Health Care System Changes and Reported Musculoskeletal Disorders Among Registered Nurses

Lipscomb, Jane; Trinkoff, Alison M.; Brady, Barbara; Geiger-Brown, Jeanne

doi:10.2105/ajph.94.8.1431

Cited by 112 publications

(91 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Various studies show that WMSDs are common among healthcare workers [28][29][30]. Nuikka et al [31] showed that workload in primary care situations and in transporting the patient can be classified as moderately heavy, based on heart rate and relative workload.…”

Section: Temporal Aspect Of Job Demandmentioning

confidence: 99%

An ergonomic evaluation of tasks of healthcare unit personnel in different shifts in General Hospitals in West Bengal

Sahu

Goswami

Haldar

et al. 2012

Int J Occup Safety & Health

View full text Add to dashboard Cite

Background: The job challenges faced by healthcare unit personnel are psychological, temporal and physically demanding. Studies on psychological stress on nurses are available but unfortunately studies on physiological load or temporal analysis of tasks of nurses or attendants in general hospitals in India have not been reported so far. Objective: The study aims at evaluating the perception of workload in different shifts among healthcare unit personnel and to develop better ergonomic management protocols. Participants: The study population comprised 150 staff nurses and 175 attendants working in three government hospitals in West Bengal, India. Method: The amount of time spent by nurses and attendants performing different tasks were recorded throughout the shifts using an activity analysis chart along with perceived exertion rating and heart rate throughout the shifts. Results: About 26.8% of the total working time throughout the day was spent in “direct care”. In case of general duty attendants 24.4% of the duty time was spent in indirect care. Time spent in different tasks differed by shifts. More leisure time occurs in the night shift compared to the morning and afternoon shifts but duration of shift was longer (11 to 12 hours). Perceived exertion rating of healthcare unit personnel in night shift was more compared to other shifts but physiological response did not reflect that. Conclusion: There were temporal variations of job demand in healthcare units. So, ergonomic orientation of layouts of departments, arrangement of activities, ergonomic way of keeping the records and use of proper communication system, recommended reducing the stress of healthcare unit personnel.DOI: http://dx.doi.org/10.3126/ijosh.v2i2.6566 International Journal of Occupational Safety and Health, Vol 2. No 2 (2012) 14-22

show abstract

Section: Temporal Aspect Of Job Demandmentioning

confidence: 99%

An ergonomic evaluation of tasks of healthcare unit personnel in different shifts in General Hospitals in West Bengal

Sahu

Goswami

Haldar

et al. 2012

Int J Occup Safety & Health

View full text Add to dashboard Cite

show abstract

“…30 In another study, work demands, consisting of both the requirements of the job and extra workload, were responsible for the depletion of human energy at work, resulting in fatigue and overexertion, and might consequently have risk associations with musculoskeletal outcomes. 18 This is also in line with the theoretical reasoning of the work system compatibility theory advanced by Genaidy et al 31 According to this theory, the higher the work system compatibility, defined as the degree of equilibrium between the energy expenditure and energy replenishment forces, the better the outcomes of human performance (fewer work accidents and illnesses; higher work productivity, and output quality).…”

