The relationship between work-related musculoskeletal disorders, chronic occupational fatigue, and work organization: A multi-hospital cross-sectional study

J Adv Nurs. 2019 Aug;75(8):1667-1677. doi: 10.1111/jan.13952. Epub 2019 Feb 17.

Abstract

Aims: To identify the prevalence of work-related musculoskeletal disorders, levels of chronic occupational fatigue, and how they vary with individual and work organization factors.

Design: A multi-hospital cross-sectional survey.

Methods: Nurses from 39 hospitals completed self-reported questionnaires from June to September 2015. Descriptive statistics were used to summarize hospitals and nurses' characteristics, fatigue levels and prevalence, and type of musculoskeletal disorders. Linear and logistic regression analyses were used to identify correlational factors.

Results: The results revealed that 71.3% of participants reported a work-related musculoskeletal disorder in the previous 12 months, mainly back pain. The reported musculoskeletal disorders were significantly correlated with years of experience, nurse to patient ratios, and chronic occupational fatigue. Higher chronic occupational fatigue levels were associated with education, age, years of experience, nurse to patient ratio, and model of care.

Conclusion: Preventive work organization strategies are needed to ensure healthier occupational environment for nurses.

目的: 确定与工作相关的肌肉骨骼疾患患病率、慢性职业疲劳水平,以及它们如何随个体因素和工作组织架构因素而变化。 设计: 一项多医院横断面调查法。 方法: 2015年6月至9月,39所医院的护士完成了自我报告式问卷。描述性统计用于总结医院和护士的特征、疲劳程度和患病率以及肌肉骨骼疾患的类型。采用了线性回归分析法和逻辑回归分析法来识别相关因素。 结果: 结果显示,71.3%的参与者报告,在过去的12个月中出现了与工作相关的肌肉骨骼疾患,主要是背部疼痛。报告的肌肉骨骼疾患与多年经验、护士与病人比例和慢性职业疲劳显著相关。较高的慢性职业疲劳水平与 教育状况、年龄、多年经验、护士与病人比例和护理模式有关。 结论: 预防性工作组织架构策略是保证更加健康型护士职业环境的必要手段。.

Keywords: age; chronic occupational fatigue; education; experience; hospital; model of care; nurse/patient ratio; nursing; pain; work-related musculoskeletal disorders.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Fatigue Syndrome, Chronic / epidemiology*
  • Female
  • Hospital Administration
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / epidemiology*
  • Nursing Staff, Hospital / psychology*
  • Nursing Staff, Hospital / statistics & numerical data*
  • Occupational Diseases / epidemiology*
  • Prevalence
  • Surveys and Questionnaires
  • Workplace / organization & administration*
  • Workplace / statistics & numerical data*