Discrepancies in pain presentation caused by adverse psychosocial conditions as compared to pain due to high physical workload?

Arvidsson, Inger; Simonsen, Jenny Gremark; Balogh, I; Hansson, Gert–Åke; Dahlqvist, Camilla; Granqvist, Lothy; Ohlsson, Kerstina; Axmon, Anna; Karlson, Björn; Nordander, Catarina

doi:10.3233/wor-2012-0483-2472

Cited by 4 publications

(4 citation statements)

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“…Also, the AnN had a higher physical workload than the Te, while the Te reported higher psychosocial scores than the AnN. Thus, the results suggest that the adverse psychosocial conditions among the teachers give rise to a different kind of pain in the neck than that from physical overload; one which is troublesome, but not as severe as that afflicting the nurses [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers

Arvidsson

Simonsen

Dahlqvist

et al. 2016

BMC Musculoskelet Disord

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BackgroundIt is usually assumed that musculoskeletal pain is associated with both the physical workload and the psychosocial work environment, as well as with personal and lifestyle factors. This study aims to ascertain the prevalence of musculoskeletal pain in women with varying or different occupational exposures, and to explore the associations between musculoskeletal pain and the occupational and personal factors.MethodsA questionnaire on physical, psychosocial and individual factors was answered by 1591 women in five occupational groups with contrasting occupational exposures (teachers, anaesthetic, theatre, and assistant nurses, and sonographers). The outcome measure was musculoskeletal pain (in a new model based on frequency and intensity of complaints the preceding year) from the neck, shoulders, hands, lower back and feet.ResultsNeck pain was equally frequent among teachers, assistant nurses and sonographers, and less frequent in anaesthetic and theatre nurses. The sonographers experienced the highest prevalence of shoulder pain, while the assistant nurses were the most affected in the wrists and hands, lower back, and feet.The teachers reported the highest scores in most of the psychosocial dimensions. The theatre nurses scored highest in strenuous work postures and movements (mechanical exposure index, MEI), and the assistant nurses in physical activity and lifting (physical exposure index, PHYI). Multivariable models in the total population showed that both the physical workload and the psychosocial work environment were associated with pain in all body regions, though different factors affected different regions. Pain in the neck, shoulders, hands and lower back was strongly associated with a high MEI and high job demands, while pain in the feet was associated with a high PHYI and a high BMI. A young age was associated with pain in the neck, and an older age was associated with pain in the hands and feet. Lack of time for personal recovery was associated with pain in the shoulders and lower back.ConclusionsThe occupational groups were affected differently and need different protective measures. For the teachers, the psychosocial work environment should be improved. The surgical staff and sonographers require measures to mitigate lifting and constrained postures.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-0883-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers

Arvidsson

Simonsen

Dahlqvist

et al. 2016

BMC Musculoskelet Disord

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“…Neste sentido, os enfermeiros revelaram maiores taxas de prevalência de LMERT, variando de 25% a 98%. A localização mais frequentemente afetada é a coluna lombar sendo referenciada em 8 dos 21 artigos incluídos (Shieh, Sung, Su, Tsai, & Hsieh, 2016;Machado, Rodrigues, Oliveira, Laudano, & Sobrinho, 2014;Harcombe, Herbison, McBride, & Derrett, 2014;Moreira, Sato, Foltran, Silva, & Coury, 2014;Attar, 2014;Serralheira, Cotrim, Rodrigues, Nunes, & Uva, 2012;Nasiri-Ziba, Nosrati, & Hanani , 2016;Barzideh, Choobineh, & Tabatabaee, 2014), seguindo-se a coluna cervical isoladamente mencionada em 4 artigos (Arvidsson, et al, 2016;Wang, Liu, Lu, & Koo, 2015;Reed, Battistutta, Young, & Newman, 2014;, coluna como um todo em 3 e, por fim, ombros e cervical em 2 dos artigos (Arvidsson et al, 2012;. Os principais fatores de risco mencionados foram a idade, cansaço matinal, escassez de funcionários e/ou equipamentos, rácios elevados de utentes e queixas prévias de saúde dos enfermeiros.…”

