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Work-schedule characteristics and reported musculoskeletal disorders of registered nurses.

Authors
Lipscomb-JA; Trinkoff-AM; Geiger-Brown-J; Brady-B
Source
Scand J Work, Environ & Health 2002 Dec; 28(6):394-401
NIOSHTIC No.
20024315
Abstract
The relationship between a combination of demanding work-schedule characteristics and reported musculoskeletal disorders of the neck, shoulders, and back was examined. A probability sample of 1163 nurses, randomly selected from the list of actively licensed nurses in two states of the United States, served as the sample for this cross-sectional study. Data were collected via an anonymous survey mailed to the participants' homes from October 1999 through February 2000. Four of the nine work-schedule characteristics (working full-time, >8 hours/day, 2-4 weekends/month, and other than day shift) were significantly related to musculoskeletal disorders in one or more body sites. When a work-schedule index was created by summing the nine characteristics, a demanding schedule was significantly associated with musculoskeletal disorders in the neck [odds ratio (OR) 1.10, 95% confidence interval (95% CI) 1.00-1.21], shoulder (OR 1.12, 95% CI 1.01-1.23), and back (OR 1.16, 95% CI 1.06-1.27). Adjustment for psychological and physical job demands reduced the odds ratios slightly and therefore suggested that some of the association between musculoskeletal disorders and schedule was due to increased exposure to these job demands. Working "long hours" (>12 hours/day, >40 hours/week) and "off hours" (weekends and "other than day shifts") were associated with a 50-170% increase in the age-adjusted odds ratio for musculoskeletal disorders in the three body sites. The findings of this study suggest that preventing musculoskeletal disorders requires system-level approaches to scheduling that reduce the time of exposure to demanding work conditions and promote healthful work-rest patterns.
Keywords
Nurses; Nursing; Musculoskeletal-system-disorders; Back-injuries; Neck-injuries; Health-care-personnel; Sampling; Sampling-methods; Occupational-exposure; Worker-health
Contact
Jane A. Lipscomb, Department of Behavioral and Community Health, University of Maryland School of Nursing, 655 W Lombard Street, Baltimore, MD 21201-1579, USA
CODEN
SWEHDO
Publication Date
20021201
Document Type
Journal Article
Email Address
lipscomb@son.umaryland.edu
Funding Amount
197885
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003702
Issue of Publication
6
ISSN
0355-3140
Source Name
Scandinavian Journal of Work, Environment and Health
State
MD
Performing Organization
Maryland University, Baltimore, Maryland
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