Worker assessments of organizational practices and psychosocial work environment are associated with musculoskeletal injuries in hospital patient care workers.
Reme-SE; Shaw-WS; Boden-LI; Tveito-TH; O'Day-ET; Dennerlein-JT; Sorensen-G
Am J Ind Med 2014 Jul; 57(7):810-818
Background: Hospital patient care (PC) workers have high rates of workplace injuries, particularly musculoskeletal injuries. Despite a wide spectrum of documented health hazards, little is known about the association between psychosocial factors at work and OSHA-recordable musculoskeletal injuries. Methods: PC-workers (n=1,572, 79%) completed surveys assessing a number of organizational, psychosocial and psychological variables. Associations between the survey responses and injury records were tested using bivariate and multivariate analyses.Results: A 5% of the PC-workers had at least one OSHA-recordable musculoskeletal injury over the year, and the injuries were significantly associated with: organizational factors (lower people-oriented culture), psychosocial factors (lower supervisor support), and structural factors (job title: being a patient care assistant). Conclusions: The results show support for a multifactorial understanding of musculoskeletal injuries in hospital PC-workers. An increased focus on the various dimensions associated with injury reports, particularly the organizational and psychosocial factors, could contribute to more efficient interventions and programs.
Medical-personnel; Health-care; Health-care-personnel; Workers; Injuries; Musculoskeletal-system; Musculoskeletal-system-disorders; Total-Worker-Health; Health-hazards; Hazards; Physiology; Physiological-factors; Manual-lifting; Posture; Equipment-design; Shift-work; Fall-protection; Body-mechanics; Education; Back-injuries; Biomechanics;
Author Keywords: musculoskeletal injuries; hospital patient care workers; OSHA recordable injuries; psychosocial work environment; organizational factors; multifactorial understanding
Silje Endresen Reme, PsyD, PhD, Uni Health, Uni Research, Krinkelkroken1, Bergen, Norway
American Journal of Industrial Medicine
Harvard University, Boston, Massachusetts