Table 2 - uploaded by Thomas Volken
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Background:
Low back pain (LBP) and neck pain (NP) are of considerable socioeconomic burden. Considering the escalating demand on health services that LBP and NP have globally, they represent an arguably unsustainable drain on resources with the projected increased demand secondary to an ageing population. Identifying populations at risk for LBP an...
Contexts in source publication
Context 1
... adjusted yearly prevalence of LBP (mean (95% HPDI)) was 76.4% (74.4-78.3) in the total sample of HP students (Table 2). We found the highest adjusted yearly prevalence of LBP in students of midwifery (80.6% (74.4-86.4)), ...
Context 2
... examining nursing and midwifery students, Williams & Crawford [44] report a 76% incidence of back pain, which we speculate may be elevated due to their inclu- sion of midwifery students who are shown, as one ex- ample, to attribute different meanings to varied pain descriptors [45]. In their study examining LBP preva- lence in students from eight HPs (including medicine and dentistry but not midwifery), AlShayhan & Saaded- din [21] report their highest prevalence in dentistry stu- dents with 61%, which crude and adjusted prevalence for each of our professions exceeds (refer to Table 2). The present data-driven cross-sectional study was not designed to explain why this may be the case, but we ac- knowledge the rationale is multi-factorial and further ex- ploration may best focus on the Swiss context given probable cultural and demographic influences. ...
Context 3
... adjusted yearly prevalence of LBP (mean (95% HPDI)) was 76.4% (74.4-78.3) in the total sample of HP students (Table 2). We found the highest adjusted yearly prevalence of LBP in students of midwifery (80.6% (74.4-86.4)), ...
Context 4
... examining nursing and midwifery students, Williams & Crawford [44] report a 76% incidence of back pain, which we speculate may be elevated due to their inclu- sion of midwifery students who are shown, as one ex- ample, to attribute different meanings to varied pain descriptors [45]. In their study examining LBP preva- lence in students from eight HPs (including medicine and dentistry but not midwifery), AlShayhan & Saaded- din [21] report their highest prevalence in dentistry stu- dents with 61%, which crude and adjusted prevalence for each of our professions exceeds (refer to Table 2). The present data-driven cross-sectional study was not designed to explain why this may be the case, but we ac- knowledge the rationale is multi-factorial and further ex- ploration may best focus on the Swiss context given probable cultural and demographic influences. ...
Citations
... Beispielsweise beschreiben Pflegende mit 8 Monaten oder mehr Erfahrung, mit hohen physischen Anforderungen konfrontiert zu sein und dadurch unter Rückenschmerzen zu leiden. Crawford et al. (2018) zeigen auf, dass bereits in der Ausbildung weibliche Studierende der Gesundheitsberufe häufiger unter Rückenschmerzen (63,3 %) leiden als gleichaltrige weibliche Personen der Schweizer Bevölkerung. ...
Zusammenfassung
Pflegefachpersonen sind im ersten Jahr ihrer Berufspraxis mit hohen Belastungsfaktoren konfrontiert. Sie erleben eine Diskrepanz zwischen den im Studium vermittelten professionellen Werten und der Praxis, was zu schockähnlichen Reaktionen führen kann. Ziel dieser Studie war es, die Bedürfnisse und den Unterstützungsbedarf von diplomierten Pflegefachpersonen in der Schweiz in den verschiedenen Phasen der Transition nach Duchscher (2008) im ersten Jahr der Berufspraxis beim Umgang mit Belastung am Arbeitsplatz zu untersuchen. Im Rahmen der qualitativen Analyse wurden Einzelinterviews mittels eines semistrukturierten Interviewleitfadens durchgeführt und inhaltlich strukturiert analysiert. Die Ergebnisse aus 15 Einzelinterviews zeigen einen starken Bedarf an strukturierter Einarbeitung und kontinuierlicher Begleitung durch erfahrene Fachpersonen, um Sicherheit und Kompetenz in ihrer beruflichen Rolle zu entwickeln. Eine adäquate Vorbereitung auf die vorherrschenden Arbeitsbedingungen, eine stärkere praxisorientierte Ausbildung und mehr Unterstützung sind zentral für einen erfolgreichen Berufseinstieg und den Umgang mit Arbeitsbelastung.
