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Journal ArticleDOI

Musculoskeletal disorders and occupational demands in nurses at a tertiary care hospital in Mexico City

TL;DR: Postural demands are closely associated with the development of musculoskeletal disorders and early identification and timely intervention are fundamental.
Abstract: Objective Identify the association between working conditions, musculoskeletal symptoms and ergonomic demands on nurses. Background The physical demands of nursing often require repetitive and forced movements that increase the likelihood of developing musculoskeletal disorders, which are the main occupational diseases in this working population. Methodology Cross-sectional study of 329 nurses chosen at random. Initial symptoms of musculoskeletal disorders (MSDs) were evaluated using Kuorinka's Nordic questionnaire; occupational demands and domestic activities were evaluated using the Individual Survey for Workers' Health, PROESSAT. Logistic regression models were fit to identify associations between musculoskeletal symptoms and occupational activities. Results A prevalence of 87% and 83% of musculoskeletal disorders was found in the neck and dorsal/lumbar regions, respectively. Using logistic models, associations were identified between ergonomic requirements, exposure time, domestic work, supervision and discomfort in various regions of the body. Conclusions Postural demands are closely associated with the development of musculoskeletal disorders. Early identification and timely intervention are fundamental. Implications for nursing management Musculoskeletal disorders are very common among nurses and are closely associated with occupational tasks.
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Journal ArticleDOI
TL;DR: There were significant associations between occupational strain, more physical workload and upper body MSDs, but the evidence advocating a growth risk in MSDs due to low levels of social support is quite weak.

11 citations

Journal ArticleDOI
TL;DR: In this article, the risk factors associated with musculoskeletal symptoms of the upper, middle, and lower back of workers in the inner northeast of Brazil were identified using an ordinal logistic regression model and a structural equation model.

5 citations

Journal ArticleDOI
TL;DR: The results of the present study strongly indicate that a deeper ergonomic analysis of the work environment is needed to understand the prevalence of hand complaints among nurses working in haemodialysis settings.
Abstract: Background One in every two haemodialysis nurses has reported musculoskeletal complaints concerning their hands, which is twice that reported for hospital nurses in general. It is possible that the ...

4 citations


Cites background from "Musculoskeletal disorders and occup..."

  • ...People working in the nursing profession are at high risk of developing work‐related MSDs (Harcombe et al. 2014; Davis & Kotowski 2015; Passali et al. 2018; Zamora‐Macorra et al. 2019)....

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Journal ArticleDOI
TL;DR: The findings indicated a high prevalence of symptoms among nurses, and there is a need to implement strategies in health care facilities to improve working environment conditions and reduce the prevalence rate.
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.

2 citations

Journal ArticleDOI
TL;DR: In this paper , the authors analyzed the relationship among working conditions, related stress, and the dimensions of burnout syndrome in a tertiary care public hospital in Mexico City and found that the labor variables that were found to be associated with these dimensions were workload, performing potentially hazardous work, and conducting tedious tasks.
Abstract: Background Working conditions in public hospitals in Mexico City are highly demanding. The need for healthcare is pressing, materials and instruments are scarce, and exposure to pain and suffering is constant. These adverse conditions have an adverse impact on the physical and mental health of healthcare professionals. The nursing staffs are among those who are most affected, and they frequently experience burnout syndrome or one of its several dimensions, including emotional exhaustion, depersonalization, and reduced personal accomplishment. Purpose The aim of this research was to analyze the relationship among working conditions, related stress, and the dimensions of burnout syndrome in a tertiary care public hospital in Mexico City. Methods A cross-sectional design was applied on a random sample of 190 nurses in a public hospital in Mexico City. Working conditions and burnout syndrome were evaluated using standardized instruments. Adjusted prevalence ratios were calculated. Three clusters, one for each burnout dimension, were generated and then evaluated using a correspondence analysis with labor characteristics. Results One quarter (25%) of the participants self-reported a sense of personal accomplishment, and 12% reported emotional exhaustion and depersonalization. The labor variables that were found to be associated with the dimensions of burnout were workload, performing potentially hazardous work, and conducting tedious tasks. Positive conditions were shown to decrease the prevalence of burnout in all three dimensions. Conclusions/Implications for Practice Working conditions for nursing staff impact the mental health of nurses and affect the quality of the healthcare they provide. The set of work demands and stressors to which they are exposed should be controlled and modified to ensure a healthy work environment.

