Association of musculoskeletal disorders and workload with work schedule and job satisfaction among emergency nurses (original) (raw)
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Relationship Between Musculoskeletal Disorders, Job Demands, and Burnout Among Emergency Nurses
Advanced Emergency Nursing Journal, 2012
Musculoskeletal disorders (MSDs) represent one of the most common occupational problems in nursing. MSDs can negatively impact one's quality of life. The aim of the study was to investigate the relationship between MSDs, job demands, and burnout among emergency nurses. The researchers hypothesized that increased job demands were associated with more MSDs and consequently higher levels of burnout. The study was conducted on a convenience sample of 58 nurses working in the emergency departments of Zagazig University Hospital and Al-Ahrar, Hospital Egypt from October to December 2010, using a cross-sectional analytic design. Data were collected using a selfadministered questionnaire that included the Standardized Nordic Questionnaire, the Job Content Questionnaire, and the Maslach Burnout Inventory. The results revealed that 32.8% of the nurses were overweight and 17.2% were obese. The most common sites of pain were the neck (67.2%), shoulder (65.5%), and lower back (63.8%). Lower back pain was the most common site affected (72.4%) with a mean 5.1 on a scale ranging from 0 to 13. A positive correlation existed between the scores of job demand and burnout (r = 0.340, p < 0.01), and the number of reported MSDs with the score of job demand (r = 0.33, p < 0.05). Multiple linear stepwise regression analysis identified the score of job demand and the severity of lower back pain as positive independent predictors of the burnout whereas the job demand score was the independent predictor of the number of MSDs. This study documents an increased prevalence of MSDs among emergency nurses, as predicted by increased job demand and associated with a higher level of burnout. Hence, it is important for hospital and nursing administrators to address the factors contributing to job stress and burnout, with emphasis on job satisfaction and work organization to alleviate the burden of psychosocial factors in this setting. Key words: burnout in nurses, emergency nurse burnout, job demands, musculoskeletal disorders W ORK IN EMERGENCY NURSING is very demanding, both physically and emotionally. Emergency nurses deal with a variety of critical cases
Indian Journal of Forensic Medicine & Toxicology, 2021
Nurse workload is defined as all of the activities performed by a nurse while working in a nursing service unit. Work-related musculoskeletal disorder (WMSD) is a Musculoskeletal disorder (MSD) that becomes more severe or lasts for a long time due to work-related activities. This study aims to determine the relationship between the workload of emergency room nurses and the level of complaints in the musculoskeletal system through the Nordic Body Map (NBM) method approach in every regional hospital in Tuban City. This study was carried out using descriptive correlative study method with a cross sectional approach. The number of respondents that participated in this study were 63 E.R. nurses who worked in regional hospitals in Tuban City. Data was collected using a workload questionnaire and the Nordic Body Map (NBM) method to determine the level of complaints of the musculoskeletal system. Data was then analyzed using Chi Square test. Results showed that 54% of the respondents had moderate workload and no emergency nurses at hospitals in Tuban City had light workload. 44.4% of emergency nurses at hospitals in Tuban City had severe musculoskeletal complaints. According to this data, there is a relationship between the workload of emergency room nurses and the level of complaints in the musculoskeletal system (P = 0.028). In conclusion, emergency nurses should keep an eye on their workload so that musculoskeletal problems do not occur.
The Indonesian Journal of Occupational Safety and Health, 2020
Introduction: Musculoskeletal disorders complaints occur due to excessive muscle contraction, excessive workloads and monotonous movements such as when nurses perform various nursing task such as moving patients, carrying patients from bed to wheelchair, awkward posture during infusion placement. This study aims to determine the correlation between physical workload and musculoskeletal disorders complaints among nurses at Regional General Hospital (RSUD) of Indramayu District in 2019. Methods: The design of this study uses quantitative with cross sectional. The method of data collection was crried by means of interview using the Nordic Body Map (NBM) questionnaire and observing the pulse calculation manually using a watch. Among the populations of 348 nurses, the samples of 75 nurses were selected based on the accidental sampling method. Statistical test used the chi-square test with a confidence level of 95% (α=0.05). Results: The study findings showed that most of 40 nurses who ha...
