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Messtechnische Analyse von belastenden Körperhaltungen bei Pflegekräften: eine geriatrische Station im Vergleich mit anderen Krankenhausstationen
Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege .
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2007 (German)In: ErgoMed, ISSN 0170-2327, Vol. 31, 130-140 p.Article in journal (Refereed) Published
Abstract [en]

Employees in nursing professions are at increased risk of developing musculoskeletal symptoms of the back. The level of physical stress for the nurse may depend on the type of patient. Nurses who mostly care for older people of restricted mobility are exposed to particularly high physical stress, one reason being that they must transport heavy loads when transferring patients. In addition, static physical postures and frequent bending and rotation of the upper body have been discussed in the literature as possible risk factors. In the present study, the personal CUELA measurement system was used to measure all adopted trunk postures and the movements of a qualified geriatric nurse on a geriatric ward over the course of three successive early shifts, in order to quantify the occurrence of awkward postures. The measurement results from this ward were compared with those from other hospital wards (for surgery and internal medicine). The nurse on the geriatric ward adopted an inclination of the upper body of greater than 20 degrees for an average of 1,390 times per shift. This was 25% greater than the value found for the volunteers in the wards for surgery and internal medicine (1,116 times). In the geriatric ward, almost 70% of the major inclinations of the trunk (above 60 degrees) were linked to work at the patient's bed, in comparison to 42% in the other wards. The results of these measurements suggest, for example, that consistent adjustment of the height of the bed could reduce the frequency and extent of major inclination of the trunk. Reduction in the physical stress from awkward postures can help to protect the health of employees in nursing professions.

Place, publisher, year, edition, pages
2007. Vol. 31, 130-140 p.
Keyword [en]
Geriatric nursing, back symptoms, postures, prevention, field study
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:kth:diva-143532OAI: oai:DiVA.org:kth-143532DiVA: diva2:706984
Note

QC 20140324

Available from: 2014-03-24 Created: 2014-03-24 Last updated: 2014-03-24Bibliographically approved
In thesis
1. The Impact of Stressful Postures on the Physical Workload in Nursing
Open this publication in new window or tab >>The Impact of Stressful Postures on the Physical Workload in Nursing
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Nursing staff have an elevated risk of developing musculoskeletal disorders, in particular in the lower back area. Statistics produced by leading industrial nations show that back problems are the world’s number one work-related health problem, and that healthcare workers suffer from a greater occurrence of such problems than workers in other professions. In this context, many studies have examined manual patient handling activities, which was thought to be the main cause of musculoskeletal disorders of the lower back. But nurses have many other types of work to perform and several reviews have concluded that approaches which only focus on manual patient handling activities do not sufficiently reduce back problems in nursing professions.

Other risk factors for musculoskeletal disorders of the lower back discussed in the literature included repeated bending and the high proportion of static trunk postures. The main aim of this doctoral thesis was therefore to examine the influence of stressful trunk postures on the physical workload of nursing staff in hospitals and nursing homes. It focuses on the type, number and extent of stressful postures and on identifying activities that encourage their occurrence. We used our findings to derive strategies for reducing stressful postures in nursing, and examined whether nursing staff regard such a reduction as actually relieving their physical workload.

A secondary aim was to consider the older people potentially in need of care. The background to this is that, due to steadily rising costs, many older people are unable to afford care in a nursing home, and additionally that the forecast severe shortage of nursing staff in future gives reason to look for solutions that can reduce the demand for nursing staff. Among older people who still look after themselves, we therefore examined which stressful postures they adopt when carrying out domestic tasks such as cooking and washing laundry. From the results, we provided some examples of a better design of the domestic environment, which reduces stressful postures, when performing these tasks and helps older people to be able to look after themselves in their own homes for longer.

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2014. 49 p.
Series
TRITA-STH : report, ISSN 1653-3836 ; 2014.3
Keyword
nurses, musculoskeletal disorders, trunk posture, perceived exertion, ergonomics
National Category
Environmental Health and Occupational Health
Identifiers
urn:nbn:se:kth:diva-143534 (URN)978-91-7595-049-5 (ISBN)
Public defence
2014-04-11, 3072, Marinens väg 30, Haninge, 13:00 (English)
Opponent
Supervisors
Note

QC 20140324

Available from: 2014-03-24 Created: 2014-03-24 Last updated: 2014-03-25Bibliographically approved

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