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Occupational injuries among aides and nurses in acute care.

Authors
Rodríguez-Acosta-RL; Richardson-DB; Lipscomb-HJ; Chen-JC; Dement-JM; Myers-DJ; Loomis-DP
Source
Am J Ind Med 2009 Dec; 52(12):953-964
NIOSHTIC No.
20036580
Abstract
BACKGROUND: Occupational injuries are common among nursing personnel. Most epidemiologic research on nursing aides comes from long-term care settings. Reports from acute care settings often combine data on nurses and aides even though their job requirements and personal characteristics are quite different. Our objective was to assess risk of work-related injuries in an acute care setting while contrasting injuries of aides and nurses. METHODS: A retrospective cohort of aides (n = 1,689) and nurses (n = 5,082) working in acute care at a large healthcare system between 1997 and 2004 were identified via personnel records. Workers' compensation filings were used to ascertain occupational injuries. Poisson regression was used to estimate rate ratios (RR) and 95% confidence intervals (95% CI). RESULTS: Aides had higher overall injury rates than nurses for no-lost work time (RR = 1.2, 95% CI: 1.1-1.3) and lost work time (RR = 2.8, 95% CI: 2.1-3.8) injuries. The risk of an injury due to lifting was greater among aides compared to nurses for both non-lost work time and lost work time injuries. Injury rates among aides were particularly high in rehabilitation and orthopedics units. Most of the injuries requiring time away from work for both groups were related to the process of delivering direct patient care. CONCLUSIONS: Our findings illustrate the importance of evaluating work-related injuries separately for aides and nurses, given differences in injury risk profiles and injury outcomes. It is particularly important that occupational safety needs of aides be addressed as this occupation experiences significant job growth.
Keywords
Epidemiology; Ergonomics; Health-care-facilities; Health-care-personnel; Injuries; Injury-prevention; Manual-lifting; Musculoskeletal-system; Musculoskeletal-system-disorders; Nurses; Occupational-accidents; Occupational-hazards; Risk-analysis; Statistical-analysis; Nurses; Nursing; Author Keywords: nurse's aides; occupational injuries; acute care setting; healthcare workers; injury risk
Contact
H.J. Lipscomb, Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Duke University Medical Center, 2200 West Main Street, Suite 400, Durham, NC 27705
CODEN
AJIMD8
Publication Date
20091201
Document Type
Journal Article
Email Address
hester.lipscomb@duke.edu
Funding Type
Grant
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008375
Issue of Publication
12
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
NC; TX
Performing Organization
University of Texas
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