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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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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22 citations
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•
5 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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TL;DR: It is concluded that invalid exposure assessment may, to a large extent, explain the lack of quantitative data on relationships between mechanical exposures and musculoskeletal disorders.
Abstract: Ergonomic epidemiology is a rapidly increasing field of research providing data on the occurrence of musculoskeletal disorders and possible risk factors. The present paper states, on the basis of a literature overview, that physical work load (mechanical exposure) is poorly denned and measured in most studies on ergonomic epidemiology. On this background the paper: (1) suggests adjustments of mechanical exposure concepts and terminology; (2) concludes that invalid exposure assessment may, to a large extent, explain the lack of quantitative data on relationships between mechanical exposures and musculoskeletal disorders; and (3) suggests some guidelines for future quantitative assessments of mechanical exposure in large populations.
489 citations
TL;DR: This study confirms that low back pain is highly prevalent among nurses and is associated with a high level of sickness absence, and specific manual handling tasks were associated with an increased risk of back pain; however, no such association was found with mechanised patient transfers.
Abstract: OBJECTIVE--To investigate the risk factors for low back pain in hospital nurses, with particular emphasis on the role of specific nursing activities. METHODS--A cross sectional survey of 2405 nurses employed by a group of teaching hospitals was carried out. Self administered questionnaires were used to collect information about occupational activities, non-occupational risk factors for back symptoms, and history of low back pain. RESULTS--The overall response rate was 69%. Among 1616 women, the lifetime prevalence of back pain was 60% and the one year period prevalence 45%. 10% had been absent from work because of back pain for a cumulative period exceeding four weeks. Rates in men were generally similar to those in women. In women back pain during the previous 12 months was weakly associated with height, and was significantly more common in those who reported frequent non-musculoskeletal symptoms such as headache and low mood. After adjustment for height and non-musculoskeletal symptoms, significant associations were found with frequency of manually moving patients around on the bed, manually transferring patients between bed and chair, and manually lifting patients from the floor. In contrast, no clear increase in risk was found in relation to transfer of patients with canvas and poles, manually lifting patients in and out of the bath, or lifting patients with mechanical aids. Confirmation of these findings is now being sought in a prospective study of the same population. CONCLUSIONS--This study confirms that low back pain is highly prevalent among nurses and is associated with a high level of sickness absence. People who often report non-musculoskeletal symptoms were significantly more likely to report low back pain. Specific manual handling tasks were associated with an increased risk of back pain; however, no such association was found with mechanised patient transfers.
471 citations
"Manual Handling Workload and Muscul..." refers background in this paper
...…back pain are the most frequent outcome variables in cohort or cross-sectional studies of nursing personnel (Fuortes, Shi, Zhang, Zwerling, & Schootman, 1994; Harber et al., 1987; Hignett, 1996; Kumar, 1990; Leighton & Reilly, 1995; Smedley et al., 1995; Stobbe et al., 1988; Stubbs et al., 1983)....
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...Injuries to the back or back pain are the most frequent outcome variables in cohort or cross-sectional studies of nursing personnel (Fuortes, Shi, Zhang, Zwerling, & Schootman, 1994; Harber et al., 1987; Hignett, 1996; Kumar, 1990; Leighton & Reilly, 1995; Smedley et al., 1995; Stobbe et al., 1988; Stubbs et al., 1983)....
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TL;DR: In this paper, a new way of conceptualizing job design and job stress based on the balance among job elements is proposed, which integrates social psychological theories of job design with job stress concepts to develop a model of job balance.
438 citations
"Manual Handling Workload and Muscul..." refers background or methods in this paper
...According to Smith and Carayon-Sainfort’s (1989) Balance Theory of Job Design, the work system imposes physiological and psychological loads on the individual, resulting in challenges to physical, psychological, and biological resources, such as energy and strength....
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...Not only are the individual’s perceptions of the load important, but also the load’s “objective physical properties independent of the perception of the properties” (Smith & Carayon-Sainfort, 1989, p. 74)....
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TL;DR: An epidemiologic case‐control study undertaken in Connecticut during 1979–1981 indicated that persons with jobs requiring lifting objects of more than 11.3 kg (25 lb) an average of more-than 25 times per day had over three times the risk for acute prolapsed lumbar intervertebral disc as people whose jobs did not involve lifting Objects of this weight.
424 citations
"Manual Handling Workload and Muscul..." refers background in this paper
...…between occupation and low back pain, including drug/alcohol consumption (Bigos et al., 1986; Manning, Leibowitz, Goldberg, Rogers, & Newhouse, 1984) and cigarette smoking (Frymoyer et al., 1980; Frymoyer et al., 1983; Heliovaara, Knekt, & Aromaa, 1987; Kelsey, 1975; Kelsey et al., 1984)....
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...Most evidence indicates that failing to bend the knees while lifting is also harmful (Kelsey et al., 1984), although this does not apply when lifting a patient on a horizontal plane, such as transferring a patient from a bed to a stretcher....
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TL;DR: The impact on work organization and the work system of the following sociotechnical and business trends is discussed: re-structuring and re-organizing of companies, new forms of work organization, workforce diversity, and information and communication technology.
399 citations
"Manual Handling Workload and Muscul..." refers background in this paper
...In a more recent article, the same authors (Carayon & Smith, 2000, p. 651) explain the cumulative trauma model this way: “When the load becomes too great, the person displays stress responses, which are emotions, behaviors, and biological reactions that are maladaptive....
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