Myths and Facts About Back Injuries in Nursing

Nelson, Audrey; Fragala, Guy; Menzel, Nancy N.

doi:10.1097/00000446-200302000-00021

Cited by 93 publications

(75 citation statements)

References 24 publications

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“…Although the content of educational program was carefully derived from well recognized ergonomic literature and confirmed by expert panel, it seems that this education could help the participants in intervention group to become aware of the ergonomic problems natured in their job and then to link these problems to MSDs, therefore, this explanation could be another reason for increased VAS scores among intervention group. With this regard, the result of the current study regarding MSDs is similar to previous researches (48)(49)(50)(51)(52).…”

Section: Discussionsupporting

confidence: 90%

“…Therefore, beyond the MSDs self-report results, the study has focused on other outcome variables such as RULA scores, and stage change theory constructs. Furthermore, there are evidences that training, and even use of back belts are not always effective in reducing caregiver injuries (47)(48)(49). Given the complexity of MSDs, multifaceted programs are more likely to be effective than any single intervention (50).…”

Section: Discussionmentioning

confidence: 99%

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Bilgisayar Kullanıcılarının Postüral Ergonomik Davranışları ve Teoriye Dayalı Eğitimi: İran’dan Bir Randomize Kontrollü Çalışma

...

2012

Tftr

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Objective: This study evaluated the effects of a designed stage-matched educational program based on stage of change model on knowledge, attitude, intention and behaviours of Iranian computer users. Materials and Methods: Of four computer stations affiliated to Qazvin University of Medical Sciences, two sites were randomly selected as intervention and control ones, each 75 eligible computer users were randomly selected and if satisfied, they were entered into the study. The participants working in intervention site received the stage-matched intervention. Questionnaires of stages of change, ergo-knowledge/attitude, intent towards ergonomic and postural behaviour, Rapid Upper Limp Assessment (RULA), Visual Analogue Scale (VAS), and the Nordic questionnaire were completed at baseline and 3-month follow up. Data were entered to SPSS and analyzed through descriptive and analytical statistics. Results: A total of 150 participants with a mean age of 31.6 years (SD=7.0) took part in the study of which 67% (n=101) were female. The intervention group, compared to control group, showed significant improvements in stages of change (p<0.001), ergo-knowledge (p<0.001), attitude (p< 0.05), intent (p<0.001), and perceived behaviours control (p<0.001).

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Bilgisayar Kullanıcılarının Postüral Ergonomik Davranışları ve Teoriye Dayalı Eğitimi: İran’dan Bir Randomize Kontrollü Çalışma

...

2012

Tftr

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“…These work tasks are usually performed manually without assistance of equipment. So, nurses are significantly exposed to physical bodily health hazards and sooner or later to high risk of musculoskeletal injury (Nelson et al 2003). The importance of psychosocial factors (such as limited work-support from superiors, poor job satisfaction and low mood) has also been demonstrated in recent years to have an important role in MSS (Bongers et al 2002).…”

Section: Introductionmentioning

confidence: 99%

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

2018

Egypt. J. Occup. Med.

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Introduction: Nursing career is considered one of the most physically laborious professions which are associated with high prevalence of work related musculoskeletal disorders (WMSDs). Although the latter is of major concern worldwide; limited epidemiological studies on WMSDs among nurses for referencing in Egypt. Aim of work:1) Assessing the prevalence of work related musculoskeletal symptoms (MSSs) among nurses in Suez Canal University Hospital and Ismailia General Hospital, 2) determining the associations between personal and occupational characteristics, physical risk factors with MSSs of back, neck, knee, wrist and shoulder and, 3) determining the relationship between presence of musculoskeletal symptoms and its sequel. Materials and methods: A cross sectional study is implemented on 135 female nurses with full history taking including medical and occupational histories. A modified form of Standardized Nordic Questionnaire (SNQ) and medical history checklist for symptoms of WMSDs from Canadian Center for Occupational Health and Safety is used for detection and assessment of musculoskeletal symptoms. Results: About 113(83.7%) of the participants reported musculoskeletal symptoms: 91.4% in inpatient and ICU and 77.90% in outpatient. The most prevalent site was lower back (79.3%, 58.4%) in inpatient, ICU and outpatients respectively, working in awkward positions and presence of work related symptoms with (OR:22.259, CI:4.58-108.10) (p<0.05), concentration for long periods(OR:0.25, CI:0.07-0.95) (p<0.05) presence of work shifts(OR:0.1.25, CI:1.14-1.38) (p<0.05) are the most perceived predictors for MSSs. Conclusion: A high frequency of Egyptian nurses reported WMSDs at some body sites; with the low back being the most injured site. Nurses in inpatients and ICU departments were more affected than outpatients. Working in awkward positions for long periods, presence of working shifts and concentration for long periods were the most perceived job risk factors.

