A Multidisciplinary Workplace Intervention for Chronic Low Back Pain among Nursing Assistants in Iran

Shojaei, Sarallah; Tavafian, Sedigheh Sadat; Jamshidi, Ahmad Reza; Wagner, Joan

doi:10.4184/asj.2017.11.3.419

Cited by 22 publications

(31 citation statements)

References 22 publications

(28 reference statements)

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“…Multifaceted Ergonomics 13 studies reporting on 15 different interventions were identified and grouped within the ergonomics domain [44][45][46][47][48][49][50][51][52][53][54][55][56]. 5 interventions from high-quality studies and 5 interventions from medium quality studies presented no effect of workplace ergonomics on MSD.…”

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confidence: 99%

A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work

et al. 2020

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Purpose This systematic review investigates the effectiveness of workplace interventions to rehabilitate musculoskeletal disorders (MSDs) among employees with physically demanding work. Methods A systematic search was conducted in bibliographic databases including PubMed and Web of Science Core Collection for English articles published from 1998 to 2018. The PICO strategy guided the assessment of study relevance and the bibliographical search for randomized controlled trials (RCTs) and non-RCTs in which (1) participants were adult workers with physically demanding work and MSD (including specific and non-specific MSD and musculoskeletal pain, symptoms, and discomfort), (2) interventions were initiated and/ or carried out at the workplace, (3) a comparison group was included, and (4) a measure of MSD was reported (including musculoskeletal pain, symptoms, prevalence or discomfort). The quality assessment and evidence synthesis adhered to the guidelines developed by the Institute for Work & Health (Toronto, Canada) focusing on developing practical recommendations for stakeholders. Relevant stakeholders were engaged in the review process. Results Level of evidence from 54 high and medium quality studies showed moderate evidence of a positive effect of physical exercise. Within this domain, there was strong evidence of a positive effect of workplace strength training. There was limited evidence for ergonomics and strong evidence for no benefit of participatory ergonomics, multifaceted interventions, and stress management. No intervention domains were associated with "negative effects". Conclusions The evidence synthesis recommends that implementing strength training at the workplace can reduce MSD among workers with physically demanding work. In regard to workplace ergonomics, there was not enough evidence from the scientific literature to guide current practices. Based on the scientific literature, participatory ergonomics and multifaceted workplace interventions seem to have no beneficial effect on reducing MSD among this group of workers. As these interventional domains were very heterogeneous, it should also be recognized that general conclusions about their effectiveness should be done with care. Systematic review registration PROSPERO CRD42018116752(https ://www.crd.york.ac.uk/prosp ero/displ ay_recor d.php?Recor dID=11675 2).

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confidence: 99%

A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work

et al. 2020

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“…Additionally, it is believed that certain patient handling maneuvers are more stressful, with higher injury risk, implying that they could have enormous improvement potential . These findings were supported in a study by Shojaei and colleagues (2017), which showed that a multidisciplinary workplace intervention employing social cognitive theory and using ergonomic posture training and education was effective in reducing the risk of work-related low back pain among nursing staff (Shojaei, Tavafian, Jamshidi, & Wagner, 2017). Garg and Kapellusch (2012) found out that implementation of ergonomics programs that involved modern patient-handling devices in seven nursing facilities resulted in a reduced number of injuries, workers' compensation costs, modified-duty days, and lost workdays linked to patient-handling tasks, despite an increase in the level of patient acuity post-intervention.…”

Section: Training Programs and Lifting Equipmentmentioning

confidence: 55%

Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review

Aljohani

Pascua

2019

Nurs. Med. J. Nursing

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Background: Musculoskeletal injuries, notably lower back injuries, are major occupational health problems among nurses. These injuries occur mainly due to incorrect use of body mechanics upon handling, lifting, and transfer of patients. It is the leading cause of occupational disability and is associated with increased healthcare costs. Reducing these injuries can lead to a significant reduction in healthcare costs.Purpose: This integrative literature review aims to examine the impacts of manual handling and lifting devices on the risk of back pain among hospital nurses.Methods: This study uses an integrative literature review design. Proquest, Science Direct, MEDLINE, and CINAHL were searched comprehensively. A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow diagram was used to check the number of publications that were identified and screened for eligibility, and the number of publications excluded and reasons for exclusion. The Critical Appraisal Skills Programme (CASP) and the Centre for Evidence-Based Management critical appraisal checklist for a cross-sectional study (CEBM) were used to appraise the quality of selected articles.Results: Fifteen studies were found to highlight the importance of manual handling training programs and the consistent use of lifting devices in the prevention of low back pain. Ergonomics training, proper body mechanics and posture, use of body slings, workplace characteristics, availability of equipments and complexity of work, lost work days including nurses’ knowledge, experience, attitude and compliance are essential factors that impacts back pain.Conclusion: Manual handling training programs and the use of patient lifting equipment are effective in preventing lower back pain among nurses.

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“…However, during the study period, the rate of severe LBP among care workers at the intervention facility did not increase, while it doubled among the care workers at the non-intervention facility. Previous studies have reported that the rates of care workers’ LBP decreased after proper utilization of welfare equipment 1 , 2 , 3 , 4 , 5 , 6 ) , and after conducting education programs appropriate care methods and working posture 11 , 12 , 13 , 14 ) .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of re-education based on appropriate care methods using welfare equipment on the prevention of low back pain among care workers: a 1.5 year follow-up study

et al. 2018

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Many care workers at elderly care facilities in Japan suffer occupational low back pain (LBP) despite the utilization of welfare equipment. When introducing welfare equipment such as hoists and sliding boards, education on appropriate care methods using welfare equipment is usually conducted, but the effect of education diminishes with time. This intervention study aimed to examine the effect of re-education on appropriate care methods using welfare equipment on the prevention of care workers’ LBP at an elderly care facility. At the intervention facility, 49 care workers were enrolled in ergonomic education program for 1.5 yr in order to improve care methods using welfare equipment. At the non-intervention facility, 33 care workers were not enrolled in the program. Rates of severe LBP were not significantly different between the facilities. However, during the study period, the rate of severe LBP among care workers did not increase at the intervention facility, while it doubled among care workers at the non-intervention facility. The care workers at the intervention facility showed improvement in care methods using welfare equipment during the study period. Hence, we think that re-education regarding appropriate care methods using welfare equipment has the potential to prevent exacerbation of LBP.

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A Multidisciplinary Workplace Intervention for Chronic Low Back Pain among Nursing Assistants in Iran

Cited by 22 publications

References 22 publications

A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work

A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work

Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review

Effectiveness of re-education based on appropriate care methods using welfare equipment on the prevention of low back pain among care workers: a 1.5 year follow-up study

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