Occupational back pain of nurses: Special problems and prevention.
ABSTRACT An observational study was performed to asses the nature and relative frequency of special circumstances of nursing which might contribute to occupational back pain and of preventive methods unique to nursing practice. The activities of 63 nurses were observed and coded in a behavioral scoring system. The group included registered nurses, licensed vocational nurses, aides and orderlies, and they worked in several different nursing units including intensive care units, medical/surgical units, post-anesthesia room and delivery room. Physical obstruction to easy contact with patients and fragile, extended attachments to patients were the most frequently observed problems. Mechanical assist devices, although available, were rarely employed. Assistance by a second staff member was the most commonly used preventive method. Such information is valuable for worker training programme design, job design and guiding priorities for future research.
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ABSTRACT: This study presents the results of an evaluation of a patient handling aid commonly used for transferring patients from bed to toilet or other type of chairs. The results of the study showed that use of the patient handling aid (sling) increased the rate of perceived exertion at the lower back and the shoulder. Investigation of the muscular activity using electromyography in the shoulder and the lower back regions revealed that there was significant increase in the erector spinae activity in the lower back region. The increase in the back strain in the sling transfer was related to the increase in lumbar flexion resulting from the relatively smaller size of the sling. Trapezius muscle on the other hand did not indicate any difference in activity. The results of this study indicate that for positive outcomes there is a need for ergonomic evaluation of the sling and the postures adopted by the patient handler while transferring the patient with the sling.Occupational Ergonomics. 01/2004; 4:185-197.
Chapter: Performance in nursing[show abstract] [hide abstract]
ABSTRACT: Nurses spend more time with patients than do any other health care providers, and patient outcomes are affected by nursing care quality. Thus, improvements in patient safety can be achieved by improving nurse performance. We review the literature on nursing performance, including cognitive, physical, and organizational factors that affect such performance, focusing on research studies that reported original data from nurse participants. Our review indicates that the nurse’s work system often does not accommodate human limits and capabilities and that nurses work under cognitive, perceptual, and physical overloads. Specifically, nurses engage in multiple tasks under cognitive load and frequent interruptions, and they encounter insufficient lighting, illegible handwriting, and poorly designed labels. They spend a substantial amount of their time walking, work long shifts, and experience a high rate of musculoskeletal disorders. Research is overdue in the areas of cognitive processes in nursing, effects of interruptions on nursing performance, communications during patient handoffs, and situation awareness in nursing. Human factors and ergonomics (HF/E) professionals must play a key role in the redesign of the nurses’ work system to determine how overloads can be reduced and how the limits and capabilities of performance can be accommodated. Collaboration between nurses and HF/E specialists is essential to improve nursing performance and patient safety.06/2009: pages 1-40;
- Revue Du Rhumatisme - REV RHUM. 01/2001; 68(2):163-165.