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Price: EUR 250.00Authors: Vosoughi, Shahram | Niazi, Parisa | Abolghasemi, Jamileh | Sadeghi-Yarandi, Mohsen
Article Type: Research Article
Abstract: BACKGROUND: Dairy industry workers face numerous ergonomic risk factors in their workplace, including improper posture, manual material handling, and musculoskeletal disorders (MSDs). Fewstudies have been conducted on the correlation of postural stress, MSDs, and chronic fatigue among workers in the dairy industry. OBJECTIVE: This study aimed to investigate the relationship between the level of postural stress, MSDs, and chronic fatigue in a dairy company. METHODS: In this cross-sectional study, 260 male workers were included in the research based on specific inclusion criteria. The Cornell Musculoskeletal Discomfort Questionnaire, Chalder Fatigue Scale, and a researcher-made demographic questionnaire were …used to collect data. The posture of workers was evaluated using RULA and REBA software, and the evaluation of the manual lifting of loads was assessed using the WISHA lifting calculator. Finally, the collected data were entered into the SPSS software version 26.0 and analyzed. RESULTS: The findings revealed a significant statistical relationship between the level of postural stress and chronic fatigue and a significant positive correlation between MSDs and chronic fatigue. Furthermore, a statistically significant relationship was observed between MSDs, chronic fatigue, and ergonomics training experience. CONCLUSIONS: The results obtained in this study support the notion that high levels of postural stress and MSDs can produce an increase in chronic fatigue among workers, and lack of ergonomics training for workers can increase both MSDs and chronic fatigue. Therefore, it is necessary to carry out intervention measures in the field of ergonomics management in similar industries through the implementation of ergonomic intervention programs with a focus on proactive and preventive measures and the use of participatory ergonomic programs and educational demands assessment. Show more
Keywords: Dairy industry, postural stress, musculoskeletal disorders, chronic fatigue, pain, posture, ergonomic risk factors
DOI: 10.3233/WOR-230309
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Eklund, Annika | Sterner, Anders | Nilsson, Maria Skyvell | Larsman, Pernilla
Article Type: Research Article
Abstract: BACKGROUND: Transition programs for newly graduated nurses in hospital settings are reported to provide learning opportunities, strengthening confidence, workplace integration and skills, retention and job satisfaction. Still, our knowledge of long-term effects is scarce and few studies have used control groups. OBJECTIVE: To explore the long-term impact of having attended a transition program on the nurses’ experiences of the first years of practice. More specifically, ideology-infused psychological contract, ethical stress, perceived organizational support, job satisfaction, opportunities for learning, and intention to stay in the nursing profession, were explored as outcome variables. METHODS: …A questionnaire survey was carried out among registered nurses from November 2019 to January 2020, with a 54% response rate. The analysis was based on 149 nurses who had attended a transition program, and 72 who had not attended. The nurses had seniority between one and three years. Independent samples t -test were used to investigate differences between the groups. RESULTS: The two groups showed small and non-significant differences in the outcome variables. However, regarding the frequency of ethical value conflicts induced by insufficient resources, as well as experiences of ethical value conflict distress, the group of nurses who had attended a transition program showed statistically significantly higher mean values, although the effect sizes were small. CONCLUSION: Newly graduated nurses need more than transition programs and skills training to progress in their nursing role and develop competence, increase job satisfaction, and reduce stress. Achieving these goals requires a long-term supportive learning environment that is integrated into everyday work. Show more
Keywords: New graduated nurses, transition, well-being, job satisfaction, moral distress, turnover, hospital work environment
DOI: 10.3233/WOR-230537
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Dost, Ayse | Sezgin, Duygu | Esin, Melek Nihal
Article Type: Research Article
