ERGONOMICS RISK ASSESSMENT AND MUSCULOSKELETAL DISORDERS AMONG PROFESSIONAL NURSES IN THE ADULT INTENSIVE CARE UNIT OF ONE HOSPITAL, PHATTHALUNG PROVINCE
Keywords:
Risk Assessment, Musculoskeletal Disorders, Professional Nurses, ErgonomicsAbstract
Nurses play a crucial role in patient care. Improper working postures and frequent patient handling can adversely affect nurses’ quality of life and the efficiency of patient care. This cross-sectional descriptive study aimed to assess ergonomic risks and musculoskeletal disorders among professional nurses working in the adult intensive care unit of one hospital in Phatthalung Province. The sample consisted of 53 professional nurses, and data were collected between June and December 2024. The research instruments included a general questionnaire, the Standardized Nordic Questionnaire (SNQ), and the Rapid Entire Body Assessment (REBA). The results showed that most nurses cared for patients who were unable to assist themselves and frequently lifted or transferred patients between beds (98.1%). A large proportion of nurses also reported bending or squatting alternately with standing during work (83.0%) and reaching for objects (69.8%). The most common musculoskeletal symptoms were shoulder pain (83.0%), upper back pain (75.5%), and calf pain (69.8%). The ergonomic assessment indicated that tasks involving patient transfer and repositioning posed moderate to high risks of musculoskeletal injury. Therefore, hospitals should improve techniques or provide assistive devices for patient transfer, arrange rest periods between shifts, and organize training programs on proper patient handling based on ergonomic principles to reduce musculoskeletal injury risks among nurses and enhance occupational safety in a sustainable manner.
References
National library of medicine. Work-related musculoskeletal disorders risk assessment Questionnaire. clinicaltrials.gov; 2019. Available at https://clinicaltrials.gov/ct2/show/NCT04192604, accessed on 12 November 2023.
Ministry of Labour. Social Security Office, Workmen's Compensation Fund Office. Occupational Injury and Illness Situation in the Year (2018 – 2022). Available at https://www.sso.go.th/wpr/main, accessed on 18 November 2023.
Yothikul K, Prabpai S. Factors associated with musculoskeletal disorder prevention behaviors in professional nurse. VAJIRA NURSING JOURNAL, 2018; 20(1), 27-39. (In Thai)
Pojjariyaporn J, Sithisarankul P, Rattananupong T. Prevalence and Risk Factors of Musculoskeletal Disorders Among Intensive Care Unit Nurses: A Case Study in a Hospital, Bangkok. Journal of The Royal Thai Army Nurses, 2024; 25(3), 267-275. (In Thai)
Tangsathajaroenporn W, Sonkham W. Association between work characteristics and musculoskeletal disorders among perioperative nursing staffs. Chiang Mai Medical Journal, 2021;60(4), 767-780. DOI: 10.12982/CMUMEDJ.2021.63
Yang S, Lu J, Zeng J, Wang L, Li Y. Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in China. Workplace Health & Safety, 2019; 67(6), 275-287. DOI: 10.1177/2165079918809107
World Health Organization. (2000). Obesity: Preventing and managing the global epidemic (No. 894). Available at https://iris.who.int/handle/10665/42330, accessed on 18 November 2023.
Watkhoksoong S, Chaiklieng S. The matrix of risk assessment on work-related musculoskeletal disorders of personel and illumination in operating room of chaiyaphum hospital. Safety & environment review, 2024; 33(1), 18-31. (In Thai)
Krejcie RW, Morgan DW. Determining sample size for research activities. Educ Psychol Meas. 1970; 30, 607-610.
LURATI A, KIM S, Pilot Evaluation of Musculoskeletal Disorders Among Adult ICU Nurses Versus Neonatal ICU Nurses in the United States. The World of Critical Care Nursing 2021; 15(1), 11-22. DOI:10.1891/WFCCN-D-20-00017
Nithis Dhasa B, Josephb L, Ansa Joseb J, Mariya Zeeserb J, Priyadharshini Devarajb J, Chockalingamc M. Prevalence of work-related musculoskeletal disorders among pediatric long-term ventilatory care unit nurses: Descriptive cross-sectional study. Journal of Pediatric Nursing 69 (2023). 114–119.
Buatum P, Juntima Nawamawat J, Thansinee Prompradit T. Factors Associated with Work-related Musculoskeletal Disorders among Registered Nurses and Nurse’s Aides at Uthaithani Hospital. Journal of Nursing and Health Care, 2022; 40(4). 1-12. (In Thai)
Mahajan D, Kumar Gupta M, Mantri N, Kumar Joshi N, Gnanasekar S, Dhanesh Goel A, Srinivasan S, Manohar Gonade N, Kumar Sharma S, Kumar Garg M, Bhardwaj P. Musculoskeletal disorders among doctors and nursing officers: an occupational hazard of overstrained healthcare delivery system in western Rajasthan, India. BMC Musculoskelet Disord, 2023; 24(1): 349. DOI: 10.1186/s12891-023-06457-z
Chiwaridzo M, Makotore V, Dambi J. M, Munambah N, Mhlanga M. Work-related musculoskeletal disorders among registered general nurses: a case of a large central hospital in Harare, Zimbabwe. BMC Research Notes. 2018; 11: 315. DOI: https://doi.org/10.1186/s13104-018-3412-8
Mebarkia B, Zaouia B, Mokdada M, Eddine Mebarki I. Prevalence of Work Musculoskeletal Disorder in Patients Handling Tasks Among Nursing Staff in Critical Care-Unit. Spektrum Industri, 2023; 21(2), 93-99
Ayvaz, Ö., Ayhan Özyıldırım, B., İşsever, H., Öztan, G., Atak, M., & Özel, S. Ergonomic risk assessment of working postures of nurses working in a medical faculty hospital with REBA and RULA methods. Science Progress, 2023; 106(4) 1–21. DOI: 10.1177/00368504231216540
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