RISK ASSESSMENT OF MUSCULOSKELETAL DISORDERS IN NURSES USING THE WERA QUESTIONNAIRE

Authors

  • Maja Panajotovikj Radevska Institute of Occupational Health of R.N. Macedonia, WHO Collaborating Center, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Jovanka Karadzinska Bislimovska Institute of Occupational Health of R.N. Macedonia, WHO Collaborating Center, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia

Keywords:

Ergonomics, musculoskeletal disorders, nurses

Abstract

Introduction: Ergonomic factors are one of the most significant factors that occur in various specific work processes in the healthcare sector and different workplaces, resulting in side effects on health workers’ health.

Aim: The aim of this study was to present a risk assessment of musculoskeletal disorders in nurses using the WERA questionnaire for ergonomic risk assessment at the workplace.

Materials and methods: A total of 160 nurses in three categories (primary, secondary, and dentistry fields) were surveyed. This study employed the Standard Nordic questionnaire for analyzing musculoskeletal symptoms and the WERA questionnaire for ergonomic risk assessment at the workplace.

Results: According to the results of the WERA questionnaire, 57.5% of nurses had a moderate degree of risk that required corrective measures, and 30% had a high level of risk that was unacceptable and required immediate improvements. Musculoskeletal issues occurring within the last 12 months were most common in the lower back (63.8%), neck (32.5%), and knees (24.9%). Musculoskeletal problems in the recent seven days were most common in the lower back, found in 40.6% of nurses.

Conclusion: Overall, based on the outcomes of this study, there is a need for the establishment of relevant ergonomic programs for professional prevention of the occurrence of musculoskeletal disorders in nurses.

References

Yasobant S, Rajkumar P. Work-related musculoskeletal disorders among health care professionals: A cross-sectional assessment of risk factors in a tertiary hospital, India. Indian J Occup Environ Med 2014; 18(2): 75-81. doi: 10.4103/0019-5278.146896.

Koyuncu N, Karcioglu Ö. Musculoskeletal complaints in healthcare personnel in hospital: An interdepartmental, cross-sectional comparison. Medicine (Baltimore). 2018 Oct;97(40):e12597. doi: 10.1097/MD.0000000000012597. PMID: 30290628; PMCID: PMC6200550.

Hoskins A. Occupational Injuries, Illnesses, and Fatalities among Nursing, Psychiatric, and Home Health Aides, 1995-2004. U.S. BUREAU OF LABOR STATISTICS 2006. https://www.bls.gov/opub/mlr/cwc/occupational-injuries-illnesses-and-fatalities-among-nursing-psychiatric-and-home-health-aides-1995-2004.pdf.

Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014; 23(3): 196-205. doi: 10.1136/bmjqs-2013-001812.

Barr AE, Barbe MF, Pathophysiological tissue changes associated with repetitive movement: a review of the evidence. Physical therapy 2002; 82(2): 173-187. doi: 10.1093/ptj/82.2.173.

Martin A, Lassman D, Whittle L, Catlin A; National Health Expenditure Accounts Team. Recession contributes to slowest annual rate of increase in health spending in five decades. Health Aff (Millwood) 2011; 30(1): 11-22. doi: 10.1377/hlthaff.2010.1032.

Ferris TK. Evidence-based design and the fields of human factors and ergonomics: complementary systems-oriented approaches to healthcare design. HERD 2013; 6(3): 3-5. doi: 10.1177/193758671300600301.

Rogers B, Buckheit K, Ostendorf J. Ergonomics and nursing in hospital environments. Workplace Health Saf 2013; 61(10): 429-439. doi: 10.1177/216507991306101003.

Vincent CJ, Li Y, Blandford A. Integration of human factors and ergonomics during medical device design and development: it's all about communication. Appl Ergon 2014; 45(3): 413-419. doi: 10.1016/j.apergo.2013.05.009.

Punnett L, Warren N, Henning R, Nobrega S, Cherniack M, CPH-NEW Research Team. Participatory ergonomics as a model for integrated programs to prevent chronic disease. J Occup Environ Med 2013; 55(12 Suppl): S19-S24. doi: 10.1097/JOM.0000000000000040.

Leape LL, Bates DW, Cullen DJ, Cooper J, Demonaco HJ, Gallivan T, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 1995; 274: 35-43. PMID: 7791256.

Hignett S, Masud T. A review of environmental hazards associated with in-patient falls. Ergonomics 2006; 49(5-6): 605-616. doi: 10.1080/00140130600568949.

Occupational Safety and Health Administration (OSHA). Worker safety in your hospital. Know the facts. (https://www.osha.gov/dsg/hospitals/documents/1.1_Data_highlights_ 508.pdf).

Rehman R, Khan R, Surti A, Khan H. An ounce of discretion is worth a pound of wit--ergonomics is a healthy choice. PLoS One 2013; 8(10): e71891. doi: 10.1371/ journal.pone.0071891.

Izumi H. The role of ergonomics in occupational health-past and future. J UOEH 2013; 35(Suppl): 127-131. doi: 10.7888/juoeh.35.127.

Shrivastava SR, Shrivastava PS, Ramasamy J. Application of principles of ergonomics in medicine. Indian J Occup Environ Med 2014; 18(2): 100. doi: 10.4103/0019-5278.146901.

Wilson JR. Fundamentals of systems ergonomics/human factors. Appl Ergon 2014; 45(1): 5-13. doi: 10.1016/j.apergo.2013.03.021.

Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987; 18(3): 233-237. doi: 10.1016/0003-6870(87)90010-x.

Abd Rahman MN, Abdul Rani MR, Rohani JM. WERA: an observational tool develop to investigate the physical risk factor associated with WMSDs. J Hum Ergol (Tokyo) 2011; 40(1-2): 19-36. PMID: 25665205.

Rahman MN, Rani MR, Rohani JM. Investigation of work-related musculoskeletal disorders in wall plastering jobs within the construction industry. Work 2012; 43(4): 507-14. doi: 10.3233/WOR-2012-1404.

Ramprasad M, Jawairiya Maqbool A. Ergonomic risk factors and risk exposure level of nursing tasks: association with work-related musculoskeletal disorders in nurses. European Journal of Physiotherapy, 2020; 23(1): 1-6. doi: 10.1080/21679169.2020.1715473.

Girish N, Girish Darsana N. Musculoskeletal Risk Assessment among Nurses in Patient Manual Handling in Hospital Wards – A Cross-Sectional Study. Cureus, 2013; 5(8): e137. DOI 10.7759/cureus.137

Kothari V, Pradnya M, Shinde M, Nagulkar J. Evaluation of Risk of Musculoskeletal Disorder Using RULA and REBA Ergonomic Assessment among Nursing Professionals – A Cross Sectional Study. SSRN Electronic Journal, 2022; 10.2139/ssrn.4295707.

El-Sallamy M, Zayed H, Saied S, Shehata W. Work-Related Musculoskeletal Disorders among nursing staff of Tanta University Hospitals: pattern, risk factors, and coping strategies. Community Medicine 2019; 37(4): 51-61.

Downloads

Published

2024-07-09

Issue

Section

Original Articles