Biomechanical evaluation of nursing tasks in a hospital setting

Authors

    Authors

    R. Jang; W. Karwowski; P. M. Quesada; D. Rodrick; B. Sherehiy; S. N. Cronin;J. K. Layer

    Comments

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    Abbreviated Journal Title

    Ergonomics

    Keywords

    nursing; spine; kinematics; compressive and shear force; perceived risk; of musculoskeletal injury; LOW-BACK-PAIN; RISK-FACTORS; QUESTIONNAIRE SURVEY; WORKING-CONDITIONS; WORKPLACE FACTORS; DISORDERS; POSTURES; NURSES; WORKERS; PROFESSION; Engineering, Industrial; Ergonomics; Psychology, Applied; Psychology

    Abstract

    A field study was conducted to investigate spinal kinematics and loading in the nursing profession using objective and subjective measurements of selected nursing tasks observed in a hospital setting. Spinal loading was estimated using trunk motion dynamics measured by the lumbar motion monitor (LMM) and lower back compressive and shear forces were estimated using the three-dimensional (3D) Static Strength Prediction Program. Subjective measures included the rate of perceived physical effort and the perceived risk of low back pain. A multiple logistic regression model, reported in the literature for predicting low back injury based on defined risk groups, was tested. The study results concluded that the major risk factors for low back injury in nurses were the weight of patients handled, trunk moment, and trunk axial rotation. The activities that required long time exposure to awkward postures were perceived by nurses as a high physical effort. This study also concluded that self-reported perceived exertion could be used as a tool to identify nursing activities with a high risk of low-back injury.

    Journal Title

    Ergonomics

    Volume

    50

    Issue/Number

    11

    Publication Date

    1-1-2007

    Document Type

    Article

    Language

    English

    First Page

    1835

    Last Page

    1855

    WOS Identifier

    WOS:000251366300009

    ISSN

    0014-0139

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