... den genannten Arbeitsbedingungen konfrontiert. Diese parallelen Anforderungen während des Studiums können die psychische [33] und physische Gesundheit [10] sowie das Gesundheitsverhalten [11] von Studierenden einschränken. Hierzu zählen unter anderem ein hohes Stresserleben [12,24,31,36], körperliche Beschwerden im Rücken-und Nackenbereich [10] sowie ein ungesundes Ernährungs-und Bewegungsverhalten [11]. ...
... Diese parallelen Anforderungen während des Studiums können die psychische [33] und physische Gesundheit [10] sowie das Gesundheitsverhalten [11] von Studierenden einschränken. Hierzu zählen unter anderem ein hohes Stresserleben [12,24,31,36], körperliche Beschwerden im Rücken-und Nackenbereich [10] sowie ein ungesundes Ernährungs-und Bewegungsverhalten [11]. Für angehende Hebammen resultiert daraus ein Präventionsbedarf, der durch das Leitbild der International Confederation of Midwives, die Gesundheit von Studierenden zu schützen [20] sowie durch das Kompetenzziel "Verantwortung zur Selbstfürsorge" [21] unterstrichen wird. ...
Zusammenfassung
Hintergrund
Studierende der Hebammenwissenschaft werden theoretisch an Hochschulen sowie berufspraktisch in klinischen und außerklinischen Praxiseinsätzen ausgebildet. In beiden Settings werden Studierende mit Anforderungen konfrontiert, die die Gesundheit sowie das Gesundheitsverhalten während des Studiums einschränken können. Verhältnis- und Verhaltensprävention können dem entgegenwirken und die Gesundheit sowie das Gesundheitsverhalten stärken. Das Ziel der Studie ist eine Bestandsaufnahme zur Bewertung der Relevanz, des Angebots und der Nutzung von verhältnis- und verhaltenspräventiven Maßnahmen von Studierenden der Hebammenwissenschaft durchzuführen.
Methodik
Die online-basierte Querschnittstudie „Healthy MidStudents“ wurde in Norddeutschland an neun Studienstandorten der Hebammenwissenschaft zwischen dem 17.10.2022 und dem 31.01.2023 durchgeführt. Mittels eines Fragebogens wurden die Relevanz, das Angebot sowie die Nutzung von Maßnahmen der Gesundheitsförderung an der Hochschule und in den Praxisstätten erhoben. Ausgewertet wurden die Daten deskriptiv und inhaltsanalytisch.
Ergebnisse
Insgesamt wurden 342 Studierende der Hebammenwissenschaft in die Auswertung eingeschlossen (Rücklauf 61,3 %). An der Hochschule wurden Maßnahmen zur Nahrungsaufnahme am häufigsten als relevant eingestuft (74,3 %), angeboten (79,8 %) und genutzt (69,9 %). In Praxisstätten wurden Maßnahmen für Pausen am häufigsten als relevant eingestuft (73,1 %) sowie Maßnahmen zur Flüssigkeitsaufnahme am häufigsten angeboten (68,1 %) und genutzt (61,7 %).
Schlussfolgerungen
Diese Studie identifizierte einen großen Bedarf zur Verbesserung der Arbeits- und Studienbedingungen von Hebammenwissenschaftsstudierenden. Im Hinblick auf die Maßnahmen der Gesundheitsförderung werden zielgruppenspezifische Angebote, insbesondere für die Inanspruchnahme von Pausen, empfohlen.
... Chinese medical students showed 46.9% (in 2005) 6 , Malaysian medical students 45.7% (in 2010) 7 , Pakistani medical students 38.9% (in 2016) 8 , Brazilian medical students 74.9% (in 2017) 9 , Bahraini medical students 77.6% (in 2017) 10 , Saudi medical students 48.4% (in 2018) 11 , Indian medical students 50% (in 2019) 12 , Jordanian medical students 58.9% (in 2021) 13 , Syrian medical students 54% (in 2022) 14 , Bangladeshi medical students 52.1% (in 2022) 15 , and Chinese medical students 41.4% (in 2022) 16 . A multicenter study found that Swiss health profession students in their final year had a higher prevalence of MSP, particularly in the lower back and neck, than the general population 17 . Compared to students from other disciplines, medical students are exposed to more MSP risk factors due to the extended study hours required to meet professional demands 18 . ...