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“…These devices are placed around the patient's waist and some offer handles which are beneficial to caregivers, as they can perform the transfer more comfortably without suffering a hand or other injury. Moderate evidence indicates that one caregiver should not use a gait belt for vertical transfers of weight bearing patients (Gagnon et al, 1987a;1987b;.While there is agreement that patient handling devices are necessary for safety, (Daynard et al, 2001;Garg et al, 1991a;1991b;Smedley et al 1995), several barriers to use of equipment have been identified, including:• Patient aversion of the equipment (Bell, 1987;Bewick & Gardner, 2000;Daynard et al, 2001;Evanoff et al, 2003;Garg et al, 1991a;Green, 1996;Laflin & Aja, 1994;McGuire & Dewar, 1995;Meyer, 1995;Moody et al, 1996;Nelson, 2001;Nelson, 2003a;Nelson et al, 2003b;Newman & Callaghan, 1993;Owen & Garg, 1991;Retsas & Pinikahana, 2000;Switzer & Porter, 1993;Takala & Kukkonen, 1987;Yassi et al, 2001). …”

mentioning

confidence: 99%

“…(Nelson, 2001). Use of patient assessment protocols and algorithms can provide a standardized way to assess patients and make appropriate decisions about how to safely perform high-risk tasks (Nelson et al, 2003a;2004 Internationally, nurses have developed useful clinical tools for safer patient handling as described below. In Britain, a Hazard Movement Code was developed (Hayne, 1990); in Canada, a system was developed by the Health Care Occupational Health and Safety Association in Ontario, and in Australia, a system was developed using figures and pictorial notations (Health Care Occupational Health and Safety Association, 1986).…”

mentioning

confidence: 99%

Evidence-Based Practices for Safe Patient Handling and Movement

Nelson

Baptiste

2006

BMM

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Efforts to reduce injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The purpose of this article is to summarize current evidence for interventions designed to reduce caregiver injuries, a significant problem for decades. Despite strong evidence, published over three decades, the most commonly used strategies have strong evidence that demonstrate they are ineffective. There is a growing body of evidence to support newer interventions that are effective or show promise in reducing musculoskeletal pain and injuries in care providers. The authors have organized potential solutions into three established ergonomic solution types: engineering based, administrative, and behavioral. For each intervention, the level of evidence to support its use is provided.Key words: work-related musculoskeletal injuries, patient handling, no lift policy, ergonomics, lifting techniques, nurse safety Strategies to prevent or minimize work-related musculoskeletal injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The most common patient handling approaches in the United States include manual patient lifting, classes in body mechanics, training in safe lifting techniques, and back belts. Surprisingly there is strong evidence that each of these commonly used approaches is not effective in reducing caregiver injuries. A major paradigm shift is needed away from these ineffective approaches towards the following evidence-based practices: (a) patient handling equipment/devices, (b) patient care ergonomic assessment protocols, (c) no lift policies, (d) training on proper use of patient handling equipment/devices, and (e) patient lift teams. Promising new interventions, which are still being tested, include use of unit-based peer leaders and clinical tools, such as algorithms and patient assessment protocols. Given the complexity of this high-risk, high volume, highcost problem, multifaceted programs are more likely to be effective than any single intervention. This new call for action includes systematic change in health care facilities across the continuum of care as well as a new curriculum for schools of nursing. Statement of the ProblemNursing personnel are consistently listed as one of the top ten occupations for work-related musculoskeletal disorders, with incidence rates of 8.8 per 100 in hospital settings and 13.5 per 100 in nursing home settings (Bureau of Labor Statistics, 2002). These are considered to be low estimates, since underreporting of injuries in nursing is common (U.S. Department of Health & Human Services, 1999). Aggregated data on prevalence of back injury, compiled from over 80 studies, revealed an international worldwide point prevalence of approximately 17%, an annual prevalence of 40-50% and a lifetime prevalence of 35-80% (Hignett, 1996). While there has been a steady decline in the rates of most occupational injuries starting in 1992, work-related musculos...

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Myths and Facts About Back Injuries in Nursing

Cited by 93 publications

References 24 publications

Bilgisayar Kullanıcılarının Postüral Ergonomik Davranışları ve Teoriye Dayalı Eğitimi: İran’dan Bir Randomize Kontrollü Çalışma

Bilgisayar Kullanıcılarının Postüral Ergonomik Davranışları ve Teoriye Dayalı Eğitimi: İran’dan Bir Randomize Kontrollü Çalışma

Work- Related Musculoskeletal Symptoms Among Nurse Staff in Ismailia, Egypt

Evidence-Based Practices for Safe Patient Handling and Movement

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