Abstract: BACKGROUND: The conditions in the workplace have a critical influence on the mental health of nurses and their attitudes toward their job, which may impact patient care. OBJECTIVE: This cross-sectional study aimed to investigate the association between perceptions of the work environment and fear of COVID-19 experienced by nurses. METHODS: The data were collected using a demographic data form, the Work Environment Scale (WES), and the Fear of COVID-19 Scale. The study was completed with 183 nurses who provide care to COVID-19 patients. RESULTS: The mean scores for the WES …and Fear of COVID-19 Scale were 63.59±12.35 and 21.98±8.36, respectively. There was a positive correlation between the points acquired from the “employee fears” section of the WES and the Fear of COVID-19 Scale mean ranks (r = 0.22). There was a weak negative correlation between the Fear of COVID-19 score and the WES “job satisfaction” score (r = –0.214). There was a weak negative correlation between the scores of the Fear of COVID-19 Scale and perceived support at work (r = –0.33) and between the WES scores and weekly working hours (r = –0.27). However, there was a weak to moderate positive correlation between the WES scores and number of days off per week (r = 0.45). CONCLUSIONS: Nurses experience a high fear of COVID-19, and a decrease in their attitudes of the work environment was associated with an increased fear of COVID-19. The fear of COVID-19 may be reduced by various interventions to provide support at work and increase nurses’ job satisfaction. Show more
Keywords: associated conditions, environment, fear, nurse, pandemic, workplace
DOI: 10.3233/WOR-230121
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Hajizadeh, Roohalah | Ghiasvand, Fatemeh | Azimi Pirsaraei, Seyed Reza | Khani, Fouzia | Feiz-Arefi, Maryam | Beheshti, Mohammad Hosein
Article Type: Research Article
Abstract: BACKGROUND: Vibration is one of the harmful factors for forklift drivers. The use of non- standard seats and not paying attention to how the seats are maintained can be affected by the amount of vibration transmitted to the person. OBJECTIVE: This study investigates the amount of vibration transmitted from the forklift and the effect of different types of polyurethane foam in reducing the vibration transmitted from the forklift seat. METHODS: This descriptive-analytical study was performed on 38 forklifts in 4 diesel models with the same weight class. The amount of vibration transmitted from forklift seats according …to ISO2631 standard, taking into account the effect of various factors such as foam type (hot and cold), thickness (6–12 cm), load and year Function was measured. The amount of vibration caused by the forklift on the seat and under the seat was evaluated using ISO7096 standard. RESULTS: The average total vibration of the whole body in all foams in no-load mode is more than with load. The transmission vibration of cold polyurethane foam is less than that of hot polyurethane foam. With increasing thickness, the efficiency of cold polyurethane foam increases by 12 cm and in the loaded state 40.63% and in the unloaded state 49.58% in reducing the vibration transmitted to drivers. CONCLUSION: The results of this study show that cold foam has better effectiveness and efficiency than hot polyurethane foam. Also, the thicker the foam, the less vibration is transmitted to the driver. Show more
Keywords: Whole body vibration, forklifts, driver’s seats, polyurethane foam, occupational exposure
DOI: 10.3233/WOR-230421
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Upadhyay, Rahul | Kumar, Ashis | Bhattacherjee, Ashis | Patra, Aditya Kumar | Chau, Nearkasen
Article Type: Research Article
Abstract: BACKGROUND: This study focuses on evaluating the exposure to whole-body vibration (WBV) and association of musculoskeletal disorders (MSDs) with various risk factors among dumper operators in the mining industry. Despite the issue’s significance, prior research has been limited. OBJECTIVE: The study introduces a novel fuzzy-based approach for identifying, selecting, and prioritizing safety measures to mitigate MSD risks. METHODS: Data collection comprised face-to-face interviews, anthropometric measurements, Rapid Upper Limb Assessment (RULA) scoring for posture assessment, and the Nordic Musculoskeletal questionnaire for assessment of MSD prevalence. Multiple linear and logistic regression models were used to …analyse the contributing risk factors to MSDs and WBV exposure. These risk factors formed the basis for a practical approach to select appropriate safety measures based on fuzzy based aggregation method of expert’s judgment aimed at mitigating the risk of MSDs. RESULTS: The results revealed that the risk factors such as poor work posture, WBV exposure and poor seat design were significantly associated with neck (adjusted odds ratio aOR = 4.81), upper limb and shoulder (aOR = 3.28), upper back (aOR = 5.09), and lower back pain (aOR = 3.67) at p < 0.05. Using these factors to formulate safety measures to reduce MSD risk, the minimization of sharp turns and abrupt changes in elevation in designing the haul roads, scheduled maintenance practices, and ergonomic seat design were found as important safety measures in this study. CONCLUSION: Our unique methodological approach in occupational health research could be highly beneficial for tailoring safety measures at the unit level with minimal effort. Show more
Keywords: Musculoskeletal pain, occupational health, ergonomics, WBV exposure, surface mining, interventions, fuzzy set
DOI: 10.3233/WOR-230489
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-22, 2024
Authors: Brandt, Mikkel | Bláfoss, Rúni | Jakobsen, Markus Due | Samani, Afshin | Ajslev, Jeppe Z.N. | Madeleine, Pascal | Andersen, Lars L.