From January to April 2020, the COVID-19 pandemic affected eastern China, leading medical students to adopt home protection measures that significantly altered their physical activity and lifestyle habits. This study aimed to assess the prevalence of musculoskeletal pain (MSP) among medical students during home protection and to analyze the influence of demographic factors, physical exercise habits during normal school life, home protection data on MSP. This research provides a foundation for developing interventions to reduce MSP among medical students. A cross-sectional survey was conducted at Nanjing Medical University in Jiangsu Province from January to April 2020, utilizing the Nordic Musculoskeletal Questionnaire (NMQ) to measure MSP. Multivariate logistic regression identified factors influencing MSP. A total of 859 students participated, with a 40.2% prevalence of MSP during home protection. Multivariate analysis showed that female sex (OR: 1.648; 95% CI: 1.157–2.347), irregular physical exercise during school (OR: 1.648; 95% CI: 1.157–2.347), and less than or equal to six hours of sleep per day during home protection (OR: 1.474; 95% CI: 1.020–2.131) were significant risk factors. The high prevalence of MSP underscores the need for interventions that focus on gender-specific risks, promote regular physical exercise, and ensure adequate sleep.
... The physical demands involve lifting patients, equipment or tools, heavy workloads, shift work rotations and high levels of responsibility, along with frequent task shifting. One consequence is the alarmingly high prevalence rates of musculoskeletal disorders in young nurses (Bucher et al., 2023;Crawford et al., 2018). The psychological challenges include role ambiguity, patients' worries and expectations (Cockburn & Pit, 1997;Matthys et al., 2009) (Addor et al., 2017). ...
... This study's strengths include its unique database: a Swiss threelanguage nationwide survey of final-year healthcare professional students conducted by six universities of applied sciences for the 2016-2019 period. A second strength is that two of the co-authors have previously worked intensively with this database and have been able to derive important practical results (Bucher et al., 2023;Crawford et al., 2018). ...
Aim
To compare student nurses' expectations and newly qualified nurses' experiences regarding clinical practice in Switzerland 1 year after graduation.
Design
A secondary explorative analysis of a cross‐sectional survey.
Methods
The data were sourced from the Swiss National Graduate Survey of Health Professionals covering six universities of applied sciences between 2016 and 2019, with information on three cohorts of bachelor student nurses, with a 1‐year follow‐up between each year. The participants were 533 bachelor‐prepared nursing graduates.
Results
The student nurses' overall expectations included the following top two prioritized aspects: ‘contributing to something important’ and ‘adequate time to spend with patients’. Newly graduated nurses' clinical practice experiences demonstrated that not all expectations were met 1 year after graduation. The largest gaps were found in ‘adequate time to spend with patients’, ‘work–life balance’ and experiencing ‘good management’.
Conclusion
The most crucial expectation gaps are related to having sufficient time to spend with patients and a good work–life balance. The most important result is whether there is a shortage of places for nurses to work rather than the oft‐cited shortage of nurses.
Implications for the Profession and/or Patient Care
The expectations of Swiss newly qualified nurses can be better met by an assessment in the first year about which individual perceptions of workplace characteristics cause them to make choices to change something about their work, affect their job satisfaction or influence their intention to stay.
Impact
Few of the student nurses' expectations were met 1 year after graduation, therefore Swiss healthcare institutions should improve needs assessments to strengthen the nurse workforce starting early in employment. The results underscore the importance of a constructive management culture, such as that in magnet hospitals in the United States which underpins the philosophy of changing in nursing. The results can be used internationally as a benchmark and as a basis for introducing potential interventions for nurse retention.
Reporting Method
This study was reported following the Standardized Reporting of Secondary Data Analyses Checklist.
Patient or Public Contribution
There were no patient or public contributions.
Trial and Protocol Registration
This study has not been registered.
... The most common conditions were disorders of the skin (22.3%, n = 21), the musculoskeletal system (20%, n = 19), and metabolic diseases (12%, n = 11). These findings seem to be consistent with other research results, which found that young students most commonly complain of limb pain and shoulder, back, or neck pain [6,52,53]. In the German population, musculoskeletal disorders are also the most common diseases. ...