The prevalence of musculoskeletal disorders among nurses working in emergency department
2019
Introduction: Musculoskeletal disorders can be associated with various physical and psychological disorders for the affected individuals. Objectives: In the present study, the prevalence of musculoskeletal disorders among nurses working in emergency departments was studied. Methods: The study was conducted in three teaching hospitals affiliated to Qazvin University of Medical Sciences (2018-2019). Musculoskeletal disorders were studied among 100 nurses working in the emergency department using Nordic questionnaire. Collected data were then analyzed using SPSS version 16. Results: A total number of 100 nurses participated in this study. Among them, 83 of them were female. The mean age of participants was 28.7±6.2 years. The most prevalent musculoskeletal disorders were in the lumbar region (67%) and then in the neck, knees and shoulders, respectively. The results also showed that rest, decreased activity, leaving the workplace, or inability to perform activity at work or home was occ...
The physical workload of nursing personnel: association with musculoskeletal discomfort
International Journal of Nursing Studies, 2004
Direct care-nursing personnel around the world report high numbers of work-related musculoskeletal disorders. This cross-sectional study examined the association between the performance of high-risk patient-handling tasks and selfreported musculoskeletal discomfort in 113 nursing staff members in a veterans' hospital within the United States. Sixty-two percent of subjects reported a 7-day prevalence of moderately severe musculoskeletal discomfort. There was a significant association between wrist and knee pain and the number of highest-risk patient-handling tasks performed per hour interacting with the load lifted. On units where lifting devices are readily available, musculoskeletal risk may have shifted to the wrist and knee.
Hospital nurses tasks and work-related musculoskeletal disorders symptoms: A detailed analysis
Work (Reading, Mass.), 2014
Hospital work-related musculoskeletal disorders (WRMSDs) symptoms are highly prevalent and nurses are considered the health care professional group more often affected by WRMSDs. Understanding the effects of nursing tasks on WRMSDs symptoms.METHODS: Portuguese nurses answered to a modified Nordic Musculoskeletal symptoms Questionnaire. The increased likelihood of having WRMDs symptoms was estimated from a daily working task schedule and the probability of suffering from lumbar WRMSDs symptoms intensity was also estimated. Hospital nurses studied (n=1.396) were mainly females (75.8%), and most of them reported more than 1 symptom (88%). Low-back pain was the most prevalent complaint (60.9%). Tasks performed more than 10 times a day, such as invasive procedures (OR=2.142); care of hygiene and patient comfort in bed (OR=2.484); patient mobilization in bed (OR=2.022); and patient feeding (OR=2.186) had an effect on dorsal and lumbar symptoms (p< 0.05). Those tasks involving invasive ...
Perceived physical demands and reported musculoskeletal problems in registered nurses
American Journal of Preventive Medicine, 2003
Background: Nursing is physically demanding, and nurses have higher rates of musculoskeletal disorders (MSDs) than most other occupational groups. The physical demands of nursing may lead some nurses to leave the profession, contributing to the shortage of registered nurses in many workplaces that is a major concern today. As a first step toward reducing MSDs and their consequences, this study was designed to examine the relationship between perceived physical demands and reported neck, shoulder, and back MSDs in nurses. Methods: Data were collected anonymously from 1163 randomly selected working nurses (74% response rate) using a cross-sectional survey. The 12-item survey scale (internal reliability coefficientϭ0.89), rated perceived physical demands such as force, awkward postures, and heavy lifting. Nurses with a presumed MSD case reported relevant past-year symptoms in the neck, shoulder, and/or back lasting Ն1 weeks, or at least monthly, with moderate or more pain, on average. Results: Moderate and high perceived physical demands were significantly associated with reported neck, shoulder, and back MSD cases, even after adjustments for demographic and lifestyle-related covariates. Adjusted odds ratios for highly demanding work (vs low) ranged from 4.98 to 6.13 depending on body site. When analyses were restricted to staff nurses only, the odds ranged from 9.05 to 11.99. Conclusions: Perceived physical demands are associated with reported MSD in registered nurses, and the association is stronger in staff nurses.
