Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review

Wael Abdullah Aljohani; Glezzeelyne Pascual Pascua

doi:10.14710/nmjn.v9i2.26435

DOI: https://doi.org/10.14710/nmjn.v9i2.26435

Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review

*Wael Abdullah Aljohani - Nursing Education and Research Department, King Fahad Hospital Medina, Saudi Arabia

Glezzeelyne Pascual Pascua - Nursing Education and Research Department, King Fahad Hospital Medina, Saudi Arabia

BibTex Citation Data :

@article{NMJN26435,
    author = {Wael Aljohani and Glezzeelyne Pascua},
    title = {Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review},
    journal = {Nurse Media Journal of Nursing},
  volume = {9},
    number = {2},
    year = {2019},
    keywords = {Lower back pain; musculoskeletal injuries; musculoskeletal pain; nurses; patient lifting devices},
    abstract = {  Background:  Musculoskeletal injuries, notably lower back injuries, are major occupational health problems among nurses. These injuries occur mainly due to incorrect use of body mechanics upon handling, lifting, and transfer of patients. It is the leading cause of occupational disability and is associated with increased healthcare costs. Reducing these injuries can lead to a significant reduction in healthcare costs.   Purpose:  This integrative literature review aims to examine the impacts of manual handling and lifting devices on the risk of back pain among hospital nurses.   Methods:  This study uses an integrative literature review design. Proquest, Science Direct, MEDLINE, and CINAHL were searched comprehensively. A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow diagram was used to check the number of publications that were identified and screened for eligibility, and the number of publications excluded and reasons for exclusion. The Critical Appraisal Skills Programme (CASP) and the Centre for Evidence-Based Management critical appraisal checklist for a cross-sectional study (CEBM) were used to appraise the quality of selected articles.   Results:  Fifteen studies were found to highlight the importance of manual handling training programs and the consistent use of lifting devices in the prevention of low back pain. Ergonomics training, proper body mechanics and posture, use of body slings, workplace characteristics, availability of equipments and complexity of work, lost work days including nurses’ knowledge, experience, attitude and compliance are essential factors that impacts back pain.   Conclusion:  Manual handling training programs and the use of patient lifting equipment are effective in preventing lower back pain among nurses. },
   issn = {2406-8799},   pages = {210--230}  doi = {10.14710/nmjn.v9i2.26435},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/26435}
}

Citation Format:

Abstract

Background: Musculoskeletal injuries, notably lower back injuries, are major occupational health problems among nurses. These injuries occur mainly due to incorrect use of body mechanics upon handling, lifting, and transfer of patients. It is the leading cause of occupational disability and is associated with increased healthcare costs. Reducing these injuries can lead to a significant reduction in healthcare costs.

Purpose: This integrative literature review aims to examine the impacts of manual handling and lifting devices on the risk of back pain among hospital nurses.

Methods: This study uses an integrative literature review design. Proquest, Science Direct, MEDLINE, and CINAHL were searched comprehensively. A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow diagram was used to check the number of publications that were identified and screened for eligibility, and the number of publications excluded and reasons for exclusion. The Critical Appraisal Skills Programme (CASP) and the Centre for Evidence-Based Management critical appraisal checklist for a cross-sectional study (CEBM) were used to appraise the quality of selected articles.

Results: Fifteen studies were found to highlight the importance of manual handling training programs and the consistent use of lifting devices in the prevention of low back pain. Ergonomics training, proper body mechanics and posture, use of body slings, workplace characteristics, availability of equipments and complexity of work, lost work days including nurses’ knowledge, experience, attitude and compliance are essential factors that impacts back pain.

Conclusion: Manual handling training programs and the use of patient lifting equipment are effective in preventing lower back pain among nurses.

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Keywords: Lower back pain; musculoskeletal injuries; musculoskeletal pain; nurses; patient lifting devices

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Article Info

Section: Articles

Language : EN

In Vol 9, No 2 (2019): (DECEMBER 2019)