Section: Resultsunclassified

“…Os autores Moreira et al (2014) cabeça fletida e o aumento da velocidade dos movimentos (Arvidsson et al, 2016). Reforçando que a maior parte das LMERT estão relacionadas com questões posturais, Arvidsson et al (2012) mencionam no seu artigo que as enfermeiras do bloco operatório desenvolvem as LMERT por permanecerem um tempo prolongado em posições estáticas.…”

Section: Resultsunclassified

Prevalência das lesões músculo-esqueléticas relacionadas com o trabalho dos enfermeiros: Revisão integrativa

Castelôa¹,

Luís²,

Romeiro³

et al. 2019

RIIS

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Enquadramento: a prática de enfermagem está relacionada com atividades que requerem solicitação músculo-esquelética constante e desajustada, como consequência do desequilíbrio entre o profissional/equipamento/doente, levando os profissionais a adotarem posturas incorretas e prejudiciais à sua própria saúde. Objetivo: conhecer a prevalência das lesões músculo-esqueléticas relacionadas com o trabalho (LMERT) nos enfermeiros. Metodologia: para responder ao objetivo deste estudo realizou-se uma revisão integrativa, com uma pesquisa nas bases de dados Medline, SciELO e CINHAL, com os descritores "nurses", "musculoskeletal diseases" e "prevalence", combinados com o operador booleano "AND", dos estudos de prevalência publicados entre 2012 e 2017. Dos 174 estudos identificados, 24 foram incluídos para a revisão. Resultados: verifica-se elevada prevalência de LMERT, variando de 25 a 98%, destacando-se a lesão da coluna lombar. Conclusão: as LMERT têm um impacte negativo na vida pessoal, profissional e social do enfermeiro. A investigação nesta área deverá ser dirigida para a interpretação dos fatores causais e implementação de medidas preventivas/corretivas e a capacitação das instituições para a importância de ações a nível preventivo, comportamental e instituição de medidas ergonómicas.

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“…Physicians’ health is highly associated with their workload 2. Excessive workload impacts physicians’ health3 4 and increases the risk of work-related musculoskeletal disorders 5 6. High workload is related to adverse effects in the form of medical errors7 and adverse incidents 8.…”

Section: Introductionmentioning

confidence: 99%

Physician Mental Workload Scale in China: Development and Psychometric Evaluation

et al. 2019

BMJ Open

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ObjectiveThe purpose of our study is to develop a mental workload scale for physicians in China and assess the scale’s reliability and validity.DesignThe instrument was developed over three phases involving 396 physicians from different tiers of comprehensive public hospitals in China. In the first phase, an initial item pool was developed through a systematic literature review. The second phase consisted of two rounds of Delphi expert consultations and a pilot survey. The third phase tested the reliability and validity of the instrument.SettingPublic hospitals in China.ParticipantsA total of 396 physicians from different tiers of comprehensive public hospitals in China participated in this study in 2018.Primary and secondary outcome measuresCronbach’s α, content validity index, item-total score correlation coefficient, dimension-total score correlation coefficient and indices of confirmatory factor analysis.ResultsSix dimensions (mental demands, physical demands, temporal demands, perceived risk, frustration level and performance) and 12 items were identified in the instrument. For reliability, Cronbach’s α for the whole scale was 0.81. For validity, the corrected item-content validity index of each item ranged from 0.85 to 1, item-total score correlation coefficients ranged from 0.31 to 0.75, and the correlation coefficients between the dimensions and total score ranged from 0.37 to 0.72. The results of the confirmatory factor analysis showed that the goodness-of-fit indices of the scale were satisfactory.ConclusionThe instrument showed good reliability and validity, and it is useful for diagnosing the mental workload of physicians.

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Discrepancies in pain presentation caused by adverse psychosocial conditions as compared to pain due to high physical workload?

Cited by 4 publications

References 11 publications

Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers

Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers

Prevalência das lesões músculo-esqueléticas relacionadas com o trabalho dos enfermeiros: Revisão integrativa

Physician Mental Workload Scale in China: Development and Psychometric Evaluation

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