Psychometric Evaluation of the Workstyle Short Form among Nursing Assistants with Work-Related Musculoskeletal Symptoms (original) (raw)
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International Journal of Environmental Research and Public Health, 2018
The prevalence of work-related musculoskeletal symptoms (WRMSs) in different body parts for nursing assistants (NAs) working in nursing homes is currently unknown. The aim of this study was to determine the extent of WRMSs in nursing assistants and the factors associated with them. Four hundred and forty NAs from 52 nursing homes, recruited by convenience sampling, participated in this cross-sectional study in 2014-2015. A valid and reliable study questionnaire was used to collect data. The results of our study found that 88.4% of NAs reported at least one body part with WRMSs. These NAs reported more symptoms in the shoulders than lower back. Adverse workstyle (OR = 1.04, 95% CI = 1.01-1.08) was the only factor associated with WRMSs after adjustment for potential confounders using multivariable logistic regression. This adverse workstyle could be developed because of physical and psychological work demands. Efforts should be directed at integrating "workstyle intervention" into lifestyle physical activity training to this group of healthcare workers.
PeerJ, 2021
Nursing assistants (NAs) working in nursing homes (NHs) are at higher risk for work-related musculoskeletal symptoms (WRMSs) than their counterparts working in other health care settings. Worldwide, NAs have ranked shoulders in the top three body parts at risk of WRMSs. However, factors associated with their shoulder WRMSs are currently unknown. The aim of this study was to identify these associated risk factors among NAs working in NHs. 440 NAs from 47 nursing homes (with 60–90% response rate from each nursing home), recruited by convenience sampling, participated in this cross-sectional study in 2014–2015. A validated and reliable questionnaire was used for data collection. Information on demographic, job content questionnaire (JCQ), perceived physical exertion (PE), workstyle, ergonomic and manual handling knowledge and other work-related factors was collected using a self-administered questionnaire. 53% of the participants reported experiencing with WRMSs in their shoulders. Nin...
Workstyle: Development of a Measure of Response to Work in Those With Upper Extremity Pain
Journal of Occupational Rehabilitation, 2005
Workstyle or the behavioral, cognitive, and physiological response that can occur in some individuals to increases in work demands has been proposed to clarify the link between ergonomic and psychosocial factors in the exacerbation of work-related upper extremity symptoms. Currently there is no measure of this construct, hindering research on its potential link to work related upper extremity problems in the workplace. The present study describes the development and psychometric properties of a measure of workstyle. Questionnaire items reflecting dimensions of workstyle as per the original conceptualization were generated primarily through focus groups with office workers and separate groups held with occupational physicians, physical therapists, occupational health psychologists, and experts in ergonomics, behavioral science, and human factors. Items created through this process were then administered to 282 symptomatic and asymptomatic office workers. Measures of job stress, ergonomic risk, upper extremity symptoms, and functional limitations were also obtained. The workstyle questionnaire was divided into two broad dimensions: Characteristic responses to work and Response to increased work demands. The scales development process as indicated by factor analysis yielded subscales that are theoretically consistent with the workstyle construct. These subscales include: working through pain, social reactivity at work, limited workplace support, deadlines/pressure, self imposed work pace/workload, breaks, mood, pain/tension, autonomic response, and numbness tingling. The internal consistency of these subscales varied from 0.61 to 0.91, n = 282 while the test-retest (3 weeks) reliability for the various subscales ranged from r = 0.68 to 0.89, n = 143. A total workstyle score was computed that excluded the pain/tension and numbness/tingling subscales to avoid circular reasoning in terms of the measure's relationship to outcomes of pain and functional limitations. The total score was stable over time and 88 Feuerstein et al. provided unique variance in relation to traditional measures of job stress. Total workstyle score was significantly associated with higher levels of pain, and greater functional limitations. Dimensions of the workstyle construct were identified. The workstyle measure possesses acceptable psychometric properties in office workers who work with computers. This measure can be used in future studies on the interaction of psychosocial and ergonomic factors in the exacerbation of upper extremity pain and functional limitation.