The importance of health promotion for health professional students is increasingly crucial, as the rising requirements for those students can have a negative impact on their health. Despite this awareness, there is still limited knowledge in Germany about the specific health needs of this group of students. This study’s aim was, therefore, to assess the subjective health of first-year students and to identify health needs. Thus, this study is based on an online survey using standardized measurement instruments. First-year students from three degree programs were included. The data were analyzed descriptively. A total of n = 98 (72.6%) participated in the survey. The results showed that a major proportion of participants (80.3%) rated their health positively, but a significant proportion reported weight disorders (24%) and pre-existing health conditions (62.1%) at baseline. Interestingly, a high proportion (59%) reported a high level of mental well-being at the time of the survey. However, worrying findings regarding lifestyle behaviors, including physical inactivity (40.6%), smoking (20%), risky alcohol use (24%), and unhealthy eating habits (37%) were determined. In terms of health literacy, around 45% of students rated their health competencies as problematic. Furthermore, it was found that students with low health literacy had a significantly higher prevalence of low mental well-being (53.3% vs. 30.8%, p = 0.036) and unhealthy eating habits (48.8% vs. 26.5%, p = 0.027) compared to students with sufficient health literacy. Health professional students should be considered a relevant target group for health and health competence promotion from the beginning of their studies. The identified fields of action should be addressed in the context of health promotion. This is of particular importance as they are not only aimed at improving the students’ well-being but also will later work directly with patients and, therefore, have a direct influence on the health of others.
... One such disorder is neck pain (NP). Among college students, the prevalence of NP is very high (48%-78%) [2,3] and can have a profound effect on well-being, with significant impairments in physical and mental health [4]. In particular, studies have shown that risk factors for NP include poor posture and smartphone use [5][6][7]. ...
Introduction and objective:
Modern mobile devices have become tools used for educational, research, business or recreational purposes. Incorrect position during excessive use of a smartphone can lead to biomechanical changes, the most visible of which is the position of the head in protraction, characterized by the protrusion of the head and neck forward in relation to the shoulder girdle and trunk. The aim of the study was to analyze the relationship between disability, neck pain (NP), use of phones before bedtime, and hours of using smartphones.
Material and methods:
The study involved 146 physiotherapy students aged 18-26. Students were asked to complete pain surveys (VAS pain scale), and Neck Disability Index (NDI). Participants were also asked if their pain lasted longer than 3 months, how long they used their smartphone during the day, and whether they used it before bedtime.
Results:
Statistically significant differences were found between groups with and without neck pain regarding NDI score (p<0.001). Participants who suffered from neck pain longer than 3 months had greater NDI scores (p=0.03), greater intensity of symptoms (p=0.04), greater problems with reading (p<0.01) and driving (p=0.04) than participants who experienced pain for less than 3 months. Using phones before bedtime was related to problems with focusing (p<0.01). There were statistically significant correlations between the time of phone use and disability in terms of reading (p=0.04), focusing (p<0.001), work (p<0.001) and sleeping (p=0.02).
Conclusions:
Dysfunctions associated with pain in the cervical section may affect the learning abilities of students and thus the acquisition of professional competencies. Not using a smartphone before bedtime is recommended, as it causes poorer concentration. The longer the time spent using the phone, the more significant the disability.
... We identified seven articles (42)(43)(44)(45)(46)(47)(48). The articles addressing health of health professional students using quantitative study designs. ...
... Six crosssectional studies were conducted in Germany (GER). One crosssectional study was performed in Switzerland (CH), which was based on a representative population with a comparative secondary analysis design (42). The studies examined key health dimensions, including health status, health behaviors, and personal resources. ...
... The findings in the study by Crawford et al. showed a worryingly high prevalence for back pain and neck pain in young health professional students compared to the general Swiss population (42). The highest prevalence of neck pain was found in midwifery students (83%), and the lowest prevalence in nursing students (72%) (42) ( Table 2). ...