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Andersen, L. L., Burdorf, A., Fallentin, N., Persson, R., Jakobsen, M. D., Mortensen, O. S., Clausen, T., & Holtermann, A. (2014). Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers. Scand J Work Environ Health, 40(1),74–81. doi: 10.5271/sjweh.3382
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Black, T. R., Shah, S. M., Busch, A. J., Metcalfe, J., & Lim, H. J. (2011). Effect of transfer, lifting, and repositioning (TLR) injury prevention program on
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Burdorf, A., Koppelaar, E., & Evanoff, B. (2012). Assessment of the impact of lifting
device use on low back pain and musculoskeletal injury claims among nurses. Occupational and Environmental Medicine, 70, 491-497
Center for Evidence Based Management. (2014).Critical appraisal checklist for cross-
sectional study. Retrieved from https://www.cebma.org/resources-and-tools/what-is-critical-appraisal/
De Souza, M. T., Da Silva, M. D., & De Carvalho, R. (2010). Integrative review: What is it? How to do it? Einstein, 8(1), 102–106
De Ruiter, H-P., & Liaschenko, J. (2011). To lift or not to lift: Patient-handling practices. AAOHN Journal, 59(8), 337–344
Garg, A., & Kapellusch, J. M. (2012). Long-term efficacy of an ergonomics program that includes patient-handling devices on reducing musculoskeletal injuries to nursing personnel. Human Factors and Ergonomics Society, 54(4), 608–625
Hodder, J. N., MacKinnon, S. N., Ralhan, A., & Keir, P. J. (2010). Effects of training and experience on patient transfer biomechanics. International Journal of Industrial Ergonomics, 40, 282–288
Humrickhouse, R, & Knibbe ,H,J (2016). The importance of Safe Patient Handling to Create a Culture of Safety: An Evidential Review. The Ergonomics Open Journal, 9(1), 27-42
Jaromi, M., Nemeth, A., Kranicz, J., Laczko, T., & Betlehem, J. (2012). Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses. Journal of Nursing, 21, 1776–1784
Karahan, A., & Bayraktar, N. (2004). Determination of the usage of body mechanics in clinical settings and the occurrence of low back pain in nurses. International Journal of Nursing Studies, 41, 67–75l
Karahan, A., & Bayraktar, N. (2013). Effectiveness of an education program to prevent nurses’ low back pain: An interventional study in Turkey. Workplace Health & Safety, 61(2), 73–79
Koppelaar, E., Knibbe, J. J., Miedema, H. S., & Burdorf, A. (2011). Individual and organizational determinants of use of ergonomic devices in healthcare. Occupational and Environmental Medicine, 68, 659-665
Lee, S.,Faucett,J., Gillen, M., & Krause, N. (2013). Musculoskeletal pain among critical-care nurses y availability and use of patient lifting equipment: An analysis of cross-sectional survey data. International Journal of Nursing Studies, 50(12), 1648-1657
Lee, S-J., & Lee, J. H. (2017). Safe patient handling behaviors and lift use among hospital nurses: A cross-sectional study. International Journal of Nursing Studies, 74, 53–60
Li, J., Wolf, L., & Evanoff, B. (2004). Use of mechanical patient lifts decreased musculoskeletal symptoms and injuries among helath care workers. Injury Prevention, 10(44), 212-216
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P., Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine, 6(7), 1–28
Lim, H. J., Black, T. R., Shah, S. M., Sarker, S., & Metcalfe, J. (2011). Evaluating repeated patient handling injuries following the implementation of a multi-factor ergonomic intervention program among health care workers. Journal of Safety Research, 42, 185-191
McDermott, H., Haslam, C., Clemes, S., Williams, C., & Haslam, R. (2012). Investigation of manual handling training practices in organization and beliefs regarding effectiveness. International Journal of Industrial Ergonomics, 42, 206–211
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLoS Med 6(7): e1000097. doi: 10.1371/journal.pmed1000097
Movahedi, M., Ghafari, S., Nazari, F., & Valiani, M. (2017). The effects of acupressure on pain severity in female nurses with chronic low back pain. Iranian Journal of Nursing and Midwifery Research, 22(5), 339–342
Nadelson, S. S., & Nadelson, L. S. (2014). Evidence based practice article reviews using CASP tools: A method for teaching EBP. Worldviews on Evidence-Based Nursing, 2014, 1–3
Noble, N. L., & Sweeney, N. L. (2018). Barriers to the use of assistive devices in patient. Continuing Education, 66(1), 41-48
Rasmussen, C. D. N., Holtermann, A., Bay, H., Sogaard, K., & Jorgensen, M. B. (2015). A multifaceted workplace intervention for low back pain in nurses’ aides: A pragmatic stepped wedge cluster randomized controlled trial. Pain, 156, 1786-1794
Resnick, M. L., & Sanchez, R. (2009). Reducing patient handling injuries through contextual training. Journal of Emergency Nursing, 35, 504–508
Risor, B. W., Casper, S. D., Andersen, L. L., & Sorensen, J. (2017). A multi-component patient-handling intervention improves attitudes and behaviors for safe patient handling and reduces aggression experienced by nursing staff: A controlled before-after study. Applied Ergonomics, 60, 74–82
Russell, C. L. (2005). An overview of the integrative research review. Progress in Transplantation, 15, 1–7
Sanjoy, S. S., Ahsan, G. U., Nabi, H., Joy, Z.F., & Hossain, A. (2017). Occupational factors and low back pain: A cross-sectional study of Bangladeshi female nurses. BMC Research Notes, 10, 173–178
Schoenfisch, A. L., Lipscomb, H. J., Pompeii, L. A., Myers, D. J., & Dement, J. M. (2013). Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipment. Scandinavian Journal of Work, Environment, and Health, 39(1), 27-36
Sharafkhani, N., Khorsandi, M., Shamshi, M., & Ranjbaran, M. (2014). Low back pain preventive behaviors among nurses based on the health belief model constructs. SAGE Open, 2014, 1–7
Shojaei, S., Tavafian, S. S., Jamshidi, A, R., & Wagner, J. (2017). A multidisciplinary workplace intervention for chronic low back pain among nursing assistants in Iran. Asian Spine Journal, 11(3), 419-426
Sikiru, L & Hnifa, S. (2010). Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. African Health Science. 10(1),26-30
Theis, J. L., & Finkelstein, M. J. (2014). Long-term effects of safe patient handling program on staff injuries. Rehabilitation Nursing, 39, 26–35
Vendittelli, D., Penprase, B., & Pittiglio, L. (2016). Musculoskeletal injury prevention
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Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553

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Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review

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