North American Journal of Medical Sciences, 2015
Safety and Health (NIOSH) listed nursing among 40 occupations with high incidence of diseases related to excessive workload. It is also believed that nursing profession is probably at the top of stressful jobs in a healthcare system. It is obvious that nurses' physical and mental health problems with higher work-related stressors are crucial factors in reducing the quantity and quality of their work performance Abstract Background: Stress in nurses may increase the prevalence of musculoskeletal discomforts. Aim: The aim of this study was to determine the prevalence of musculoskeletal discomforts and job stress among nurses and to investigate the association between musculoskeletal discomforts and occupational stressors. Materials and Methods: In this cross-sectional study, 144 nurses in one of the main referral hospitals of Tehran-Iran were randomly selected and studied. Data were collected by HSE job stress questionnaire and The Cornell Musculoskeletal Discomfort Questionnaire through interviews with nurses in their workplace. Results: Most reported musculoskeletal discomforts localized in the neck, back, knee and shoulder and the minimal discomforts were in wrist and elbow. On the other hand, stressors such as demand, changes in workplace, control and responsibilities had signifi cant effect on increasing musculoskeletal discomforts of organs such as neck, shoulders and back (P < 0.001). Conclusion: There was a signifi cant association between stressors such as demand, control, responsibilities and changes in workplace and reported musculoskeletal disorders, especially in neck, shoulders and back. It is suggested to use defi ned programs for management and control of stressors to control occupational stress in nurses. Moreover, prevention of musculoskeletal discomforts due to their high prevalence in the study population is important.
Work-schedule characteristics and reported musculoskeletal disorders of registered nurses
Scandinavian Journal of Work, Environment & Health, 2002
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 "other than day shifts") 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 systemlevel approaches to scheduling that reduce the time of exposure to demanding work conditions and promote healthful work-rest patterns. Key terms back problems, long workhours, neck problems, shift work, shoulder problems.
Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period
Occupational and Environmental Medicine, 1997
Objectives-To examine the variation of symptoms from the neck, shoulders, and back over a three year period among female nursing personnel and the relation between job strain and musculoskeletal symptoms. Methods-At a county hospital the female nursing personnel answered a questionnaire at baseline and then once a year over a period of three years. There were 565, 553, 562, and 419 subjects who answered the questionnaire at the first, second, third, and fourth survey, respectively. Of the study group, 285 nursing personnel answered the questionnaire on four occasions. Ongoing symptoms of the neck, shoulders, and back were assessed by means of a 10 point (0-9) scale with the verbal end points "no symptoms" and "very intense symptoms." Cases were defined as nursing personnel reporting ongoing symptoms, score >6, from at least one of the body regions. For assessments of job strain, a Swedish version of Karasek and Theorell's model was used. Results-Of the 285 subjects, 13% were defined as cases at all four assessments, and 46% varied between cases and not cases during the study period. In the repeated cross sectional surveys the estimated rate ratio (RR) for being a case was between 1.1 and 1.5 when comparing the group with job strain and the group without job strain. For the combination of job strain and perceived high physical exertion the estimated RR was between 1.5 and 2.1. When the potential risk factors were assessed one, two, or three years before the assessment ofsymptoms the estimated RR for becoming a case was between 1.4 and 2.2 when comparing the group with job strain and the group without job strain. Conclusion-Almost half ofthe healthcare workers varied between being a case and not, over a three year period. The analysis indicated that job strain is a risk factor for musculoskeletal symptoms and that the risk is higher when it is combined with perceived high physical exertion. (Occup Environ Med 1997;54:681-685)