University education marks a new stage in life, which is associated with unknown demands and challenges and can have a negative impact on students’ health. Therefore, health promotion in the university setting is becoming increasingly important. In this context, scientific data on the health situation play a crucial role in improving students’ health. Thus, the aim of the scoping review was to highlight the current scope of research on the health of health professional students. It also explored problems and outlined key future challenges and solutions. The review was conducted using the Joanna Briggs Institute (JBI) methodology for a scoping review. A total of nine databases (PubMed, CINAHL, CareLit, LIVIVO, Scopus, Psyndex, PEDro, OTseeker, Google Scholar) were systematically searched. The following search criteria were defined: health professional students, health, Germany, German-speaking countries, all types of sources from 2012 to present are selected. The research studies were mapped in a table and health evidence of included studies was summarized narratively. The initial search resulted in 23,938 records. Seven records met the inclusion criteria and were included in the review. Six cross-sectional studies were conducted in Germany, and one cross-sectional study was conducted in Switzerland. In fact, one study included a representative population. Qualitative studies were not found. The most studies investigated health status, health behavior, and personal resources. Most of the studies examined female nursing students. The included studies indicated that the young students reported physical or mental health conditions. In addition, the studies also identified health resources of the students that need to be improved. In summary, there is currently limited health evidence on this group of students in German-speaking countries. Therefore, further research is needed to generate knowledge and comprehensively describe the health situation.
... 7 The World Health Organization (WHO) 8 ranks neck pain and musculoskeletal disorders as the fourth and tenth most common causes of years spent disabled, respectively. Furthermore, neck pain is the eighth most common cause of disability among those aged 15 to 19,9 surpassing other adolescent health issues such as asthma, alcohol and drug use, and automobile accidents. ...
... Medical students are more likely to experience neck pain (NP) than the general population due to extensive reading, writing, clinical work, and the widespread use of computers and tablets. 19,20 In a Malaysian study, it was discovered that 41.8% of students had NP the year before, a high prevalence that is in line with earlier studies. A relationship between NP and computer use, clinical experience, and traumatic experience was discovered by the study team. ...
Objective: Text neck syndrome, caused by prolonged mobile device use, is increasingly common, especially among teenagers. Neck pain is a significant public health issue, affecting 40% of the population. Little research has focused on musculoskeletal pain in children and adolescents, including medical students. A cross-sectional study is needed to investigate text neck syndrome among medical students and provide effective prevention and treatment strategies. Materials & Methods: This cross-sectional study (n=508) utilized an online self-designed questionnaire incorporating the Neck Disability Index and the Nordic Musculoskeletal questionnaire. Descriptive and inferential statistics, including chi-square tests and p-value calculations using SPSS version 25, were employed. The study aimed to examine neck pain prevalence and consequences to inform interventions for improved health outcomes. Results: Among the 508 participants, 69.4% reported past neck pain. Females, those with higher stress levels, individuals using laptops/tablets for four or more hours, and medical students studying for 4 to 6 hours daily had higher neck pain prevalence (52.0%, 88.2%, 61.9%, and 57.5% respectively). Prevalence remained consistent between pre-clinical and clinical-year medical students. Multivariate analysis revealed a significant association between neck pain and longer mobile phone use, extended study hours, and lack of exercise. Only 16% sought treatment from a chiropractor/physiotherapist for their neck pain. Conclusion: The study emphasizes the importance of better education on neck pain prevention and seeking professional help. Adding exercise to daily routines can also be extremely helpful in preventing neck pain. To fully understand the effect on medical students and develop effective interventions, more research is necessary.
... Neck pain is one of the most commonly reported musculoskeletal disorders, causing a substantial economic burden to healthcare systems [1], and the 2018 Global Burden of Disease report listed neck pain as one of the leading causes of long-term dysfunction [2]. In the general population, the average prevalence of neck pain is 23.1% [3], and the incidence of neck pain is very high in college students (48%-78%) [4][5][6]. The incidence of cervical spondylosis in college students is increasing rapidly, with an annual growth rate twice that of the 50-year-old group [7]. ...
Background
During the COVID-19 epidemic, the prevalence of neck pain among college students has increased due to the shift from offline to online learning and increasing academic and employment pressures. Therefore, this systematic review aimed to identify the personal, occupational, and psychological factors associated with the development of neck pain to promote the development of preventive strategies and early intervention treatment.
