Exploring Variables among Medical Center Employees with Injuries: Developing Interventions and Strategies

Brown, Norman D.; Thomas, Nancy I.

doi:10.1177/216507990305101104

Cited by 21 publications

(25 citation statements)

References 15 publications

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“…With the use of height and weight obtained during physical examinations, odds ratios indicated a protective effect for all BMI groups, except for the underweight workers, who were at increased risk of injury (OR = 1.47, 95% CI 0.70 to 3.10)), which the authors stated “approached significance.” This study was based on a small sample of cases and may have lacked power to conduct comparisons. Height and weight were obtained from records of 233 medical center employees who filed a successful claim for back injury 19. There was a higher prevalence of obesity and extreme obesity among the injured employees than the non-injured employees.…”

Section: Resultsmentioning

confidence: 99%

Obesity and workplace traumatic injury: does the science support the link?: Table 1

Pollack

Cheskin

2007

Inj Prev

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Objective: To explore whether obesity is associated with non-fatal traumatic occupational injury. Design: Systematic literature review. Methods: The peer-reviewed literature was searched from 1 January 1980 to 31 December 2005 for studies on the risk of overweight and obesity on non-fatal traumatic occupational injuries among non-office employees. The search was conducted using Medline, eLCOSH, NIOSHTIC-2, CINAHL, PsycLit, and OSH-ROM. Studies were excluded that focused on military populations, chronic/repetitive workplace injuries, back pain, only height as a risk factor, or were not written in English. Results: The search identified only 12 studies. The risk of injury for obese versus non-obese employees overall was slightly increased, although many of the estimates were not statistically significant. In studies in which increased risk estimates were shown, there was limited exploration of the mechanism of obesity-related injury, but the influence of chronic disease, fatigue or sleepiness, ergonomics, and physical limitations were most often hypothesized. Discussion: With the current growing prevalence of obesity worldwide, more research is needed to better establish its impact on workplace injuries and lost work time. Studies are needed that use large diverse samples, advanced statistical methods, and control for potential confounders, and explore issues related to temporality. Gaining a better understanding of how obesity influences workplace injury may foster the development of interventions that address weight, while still emphasizing the important environmental and sociocultural risk factors for injury. R oughly two-thirds of adults in the US are either overweight or obese.

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Section: Resultsmentioning

confidence: 99%

Obesity and workplace traumatic injury: does the science support the link?: Table 1

Pollack

Cheskin

2007

Inj Prev

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“…Advancing age, increased body mass, and height have been associated with workplace injuries and back pain (Brown & Thomas, 2003;Ostbye, Dement, & Krause, 2007;Thomas et al, 2006 ). These injuries affect employees financially through lost wages and employers through paid sick days, lost productivity, and increased healthcare and workers' compensation costs.…”

Section: Introductionmentioning

confidence: 99%

Physical Attributes of Endoscopy Nurses Related to Musculoskeletal Problems

Darby

Gallo

Fields

2013

Gastroenterology Nursing

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The purpose of this research study was to determine whether specific attributes of endoscopy nurses such as age, body mass, or height contribute to neck, shoulder, or back problems. Study participants included endoscopy nurses who physically assist with endoscopic procedures (hands-on assist). Participants with preexisting neck, shoulder, or back injury prior to employment in endoscopy were excluded. Study participants completed the Standardized Nordic Questionnaire. Results suggested that age or height of less than 68 inches were not contributing factors to neck, shoulder, or back problems. Nurses with a body mass index (BMI) of 25 or more had significantly more upper back problems in the past 12 months. Nurses with BMI of 25 or more and/or those who were taller than 68 inches had a significantly higher incidence of upper and lower back problems that prevented work in the previous 12 months and occurred within the previous 7 days. Nurses with a BMI of 25 or more and/or who are 68 inches or taller should be aware of their higher risk for upper and lower back problems, and adjustments need to be made to their work practice and environment.

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“…2006). Previous studies show that long work hours are associated with adverse health outcomes (Brown & Thomas 2003; Costa et al. 2006; Dembe et al.…”

Section: Introductionmentioning

confidence: 99%

“…Long work hours negatively impact workers' health by increasing exposure to occupational hazards and reducing time for recovery (Caruso et al 2006). Previous studies show that long work hours are associated with adverse health outcomes (Brown & Thomas 2003;Costa et al 2006;Dembe et al 2005;Morikawa et al 2001;Vegso et al 2007). Long work hours are of particular concern for nurses because their jobs routinely include working long shifts, and mandatory or unplanned overtime.…”

Section: Introductionmentioning

confidence: 99%

Associations between work schedule characteristics and occupational injury and illness

Castro

Fujishiro

Rue

et al. 2010

International Nursing Review

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Background Nurses often endure working irregular day, night and evening shifts as well as mandatory overtime (i.e. employer-imposed work time in excess of one's assigned schedule). While these work characteristics are examined as potential risks for nurses' safety and health, it is not clear whether negative health impacts occur simply because of working long hours or in combination with other mechanisms. Aim This study investigates how these work characteristics are associated with nurses' work-related injury and illness over and above long work hours. Methods In this cross-sectional study, questionnaire data were collected from a sample of 655 registered nurses in the Philippines. Multiple logistic regression was used to assess associations of shift work and mandatory overtime with four work-related health outcomes. Results After weekly work hours, shift length and demographic variables were accounted for, non-day shifts were associated with work-related injury [odds ratio (OR) = 1.54; 95% confidence interval (CI): 1.07, 2.24] and work-related illness (OR = 1.48; 95% CI: 1.02, 2.16). Also, frequency of working mandatory overtime was associated with work-related injury (OR = 1.22; 95% CI: 1.06, 1.41), work-related illness (OR = 1.19; 95% CI: 1.04, 1.37) and missing more than 2 days of work because of a work-related injury or illness (OR = 1.25; 95% CI: 1.08, 1.44). Conclusions These findings suggest that non-day shifts and mandatory overtime may negatively impact nurses' health independent of working long hours. Mechanisms through which these work characteristics affect health, such as circadian rhythm disturbance, nurse-to-patient ratios and work–family conflict, should be examined in future studies.

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Exploring Variables among Medical Center Employees with Injuries: Developing Interventions and Strategies

Cited by 21 publications

References 15 publications

Obesity and workplace traumatic injury: does the science support the link?: Table 1

Obesity and workplace traumatic injury: does the science support the link?: Table 1

Physical Attributes of Endoscopy Nurses Related to Musculoskeletal Problems

Associations between work schedule characteristics and occupational injury and illness

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