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Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries- results from the European NEXT-Study

Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries- results from the European NEXT-Study
Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries- results from the European NEXT-Study
Background: musculoskeletal disorders are a widespread affliction in the nursing profession. Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors.

Objectives: to investigate which—and to what extent—physical and psychosocial risk factors are associated with neck/back-pain-related disability in nursing, and to assess the role of the type of health care institution (hospitals, nursing homes and home care institutions) within different countries in this problem.

Design: cross-sectional secondary analysis of multinational data of nurses and auxiliary staff in hospitals (n=16,770), nursing homes (n=2140) and home care institutions (n=2606) in seven countries from the European NEXT-Study.

Methods: multinomial logistic regression analysis with raw models for each factor and mutually adjusted with all analysed variables.

Results: analysis of the pooled data revealed effort-reward imbalance as the predominant risk factor for disability in all settings (odds ratios for high disability by effort-reward ratio: hospital 5.05 [4.30–5.93]; nursing home 6.52 [4.04–10.52] and home care 6.4 [3.83–10.70] [after mutual adjustment of psychosocial and physical risk factors]). In contrast, physical exposure to lifting and bending showed only limited associations with odds ratios below 1.6; the availability and use of lifting aids was—after mutual adjustment—not or only marginally associated with disability. These findings were basically confirmed in separate analyses for all seven countries and types of institutions.

Conclusions: the findings show a pronounced association between psychosocial factors and back or neck-pain-related disability. Further research should consider psychosocial factors and should take the setting where nurses work into account
0020-7489
24-34
Simon, Michael
6e9ad30e-c22f-455a-945e-98d77dcec479
Tackenberg, Peter
1b722a9f-1a53-47a3-92a9-7533d3cf9df6
Nienhaus, Albert
eb8b2d84-ee0d-4997-9357-fae458f959ad
Estryn-Behar, Madeleine
60c727bb-a981-4bea-b49d-824565f83cc0
Conway, Paul Maurice
99890c63-1fca-41fd-94c8-b8b2f6467ee1
Hasselhorn, H.-M.
bd0943a3-b5ee-4b78-b4f9-0982b6fbf256
Simon, Michael
6e9ad30e-c22f-455a-945e-98d77dcec479
Tackenberg, Peter
1b722a9f-1a53-47a3-92a9-7533d3cf9df6
Nienhaus, Albert
eb8b2d84-ee0d-4997-9357-fae458f959ad
Estryn-Behar, Madeleine
60c727bb-a981-4bea-b49d-824565f83cc0
Conway, Paul Maurice
99890c63-1fca-41fd-94c8-b8b2f6467ee1
Hasselhorn, H.-M.
bd0943a3-b5ee-4b78-b4f9-0982b6fbf256

Simon, Michael, Tackenberg, Peter, Nienhaus, Albert, Estryn-Behar, Madeleine, Conway, Paul Maurice and Hasselhorn, H.-M. (2008) Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries- results from the European NEXT-Study. International Journal of Nursing Studies, 45 (1), 24-34. (doi:10.1016/j.ijnurstu.2006.11.003). (PMID:17217951)

Record type: Article

Abstract

Background: musculoskeletal disorders are a widespread affliction in the nursing profession. Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors.

Objectives: to investigate which—and to what extent—physical and psychosocial risk factors are associated with neck/back-pain-related disability in nursing, and to assess the role of the type of health care institution (hospitals, nursing homes and home care institutions) within different countries in this problem.

Design: cross-sectional secondary analysis of multinational data of nurses and auxiliary staff in hospitals (n=16,770), nursing homes (n=2140) and home care institutions (n=2606) in seven countries from the European NEXT-Study.

Methods: multinomial logistic regression analysis with raw models for each factor and mutually adjusted with all analysed variables.

Results: analysis of the pooled data revealed effort-reward imbalance as the predominant risk factor for disability in all settings (odds ratios for high disability by effort-reward ratio: hospital 5.05 [4.30–5.93]; nursing home 6.52 [4.04–10.52] and home care 6.4 [3.83–10.70] [after mutual adjustment of psychosocial and physical risk factors]). In contrast, physical exposure to lifting and bending showed only limited associations with odds ratios below 1.6; the availability and use of lifting aids was—after mutual adjustment—not or only marginally associated with disability. These findings were basically confirmed in separate analyses for all seven countries and types of institutions.

Conclusions: the findings show a pronounced association between psychosocial factors and back or neck-pain-related disability. Further research should consider psychosocial factors and should take the setting where nurses work into account

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Published date: January 2008
Organisations: Health Sciences

Identifiers

Local EPrints ID: 186169
URI: https://eprints.soton.ac.uk/id/eprint/186169
ISSN: 0020-7489
PURE UUID: 9e3b7692-336d-40aa-a9f7-51cce1507c6c

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Date deposited: 12 May 2011 13:23
Last modified: 02 Dec 2019 21:16

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Contributors

Author: Michael Simon
Author: Peter Tackenberg
Author: Albert Nienhaus
Author: Madeleine Estryn-Behar
Author: Paul Maurice Conway
Author: H.-M. Hasselhorn

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