1 citations

References
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Journal ArticleDOI
TL;DR: Standardised questionnaires for the analysis of musculoskeletal symptoms in an ergonomic or occupational health context are presented and specific characteristics of work strain are reflected in the frequency of responses to the questionnaires.

4,470 citations

Journal ArticleDOI
TL;DR: There is additional evidence that increased work load, time pressure, and greater hours of computer use are related to the occurrence of work-related musculoskeletal disorders among these workers, particularly for disorders in the hand or wrist area.
Abstract: OBJECTIVES--A cross-sectional study was conducted to assess the association of upper extremity musculoskeletal disorders and work-related factors among employees using video display terminals at a large metropolitan newspaper. METHODS--The study included 1050 randomly selected workers from four departments. The workers were asked to complete questionnaires on symptoms, job tasks, and psychosocial and work organization conditions. Musculoskeletal disorders of the upper extremities were defined by frequency, duration, and intensity of symptoms not attributable to acute injury. Data were analyzed with the use of logistic regression. RESULTS--A total of 973 workers completed the survey. The one-year period prevalence rate for any musculoskeletal disorder of the upper extremities was 41%. Neck symptoms (26%) were the most frequently reported, followed by hand or wrist (22%), shoulder (17%), and elbow (10%) symptoms. Greater time working at the video display station was associated with increased hand or wrist symptoms in a dose-response relationship. In addition, variables corresponding to increased work-load demands (eg, increased time working under deadline and increased job pressure) were associated with increased neck, shoulder, and hand or wrist disorders. Women were more likely to report symptoms in several areas, but this finding may reflect the concentration of women in jobs involving more risk factors. CONCLUSIONS--The results suggest a high prevalence of musculoskeletal disorders of the upper extremities among newspaper employees, and they provide additional evidence that increased work load, time pressure, and greater hours of computer use are related to the occurrence of work-related musculoskeletal disorders among these workers, particularly for disorders in the hand or wrist area.

373 citations

Journal ArticleDOI
TL;DR: Although most preventive strategies at the workplace are focused on ergonomic risk factors, improving the psychosocial work environment might have an impact on reducing MSDs.

301 citations

Journal ArticleDOI
TL;DR: It is suggested that preventing musculoskeletal disorders requires system-level approaches to scheduling that reduce the time of exposure to demanding work conditions and promote healthful work-rest patterns.
Abstract: Objectives The relationship between a combination of demanding work-schedule characteristics and reported musculoskeletal disorders of the neck, shoulders, and back was examined. Methods A probability sample of 1163 nurses, randomly selected from the list of actively licensed nurses in two states of the United States, served as the sample for this cross-sectional study. Data were collected via an anonymous survey mailed to the participants` homes from October 1999 through February 2000. Results Four of the nine work-schedule characteristics (working full-time, >8 hours/day, 2-4 weekends/month, and other than day shift) were significantly related to musculoskeletal disorders in one or more body sites. When a work-schedule index was created by summing the nine characteristics, a demanding schedule was significantly associated with musculoskeletal disorders in the neck [odds ratio (OR) 1.10, 95% confidence interval (95% CI 1.00-1.21], shoulder (OR 1.12, 95% CI 1.01-1.23), and back (OR 1.16, 95% CI 1.06-1.27). Adjustment for psychological and physical job demands reduced the odds ratios slightly and therefore suggested that some of the association between musculoskeletal disorders and schedule was due to increased exposure to these job demands. Working "long hours" (>12 hours/day, >40 hours/week) and "off hours" (weekends and nondayshifts) were associated with a 50-170% increase in the age-adjusted odds ratio for musculoskeletal disorders in the three body sites. Conclusions The findings of this study suggest that preventing musculoskeletal disorders requires system-level approaches to scheduling that reduce the time of exposure to demanding work conditions and promote healthful work-rest patterns.

185 citations