mentioning

confidence: 99%

Work-Related Musculoskeletal Disorders in Turkish Hospital Nurses

Pınar¹

2010

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : To de ter mi ne the pre va len ce of work-re la ted mus cu los ke le tal di sor ders (WRMD) and the re la ted fac tors in Tur kish nur ses. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : The samp le con sis ted of 2400 nur ses wor king at hos pi tals in Is tan bul. The study was con duc ted bet we en Ja nu ary and May in 2008. A cross-sec ti o nal sur vey de sign was used. Da ta we re col lec ted by a qu es ti on na i re inc lu ding per so nal, oc cu pa ti o nal va ri ab les, and WRMD. R Re e s su ul lt ts s: : Twel ve-month pre va len ce was 79.5%. The hig hest pre va len ce was re cor ded for the lo wer back (49.7%), fol lo wed by sho ul ders (38%), and neck (35%). Nur ses wor king in in ten si ve ca re units we re li kely to suf fer from WRMD more when compa red to ot her nur ses. The most com mon fac tors that led to or wor se ned WRMD we re he avy lif ting (92.3%), pro lon ged stan ding (89.8%), and ben ding (64.8%). Se venty per cent of nur ses with WRMD had vi si ted a doc tor, 47% to ok sick-day me di cal re port, 4% of nur ses re por ted that WRMD symptoms made them to mo dify the ir du ti es, and 32% of nur ses re por ted that they wo uld li ke to le a ve the oc cu pa ti on. C Co on nc c l lu u s si i o on n: : This study sup ports that nur ses in Tur key suf fer from symptoms of WRMD du e to work-re la ted fac tors similar to the ir co un ter parts el sew he re. The re sults may con tri bu te to plans for pre ven ta ti ve stra te gi es aga inst WRMD in Tur key.K Ke ey y W Wo or rd ds s: : Mus cu los ke le tal di se a ses; nur ses; pre va len ce Ö ÖZ ZE ET T A Am ma aç ç: : Türk hem şi re le rin de işe bağ lı kas-is ke let ra hat sız lık la rı ve il gi li fak tör le ri be lir le mek tir. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Ça lış ma İstan bul' da çe şit li has ta ne ler de ça lı şan 2400 hem şi re üze rin de OcakMa yıs 2008 ta rih le ri ara sın da ya pıl mış tır. Ke sit sel araş tır ma di zay nı kul la nıl mış, ve ri ler ki şi sel, mesle ki ve işe bağ lı kas is ke let ra hat sız lı ğı nı sor gu la yan an ket for mu ile top lan mış tır. B Bu ul l g gu u l la ar r: : 12 ay lık pre va lans %79.5'dir. Pre va lan sı en yük sek olan bel ra hat sız lı ğı nı (%49.7), omuz (%38) ve bo yun (%35) ra hat sız lık la rı iz le miş tir. Yo ğun ba kım üni te le rin de ça lı şan hem şi re ler di ğer hem şi re le re kı yas la daha faz la kas-is ke let ra hat sız lı ğı ya şa mak ta dır lar. Kas-is ke let ra hat sız lı ğı na en sık yol açan fak tör ler ağır kal dır ma (%92.3), uzun su re ayak ta dur ma (%89.8) ve eğil me dir (%64.8). Hem şi re le rin %70'i heki me baş vur muş, %47'si ra por al mış tır, %4 ora nın da ki hem şi re ra hat sız lık la rı ne de niy le gö rev de ği -şik li ği ya pıl mış tır. Hem şi re le rin %32'si işin den ay rıl mak is te dik le ri ni be lirt miş tir. S So o n nu uç ç: : Bu ça lış ma so nuç la rı Tür ki ye' de hem şi re le rin di ğer ül ke ler de ki mes lek taş la rı na ben zer şekil de işe bağ lı ...

show abstract

“…For example, between 1981 and 1993, total hospital employment grew steadily, while nursing personnel declined by 7.3% after case-mix controlled (Aiken, Sochalski, & Anderson, 1996). Studies in the U.S. indicate that inadequate staffing has been associated with back injuries among nurses (Lipscomb, Trinkoff, Brady, & Geiger-Brown, 2004). In a cross-sectional study of 1163 nursing, Lipscomb et al (2004) found that the odds ratios for neck, shoulder, and back musculoskeletal disorders showed a consistent and increasing trend with the level of reported health care system change experienced by nurses.…”

Section: Nursesmentioning

confidence: 99%

“…Studies in the U.S. indicate that inadequate staffing has been associated with back injuries among nurses (Lipscomb, Trinkoff, Brady, & Geiger-Brown, 2004). In a cross-sectional study of 1163 nursing, Lipscomb et al (2004) found that the odds ratios for neck, shoulder, and back musculoskeletal disorders showed a consistent and increasing trend with the level of reported health care system change experienced by nurses. The specific health care system changes referenced were ones that, within the course of a year, resulted in 65% increase in patient loads and 68% increase in patient acuity.…”

Section: Nursesmentioning

confidence: 99%

“…The result was a 3-fold increase in neck and back musculoskeletal disorders. Among nurses, the prevalence for these disorders were as follows neck 20%, shoulder 17%, and back musculoskeletal-disorders 29% (Lipscomb, et al, 2004). Lipscomb et al (2004) concluded that nurses experienced difficult work conditions that have an impact on their health over and above the psychological and physical job demands.…”

Section: Nursesmentioning

confidence: 99%

See 1 more Smart Citation

Cost Burden of the ‘Presenteeism’ Health Outcome in a Diverse Nurse and Pharmacist Workforce: Practice Models and Health Policy Implications

Warren¹

View full text Add to dashboard Cite

Health Care System Changes and Reported Musculoskeletal Disorders Among Registered Nurses

Abstract: The adverse impact on health caused by the changing health care system must be addressed to prevent further injuries among nurses.

Cited by 112 publications

References 35 publications

An ergonomic evaluation of tasks of healthcare unit personnel in different shifts in General Hospitals in West Bengal

An ergonomic evaluation of tasks of healthcare unit personnel in different shifts in General Hospitals in West Bengal

Work-Related Musculoskeletal Disorders in Turkish Hospital Nurses

Cost Burden of the ‘Presenteeism’ Health Outcome in a Diverse Nurse and Pharmacist Workforce: Practice Models and Health Policy Implications

Contact Info

Product

Resources

About