handling Workload and Muscul..." refers background in this paper

  • ...Burton et al. (1995) surveyed Dutch and Belgian nurses and found that musculoskeletal symptoms and work loss in the past year were not related to work load but to psychosocial variables....

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Journal ArticleDOI
TL;DR: A third-generation PCS model (3PCS) that focuses on optimizing the patient-caregiver process for the outcomes of cost, health, and caregiver satisfaction is described.
Abstract: In part 1 of this series, the authors review the evolution of patient classification system (PCS) utilization and describe a third-generation PCS model (3PCS) that focuses on optimizing the patient-caregiver process for the outcomes of cost, health, and caregiver satisfaction. Part 2 (September 1999) will review the implementation of 3 PCS in a large urban hospital. Project rationale, methods for developing and implementing the system, key system components, advantages of the new system, and obstacles to implementation will be presented.

52 citations


"Manual Handling Workload and Muscul..." refers background in this paper

  • ...These systems assess the patient’s level of illness and dependency in terms of staff qualifications and staff time required (Malloch & Conovaloff, 1999; Shroeder, Rhodes, & Shields, 1984)....

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Journal ArticleDOI
TL;DR: Comparisons of IAP data with other studies indicate that the subjects examined in this study are neither within the 'low' nor 'high' back pain risk categories, however, this finding should be taken in the context of the high levels of static postural stress reported and the possible cumulative and interactive effects of static and dynamic load.

45 citations


"Manual Handling Workload and Muscul..." refers background in this paper

  • ...This awkward angle and position frequently occurs during bathing and feeding and is exacerbated by sustained stretching and reaching (Damkot, Pope, Lord, & Frymoyer, 1984) or postural stress (Baty & Stubbs 1987, Garg et al., 1991)....

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Journal ArticleDOI
TL;DR: The injury registers in three Repatriation General Hospitals have been analysed in order to determine the size and nature of the problem of strain injuries associated with manual handling in hospitals and means of dealing with the problem are briefly outlined.
Abstract: The injury registers in three Repatriation General Hospitals have been analysed in order to determine the size and nature of the problem of strain injuries associated with manual handling in hospitals. Over the two‐year period reviewed, these injuries were by far the greatest contributor to time loss from accident, and handling, particularly lifting of patients, was by far the most commonly reported source of the injuries. Means of dealing with the problem are briefly outlined.

40 citations