Article Type: Research Article
Abstract: BACKGROUND: Work-related musculoskeletal disorders (WMSDs) located in the low back and neck/shoulder regions are major concerns for both workers, workplaces, and society. Masons are prone to WMSD, because their work is characterized by repetitive work and high physical workload. However, the knowledge on the physical workload during bricklaying is primarily based on subjective measurements. OBJECTIVE: This cross-sectional field study with technical measurements aimed to quantify physical workload in terms of muscular activity and degree of forward bending during bricklaying at different working heights among masons, i.e., knee, hip, shoulder, and above shoulder height. METHODS: …Twelve male (36.1±16.1 years) experienced masons participated in a cross-sectional field study with technical measurements. Surface electromyography from erector spinae longissimus and upper trapezius muscles and an inertial measurement unit-sensor placed on the upper back were used to assess the physical workload (level of muscle activation and degree of forward bending) different bricklaying heights. Manual video analysis was used to determine duration of work tasks, frequency, type, and working height. The working heights were categorized as ‘knee’, ‘hip’, ‘shoulder’, and ‘above shoulder’. The 95 percentiles of the normalized Root Mean Square (RMSn) values were extracted assess from erector spinae and trapezius recordings to assess strenuous level muscle of muscle activation. RESULTS: The RMSn of dominant erector spinae muscle increased from hip- to shoulder height (from 26.6 to 29.6, P < 0.0001), but not from hip to above shoulder height and decreased from hip to knee height (from 26.6 to 18.9, P < 0.0001). For the dominant trapezius muscle, the RMSn increased from hip- to shoulder- and above shoulder height (from 13.9 to 19.7 and 24.0, respectively, P < 0.0001) but decreased from hip- to knee height (from 13.9 to 11.5, P < 0.0001). Compared to hip height (27.9°), an increased forward bending was detected during bricklaying at knee height (34.5°, P < 0.0001) and a decreased degree of forward bending at shoulder- and above shoulder height (17.6° and 12.5°, P < 0.0001, respectively). CONCLUSION: Based on technical measurements, bricklaying at hip height showed the best compromise between muscular load and degree of forward bending. This study contributes to the development of the work environment for masons and can help guide preventive initiatives to reduce physical workload. Show more
Keywords: Bricklayers, electromyography, actigraphy, musculoskeletal diseases, ergonomics, building and construction
DOI: 10.3233/WOR-230325
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Unuvar, Bayram Sonmez | Gercek, Hasan | Tufekci, Osman | Torlak, Mustafa Savas | Erbas, Onur
Article Type: Research Article
Abstract: BACKGROUND: Low back pain is a common health issue, and such pains are often associated with muscle tightness. Understanding the link between lower back pain and tight lower extremity muscles is essential for effective pain management and enhanced quality of life. OBJECTIVE: The objective of this study was to investigate the relationship between lower extremity muscle tightness and pain and disability in individuals with non-specific low back pain (NSLBP). METHODS: A total of 52 individuals with NSLBP were enrolled in this cross-sectional study. Lower extremity muscle tightness was assessed using various clinical tests, …including the Active Knee Extension Test, Active Straight Leg Raise, Ober Test, and Modified Thomas Test. Pain intensity and disability were evaluated using the Visual Analog Scale and the Oswestry Disability Index, respectively. Statistical analyses were conducted to assess the correlation between muscle tightness, pain, and disability. RESULTS: The study found weak to moderate negative correlations between lower extremity muscle tightness and both pain intensity and disability in individuals with NSLBP (r: –0.287 to –0.526, p < 0.05). Dominant and non-dominant extremities exhibited differences in muscle flexibility, with the dominant extremity showing greater flexibility (p < 0.05). CONCLUSIONS: In individuals with NSLBP, lower extremity muscle tightness is closely related to pain severity and disability. These findings suggest that lower extremity muscle tightness plays a significant role in the severity of low back pain and disabilities. Additionally, the observed flexibility difference between dominant and non-dominant extremities warrants further investigation for more personalized treatment approaches. Show more
Keywords: Chronic pain, disability evaluation, hamstring muscles, low back pain, lower extremity, muscle tightness
DOI: 10.3233/WOR-230547
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Platts, Katharine | Scott, Emma | Griffiths, Kerry | Carter, Anouska
Article Type: Research Article
Abstract: BACKGROUND: Ethnic minorities make up approximately 14% of the UK workforce. Despite the disproportionate burden of ill-health amongst ethnic minorities, and the increased interest in Diversity, Equity & Inclusion (DE&I) in the workplace, workplace health and wellbeing interventions are still most often designed for the ethnic majority. OBJECTIVE: The purpose of this scoping review was to explore the depth and breadth of evidence on the attitudes to and perceptions of health and wellbeing interventions in the workplace within ethnic minority groups in the UK, and to identify gaps in evidence that would provide direction for future …research needs. METHODS: A scoping review with quality appraisal was undertaken, supplemented by a review of grey literature and a narrative review exploring related evidence from the knowledge bases related to community and cultural adaptation. RESULTS: Only three peer-reviewed studies met inclusion criteria, preventing broad conclusions. 14 papers from the community and cultural adaptation literature provided additional information about how health promotion may be approached effectively in the workplace, including the importance of culturally sensitive, people-centred design, and the use of established adaptation frameworks. CONCLUSION: The literature suggests a need for improvements in four key areas: (1) reporting of ethnic minorities in data relating to workplace health and wellbeing research, (2) more thorough review of perceptions and attitudes of ethnic minority workers in the UK, (3) design of culturally appropriate interventions that are tested for impact, and (4) testing of the effectiveness of culturally adapted interventions. Show more
Keywords: Workplace, health promotion, ethnic and racial minorities, United Kingdom, occupational groups, qualitative research
DOI: 10.3233/WOR-230576
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-17, 2024
Authors: Furuta, Debora T. | Tebar, William R. | Beretta, Victor S. | Tebar, Fernanda Gil | de Carvalho, Augusto C. | Leoci, Isabella C. | Delfino, Leandro D. | Ferrari, Gerson | Silva, Claudiele C.M. | Christofaro, Diego G.D.