Methods
Seven electronic databases were searched from inception to December 2022 for cross-sectional studies, cohort studies, case-control studies, and randomized controlled trials (RCTs) on neck pain. The quality of the selected studies were assessed by American Agency for Healthcare Research and Quality (AHRQ) or the Newcastle-Ottawa Scale (NOS). Pooled odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were calculated to evaluate the effects of the included risk factors on neck pain.
Results
Thirty studies were included, including 18,395 participants. And a total of 33 potentially associated risk factors were identified. Ultimately, 11 risk factors were included in the meta-analysis after assessing, and all results were statistically significant (P < 0.05). The factors supported by strong evidence mainly include the improper use of the pillow (OR = 2.20, 95% CI: 1.39 to 3.48), lack of exercise (OR = 1.88, 95% CI: 1.53 to 2.30), improper sitting posture (OR = 1.97, 95% CI: 1.39 to 2.78), history of neck and shoulder trauma (OR = 2.32, 95% CI: 1.79 to 3.01), senior grade (OR = 2.86, 95% CI: 2.07 to 3.95), staying up late (OR = 1.80, 95% CI: 1.35 to 2.41), long-time electronic product usage daily (OR = 1.53, 95% CI: 1.33 to 1.76), long-time to bow head (OR = 2.04, 95% CI: 1.58 to 2.64), and emotional problems (OR = 2.09; 95% CI: 1.66 to 2.63). Risk factors supported by moderate evidence were high stress (OR = 1.61, 95% CI: 1.02 to 2.52) and female gender (OR = 1.69, 95% CI: 1.52 to 1.87).
Conclusion
This study obtained 11 main risk factors affecting college students neck pain, including improper use of the pillow, lack of exercise, improper sitting posture, history of neck and shoulder trauma, senior grade, staying up late, long-term electronic product usage daily, long time to bow head, high stress, emotional problems and female gender.
... Recent studies have reported a high prevalence of musculoskeletal disorders in students [3][4][5][6] and in health professionals (HP) [7][8][9][10][11][12]. In the absence of long-term studies in this population, it is uncertain whether HP develop their musculoskeletal disorders during their working lives or whether they were preexisting. ...
... Studies show that work-related and chronic musculoskeletal disorders may be a reason for HP students to discontinue their studies [13,14], reduce the ability to perform job tasks and roles [15,16], and lead to reduced productivity when people attend work despite disorders (presenteeism) [17]. Musculoskeletal disorders also predict burnout [18], lead to sickness absence and often to longterm absence (absenteeism) [19], and cause HP to change their specialty or role at work or to leave the profession [3,15,20]. ...
... Young HP in the transition from study to work are predominantly female and between 20 and 30 years old. Low back pain is most prevalent in this age group [3] and women are more prone to neck pain than men [3]. The first onset of work-related upper limb symptoms is also common among HP within the first 5 years of work [3]. ...
Background
Musculoskeletal pain, especially back pain, is common among health care professionals (HP). For prevention purposes, it is important to know whether HP develop their symptoms before or after entering the health care workforce. Cross-sectional studies among HP cannot answer this question. This follow-up study measures the prevalence and individual course of musculoskeletal pain among full-time HP students at the end of their studies and one year after entering the health care workforce.
Method
Self-reported one-year prevalence for low back pain, neck/shoulder pain, pain in arms/hands, and pain in legs/feet was collected at two timepoints from 1046 participating HP using an online questionnaire. Participants were asked whether their musculoskeletal pain was related to study or work conditions. Generalized estimating equation (GEE) models of the binomial family with log link were used to estimate adjusted prevalence and corresponding normal based 95% confidence intervals were derived using the bootstrap method with 1000 replications.
Results
The prevalence of low back pain as well as neck and shoulder pain was very high at baseline and follow-up in all full-time students and later HP. Prevalence for pain in arms/hands, legs/feet was low and there were significant differences between the professions. HP clearly associated their low back pain and neck/shoulder pain with study and work conditions; HP strongly associated pain in arms/hands, legs/feet only with work conditions.
Conclusion
Many HP suffer from back/neck/shoulder pain already as students before starting their professional career. The prevention of back/neck/shoulder pain must be part of the education of all health professions at universities. As an example of best practice, universities should incorporate ergonomic measures and exercises into the daily routine of training health professionals. The effects of physically demanding professional tasks on the upper and lower extremities need to be investigated in further studies to take preventive measures.
