Study DesignInterventional research with a 6-month follow-up period.PurposeWe aimed to establish the effectiveness of a multidisciplinary workplace intervention on reduction of work-related low back pain (WRLBP), using ergonomic posture training coupled with an educational program based on social cognitive theory.Overview of LiteratureWRLBP is a major occupational problem among healthcare workers, who are often required to lift heavy loads. Patient handling is a particular requirement of nurse aides, and has been reported as the main cause of chronic WRLBP.MethodsWe included 125 nursing assistants from two hospitals affiliated to Qom University of Medical Sciences from May to December 2015. There was an intervention hospital with a number of 63 nursing assistants who received four multidisciplinary educational sessions for 2 hours each plus ergonomic posture training over two days and a control hospital with a number of 62 nursing assistants who didn't receive educational intervention about low back pain. The outcomes of interest were reductions in WRLBP intensity and disability from baseline to the follow up at 6 months, which were measured using a visual analog scale and the Quebec Disability Scale. Descriptive and analytical statistics were used to analyze the data.ResultsThe comparison tests showed significant change from baseline in reduction of WRLBP intensity following the multidisciplinary program, with scores of 5.01±1.97 to 3.42±2.53 after 6 months on the visual analog scale in the intervention group (p<0.001) and no significant change in control groups. There was no significant difference in the disability scores between the two groups (p=0.07).ConclusionsWe showed that our multidisciplinary intervention could reduce the intensity of WRLBP among nurse aides, making them suitable for implementation in programs to improve WRLBP among nursing assistants working in hospitals.

Work -related Musculoskeletal Disorders (WMSds) are mainly associated with nurses' high physical demands. Training healthy behavior can reduce these disorders. This study aimed to evaluate the effect of educational intervention based on Social Cognitive Theory (SCT) on changing unhealthy behaviors leading to(LBP) in nursing aid staff working in Qom hospitals. Method and Materials: A quasi-experimental study was conducted from 2017 to 2018 with educational intervention based on SCT was performed on 452 nursing aid. Data collection tools were the questionnaire of SCT constructs, the LBP Prevention Behavior Questionnaire (LBPBPQ), the Quebec Back Pain Disability Scale (QBPDS), and the Visual Analog Scale (VAS) for LBP. The training was based on the four structures of self-efficacy, self-regulation, outcome expectation, and moral disengagement in groups of 20 to 30 individuals. Then the pre-and post-intervention data were compared through the statistical tests. Findings: After the intervention, SCT structures were increased significantly. The mean score of lumbar health behavior after training showed a significant increase from 32.59 to 32.57. The mean score of LBP after training decreased significantly from 5.17 to 3.98 and the mean score of physical disability of LBP decreased significantly after training. Conclusion: Educational intervention based on SCT reduces the severity of LBP and the consequent disability.

ne of the central tasks of nurses is to provide holistic care for patients admitted to hospitals and health care centers (1,2). The receipt of these care services is the basic right and expectation of patients (3,4). According to the literature, when patients are admitted to the hospital, they need to fulfill their religious needs more than other times; so, they require the treatment team members to help them in this regard (4,5). It is argued that religion satisfies many of peoples' needs and fills the void in them. Religion and religious beliefs are also important factors for patient's compliance with difficulties (4,6,7). Religion is an important strategy for the adaptation of individuals to life-threatening illnesses (8), promotion of moral values, enhancement of inpatients' satisfaction and helping them to meet their rights, and reduction of patients' mental health problems (7,9). In a study conducted on 64 patients with cardiac disease, spiritual/religious programs were demonstrated to be effective in the mitigation of patients' anxiety (10).

Study DesignPsychometric evaluation design.PurposePsychometric 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 LiteratureHealthcare 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.MethodsThis 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.ResultsIn 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 self-efficacy 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.ConclusionsThe MWRLBPPQ is a reliable and valid theory-based instrument that can be used to predict factors influencing work-related low back pain among workers who lift and transfer patients in hospitals.