Article Type: Research Article
Abstract: BACKGROUND: A high workload has been associated with musculoskeletal pain in public school teachers. However, the hypothesis of the present study was that physical activity (PA) practice is able to attenuate this association. OBJECTIVE: To analyze the associations between high workload with musculoskeletal pain according to PA levels in public school teachers. METHODS: Teachers (n = 239) from 13 public schools were evaluated. Workload was assessed using a Likert scale in which teachers reported their perception of their work routine as: very low, low, regular, high, and very high. Musculoskeletal pain and PA were …assessed using questionnaires. Multivariate logistic regression models were used to investigate the association of high workload with PA levels and musculoskeletal pain in different body regions, compared to participants with normal workload, adjusted by sex, age, and socioeconomic status. RESULTS: A high workload was associated with higher chances of reporting pain in the wrists and hands (OR = 3.55; 95% CI = 1.27–9.89), knee (OR = 3.09; 95CI% = 1.09–8.82), and feet and ankles (OR = 3.16; 95% CI = 1.03–9.76) in less active teachers. However, these associations were not observed in teachers considered more active. CONCLUSION: PA practice is able to act as a good protector against musculoskeletal pain in teachers, even in individuals with a high workload. Show more
Keywords: Workload, school teachers, musculoskeletal pain, physical inactivity, epidemiology, public health
DOI: 10.3233/WOR-230474
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-7, 2024
Authors: Davenport, Todd E. | Lee, Alan C. | Raja, Bhavana | Stark, Matthew L. | Reed, Christopher | Magnusson, Dawn M.
Article Type: Research Article
Abstract: BACKGROUND: Telehealth is becoming more prevalent in physical therapy, involving a whole host of clinical services. These services are often provided without structured training in telehealth, and no formal curricula currently exist for this purpose. OBJECTIVE: To develop a set of educational competencies (ECs) to guide instruction of telehealth-related skills in entry-level programs (i.e., Doctor of Physical Therapy), existing programs (i.e., residencies and fellowships), and potential future post-graduate programs specific to telehealth physical therapy. METHODS: Physical therapists and physical therapist assistants from diverse geographic locations and practice areas were invited to participate on …an expert panel. A modified Delphi process was then used to evaluate the acceptability of draft ECs gathered from the extant literature by a steering group. Draft ECs were presented to the expert panel on a questionnaire, which asked expert participants to rate each draft EC according to applicability and clarity. Draft ECs were accepted if they met a priori established criteria for acceptability and clarity. Unendorsed ECs were revised by the steering group according to open-ended comments from respondents and presented during a subsequent round. Three rounds of surveys were undertaken. RESULTS: Thirty-eight participants formed the expert panel; 38 participants completed the Round 1 survey, 28 participants completed the Round 2 survey, and 24 participants completed the Round 3 survey. Delphi group members approved 48 ECs in the first round, 23 ECs in the second round, and 2 ECs in the third round. There were 4 ECs that remained unendorsed after the modified Delphi process. Endorsed ECs spanned 7 conceptual areas. Distinct sets of ECs characterized expected end points of first professional degree, existing residency and fellowship, and potential future telehealth physical therapy post-graduate program. CONCLUSIONS: Consensus-based ECs identified in this study may guide instruction in knowledge and skills relevant to physical therapy telehealth. Show more
Keywords: Mobile health, virtual medicine, ehealth, telecare, competency based education, education, delphi study, consensus development
DOI: 10.3233/WOR-230618
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-19, 2024
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