urses as compared to any other occupation have the highest intensity of work-related musculoskeletal disorders (WMSD's), however, there were countless researches were done on the nurses worldwide but there is limited information on it prevalence in Faisalabad. This study sought to determine prevalence of musculoskeletal disorders and work related associated factors among nurses of Allied and D.H.Q hospital, Faisalabad. Validated and Reliable Standardized Nordic Questionnaire was used to collect data from randomly 300 total forms were distributed among the nurses and 220 nurses returned the forms, within which only 100 complete forms were included in the study. Mean age of respondents was (43.75). On analysis we found that Total 80% nurses have reported work related musculoskeletal pain and discomfort in their occupational life. Highest recorded pain due to work related stresses and awkward postures was headache (64%), followed by lower back pain (47%), shoulder pain (42%), neck pain (39%), knee pain (32%), ankle/foot pain (20%), elbow pain (16%), upper back pain (13%), hip pain (12%), abdominal pain (9%) and chest pain (7%). Association of pain was analyzed with age, workload and work experience of nurses, it was seen that age respond to WMSD's. Most of young nurses (up to 40) had low pain level, while majority of old aged (more than 50) suffered from moderate to severe pain (57.7%). Moreover, nurses with greater work experience had greater ratio of WMSD's most of nurses (47.4%) who had low experience (up to 10) respondents never had pain problem, while majority of the respondents who had more than 20 years working experience had some level of pain. Even though, association between work load and WMSD's pain also shows positive relationship. It is evident that rate of WMSD's among nurses is very common which is accountable for limitation in performance of their duty efficiently in routine Headache, lower back pain, shoulder pain, neck pain are the most effected body regions whereas knee pain, ankle/foot pain, elbow pain, upper back pain, hip pain, abdominal pain and chest pain are the least affected areas. Work load, job experience and age also contribute to the occurrence of WMSD's.
Workplace health & safety, 2017
Little is known about how nursing assistants (NAs) perceive the nature of their work and how their work contributes to work-related musculoskeletal disorders (WMSDs). This qualitative study addressed these gaps. Twenty-four NAs with WMSDs working in four nursing homes participated in semistructured focus group interviews. Their WMSDs were not limited to the lower back but involved several body parts. The risk factors for WMSDs included physical, psychosocial, organizational, and personal factors as well as coworkers and clients. However, it is the synergistic effects of long work hours without sufficient rest, work even with musculoskeletal pain because of staff shortages, ineffective management with insufficient prework training and inadequate equipment maintenance, and an aging workforce with strong commitment to resident care that play a crucial role in WMSDs among NAs working in nursing homes. The study found that multidimensional intervention strategies using engineering, admin...
Asian Spine Journal, 2016
Psychometric evaluation of a multidisciplinary work-related low back pain predictor questionnaire (MWRLBPPQ) of Iranians patient-care workers based on the social cognitive theory. Overview of Literature: Healthcare is one of the professions in which work-related musculoskeletal disorders are prevalent. The chronic low back pain experienced by patient caregivers can negatively impact their professional performance, and patient handling in a hospital is the main cause of low back pain in this population. Methods: This was a cross-sectional study carried out in Qom, Iran from July 2014 to November 2014. A MWRLBPPQ based on nine concepts of the social cognitive theory and existing literature regarding chronic low back pain was developed. Ten patient-care workers first completed the questionnaire as a pilot test, allowing the ambiguities of the instrument to be resolved. Exploratory factor analysis was used to confirm construct validity. This questionnaire was distributed among 452 patient-care workers in hospitals located in different geographically areas in Qom, Iran. Cronbach's Alpha was calculated to assess reliability. Results: In all, 452 caregivers of patients with mean age of 37.71 (standard deviation=8.3) years participated in the study. An exploratory factor analysis loaded seven concepts of self-efficacy, knowledge, outcome perception, self-control, emotional coping, and selfefficacy in overcoming impediments and challenges in the environment. All concepts were jointly accounted for 50.08% of variance of behavior change. The Cronbach's alpha coefficient showed favorable internal consistency (alpha=0.83), and test-retest of the scale with 2-week intervals indicated an appropriate stability for the MWRLBPPQ. Conclusions: The MWRLBPPQ is a reliable and valid theory-based instrument that can be used to predict factors influencing workrelated low back pain among workers who lift and transfer patients in hospitals.
Work-related musculoskeletal problems and associated factors among office workers
International Journal of Occupational Safety and Ergonomics, 2018
Purpose: The aim of this study was to investigate musculoskeletal disorders (MSDs) and its associated factors among Iranian office personnel. Materials and Methods: In this cross-sectional study, 359 Iranian office workers were included. Data were gathered using a demographic questionnaire, the Nordic musculoskeletal questionnaire, the numeric rating scale, rapid office strain assessment (ROSA), and NASA task load index (NASA-TLX). Results: Our findings showed that the highest prevalence rate of MSDs within the last 12 months, and the highest pain/discomfort severity were related to the participants' necks. The mean performance, mental demand, and effort subscale scores of NASA-TLX were higher than other subscale (physical demand, temporal demand, and frustration level). ROSA scores showed that 53.8% of the participants were in action level 1 (low MSDs risk) and the rest (46.2%) were in action level 2 (high MSDs risk). The pain/discomfort severity in shoulders, elbows, wrists/hands, thighs, and ankles/feet were correlated to the final ROSA score. Age, gender, body mass index (BMI), and some NASA-TLX subscales (effort, mental demand, and performance) were associated with symptoms of MSDs in different body regions. Conclusions: Improving workplace conditions (both mentally and physically) is suggested for reducing and eliminating musculoskeletal problems in office workers.
