Longitudinal Relationship of Work Hours, Mandatory Overtime, and On-Call to Musculoskeletal Problems in Nurses

Details

• Personal Author:
  Geiger-Brown J ; Lang G ; Le R ; Lipscomb, Jane A. ; Trinkoff AM
• Description:
  BACKGROUND: Nurses are at very high risk for work-related musculoskeletal injury/disorders (MSD) with low back pain/injury being the most frequently occurring MSD. Nurses are also likely to work extended schedules (long hours, on-call, mandatory overtime, working on days off). The purpose of this study was to examine the relationship of extended work schedules in nurses to MSD. METHODS: Using a longitudinal, three wave survey of 2,617 registered nurses, Wave 1 work schedule data were related to neck, shoulder, and back (MSD) cases occurring in Waves 2 or 3. RESULTS: Schedule characteristics increasing MSD risk included 13+ hour/days, off-shifts, weekend work, work during time off (while sick, on days off, without breaks), and overtime/on-call. These increases in risk were not explained by psychological demands, but were largely explained by physical demands. CONCLUSIONS: Adverse schedules are significantly related to nurse MSD. Healthier schedules, less overtime, and reducing work on days off would minimize risk and recovery time. [Description provided by NIOSH]
• Subjects:
  Fatigue Health Personnel Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety Shift Work Schedule
• Keywords:
  Health-care-personnel Job-analysis Medical-personnel Muscle-stress Muscle-tension Musculoskeletal-system-disorders Nurses Nursing Quantitative-analysis Risk-analysis Risk-factors Shift-work Shift-workers Stress Worker-health

  More +
• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  49
• Issue:
  11
• NIOSHTIC Number:
  nn:20031445
• Citation:
  Am J Ind Med 2006 Nov; 49(11):964-971
• Contact Point Address:
  Alison M. Trinkoff, University of Maryland School of Nursing, 655 W. Lombard Street, Baltimore, MD 21201
• Email:
  Trinkoff@son.umaryland.edu
• Federal Fiscal Year:
  2007
• Performing Organization:
  University of Maryland, School of Nursing, Baltimore
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f4c9887ed90272dd7faa5d3431e8aa732c418d5590df164356e22d395d676b4a13c91b2d063ba82d308fdcba024017915f58313869cbff44b42c708aabcf8371
• Download URL:
  https://stacks.cdc.gov/view/cdc/185741/cdc_185741_DS1.pdf
• File Type:
  [PDF - 104.87 KB ]