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
Open Access Copyright (c) 2019 Nurse Media Journal of Nursing

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.

Fulltext View|Download
Keywords: Lower back pain; musculoskeletal injuries; musculoskeletal pain; nurses; patient lifting devices

Article Metrics:

Article Info
Section: Articles
Language : EN
Recent articles
Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses' Knowledge and Clinical Performance The Degree of Diabetic Wounds Affects Kidney Function Damage Are Nursing Students’ Early Course and Perceived Performance Related to Their Final and Actual Course Performance? Editorial Back Matter Editorial Front Matter More recent articles
Most cited articles
Family Experiences of Mental Illness: A Meta-Synthesis Providing Basic Needs and Encouragement as Strategies in Managing Aggression in Dementia Clients Dietary Behaviors among Patients with Type 2 Diabetes Mellitus in Yogyakarta, Indonesia A Review of the Quality Improvement in Discharge Planning through Coaching in Nursing BSE Practice and BSE Self-Efficacy among Nursing Students in Aceh, Indonesia More cited articles
  1. Al-Eisa, E., & Al-Abbad, H. (2013). Occupational back pain among rehabilitation nurses in Saudi Arabia. Workplace Health Safety, 61(9), 401-407
  2. 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
  3. Aslam, I., Davis, S. A., Felman, S. R., & Martin, W. E. (2015). A review of patient lifting interventions to reduced healthcare worker injuries. Workplace Health and Safety, 63(6), 267-275
  4. 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
  5. musculoskeletal injury among direct care workers. Journal of occupational and environmental hygiene, 8(4), 226-25
  6. Burdorf, A., Koppelaar, E., & Evanoff, B. (2012). Assessment of the impact of lifting
  7. device use on low back pain and musculoskeletal injury claims among nurses. Occupational and Environmental Medicine, 70, 491-497
  8. Center for Evidence Based Management. (2014).Critical appraisal checklist for cross-
  9. sectional study. Retrieved from https://www.cebma.org/resources-and-tools/what-is-critical-appraisal/
  10. 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
  11. De Ruiter, H-P., & Liaschenko, J. (2011). To lift or not to lift: Patient-handling practices. AAOHN Journal, 59(8), 337–344
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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
  27. 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
  28. Noble, N. L., & Sweeney, N. L. (2018). Barriers to the use of assistive devices in patient. Continuing Education, 66(1), 41-48
  29. 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
  30. Resnick, M. L., & Sanchez, R. (2009). Reducing patient handling injuries through contextual training. Journal of Emergency Nursing, 35, 504–508
  31. 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
  32. Russell, C. L. (2005). An overview of the integrative research review. Progress in Transplantation, 15, 1–7
  33. 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
  34. 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
  35. 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
  36. 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
  37. 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
  38. Theis, J. L., & Finkelstein, M. J. (2014). Long-term effects of safe patient handling program on staff injuries. Rehabilitation Nursing, 39, 26–35
  39. Vendittelli, D., Penprase, B., & Pittiglio, L. (2016). Musculoskeletal injury prevention
  40. for new nurses. Workplace Health and Safety, 64(12), 573–585
  41. Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553

Last update:

  1. THE RELATIONSHIP BETWEEN OCCUPATIONAL HEALTH AND SAFETY CULTURE AND LOW BACK PAIN, NECK PAIN AND WORK LIMITATIONS IN HEALTHCARE PROFESSIONALS

    Neşe ÖZDEMİR, Halil ALKAN. Türk Fizyoterapi ve Rehabilitasyon Dergisi, 2022. doi: 10.21653/tjpr.1178027

  2. Evaluation of a motorised patient transfer device based on perceived workload, technology acceptance, and emotional states

    Mitchelle J.J. Law, Mohamad Ikhwan Zaini Ridzwan, Zaidi  Mohd Ripin, Intan Juliana Abd Hamid, Kim Sooi Law, Jeevinthiran Karunagaran, Yusuf Cajee. Disability and Rehabilitation: Assistive Technology, 2022. doi: 10.1080/17483107.2022.2134472

  3. Foot Position Measurement during Assistive Motion for Sit-to-Stand Using a Single Inertial Sensor and Shoe-Type Force Sensors

    Kodai Kitagawa, Ibai Gorordo Fernandez, Takayuki Nagasaki, Sota Nakano, Mitsumasa Hida, Shogo Okamatsu, Chikamune Wada. International Journal of Environmental Research and Public Health, 18 (19), 2021. doi: 10.3390/ijerph181910481

  4. ‘Powering through’: A qualitative descriptive study of nurses working while in pain

    Jessica G. Rainbow, Katherine M. Dudding, Claire Bethel. Journal of Clinical Nursing, 32 (15-16), 2023. doi: 10.1111/jocn.16538

Last update: 2023-09-29 17:23:59

No citation recorded.