Journal of Back and Musculoskeletal Rehabilitation, 2020
BACKGROUND: Work-related musculoskeletal disorders (WMSDs) represent a significant problem for nurses. It is thus important to investigate nurses’ WMSDs prevalence and comprehensive predictors including motor, mental, and lifestyle factors. OBJECTIVES: To investigate the prevalence and predictors of lower quadrant WMSDs among Jordanian nurses. METHODS: A cross-sectional design, using self-administered questionnaires, was utilized. Outcome measures included Nordic Musculoskeletal Questionnaire (NMQ), Depression Anxiety Stress Scale (DASS21), Pittsburgh Sleep Quality Index (PSQI), sociodemographic data, and self-reported work ergonomics. Descriptive analyses were used to determine lower quadrant WMSDs prevalence and regression analyses were used to assess their predictors. RESULTS: A total of 597 nurses participated in the study. Twelve-month prevalence of lower quadrant WMSDs were 77.4% in lower back, 22.3% in hips, 37.5% in knees, and 28.5% in ankles and feet. Older age, longer year...
Archives of Medical Research, 2009
Background and Aims. Little attention has been given to musculoskeletal symptoms in the lower extremities among office workers. The aim of this study was to investigate the relationships between the self-reported prevalence of musculoskeletal symptoms in the hip, knee and ankle/foot and individual, work-related physical and psychosocial factors. Methods. A cross-sectional survey was conducted in which 2000 office workers from 54 workplaces in Bangkok registered at the Social Security Office of Thailand received a self-administered questionnaire. Of those, 1428 (71%) returned the questionnaire. After screening for exclusion criteria, 1185 office workers were eligible for the study. The prevalence of self-reported musculoskeletal symptoms in the hip, knee and ankle/foot was associated with certain individual, work-related physical and psychosocial factors. Results. Mental demands and work repetitiveness were each significantly associated with the prevalence of experiencing hip symptoms. Suffering from a chronic disease, the average number of working hours/day, sleep quality and self-rated perception of air circulation in the office were significantly related to the prevalence of experiencing knee symptoms. Significant associations were found between the prevalence of experiencing ankle/foot symptoms and sleep quality, self-rated perception of the ergonomics of the desk and size of office space and frequency of feeling frustrated during the previous 4 weeks. Conclusions. Results of this study indicated that several biopsychosocial factors were associated with a high prevalence of self-reported musculoskeletal symptoms in the lower extremities among office workers. Further prospective studies are required to substantiate the observed associations.
Journal of Clinical and Diagnostic Research, 2022
Introduction: Nurses are considered to be the frontline healthcare professionals with prolonged hours of caring for ailing as well as critically ill patients. This highly demanding work pattern can lead them to experience Work-related Musculoskeletal Disorders (WRMSD) and thus makes it important to study its prevalence and its impact on workability and to develop appropriate supportive strategies to improve their health and work efficiency. Aim: To explore the prevalence of WRMSDs among hospital nurses in Delhi, including the risk factors and coping strategies adopted by them to avoid the risk of WRMSDs. Materials and Methods: This multicentric survey, cross-sectional study was conducted in different hospitals in Delhi, India, from October 2020 till March 2021 among 260 nurses. Data were collected using the Nordic Musculoskeletal Questionnaire (NMQ), Perceived Stress Scale (PSS) and Workability Index (WAI). Pearson's product moment correlation was used to develop correlations for continuous variables and Biserial correlation test was used for dichotomous variables. The level of significance was 95% (p-value <0.05). Results: The mean age and mean work duration were 35.62±7.12 years, and 8.60 hours per day respectively. Out of total, 230 (88.5%) were females and 30 (11.5%) were males. The prevalence of WRMSD was 80% during the last 12 months with low back pain, the most commonly reported problem. The majority of nurses communicated moderate workability (47.7%) and moderate level of stress (73.5%). The result of linear multiple regression analysis showed that the independent variables of (age, work hours, type of job, back and shoulder pain) explained 46.4% of the workability index (R 2 =0.444, adjusted R 2 =0.395), and the model significant (F-value=14.76, p-value <0.001). Conclusion: Nurses are at high-risk for WRMSD as well as observing prolonged stress and reduced workability. Special measures should be taken to ensure that they work in an ergonomically acceptable workplace and that proper body mechanics and stress management practices are adopted. Lifestyle intervention would help in preventing and reducing impact of WRMSDs.