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Back Injuries Among Nurses: Prevalence, Risk-factors and Prevention

Published online by Cambridge University Press:  27 August 2015

Judith A. King ,
Peter E. Foreman ,
Gregory C. Murphy  and
Neville J. King
Judith A. King*
Affiliation:
Australian Red Cross, Melbourne
Peter E. Foreman
Affiliation:
La Trobe University
Gregory C. Murphy
Affiliation:
La Trobe University
Neville J. King
Affiliation:
Monash University
*
National Manager, First Aid, Health and Services, Australian Red Cross, 155 Pelham Street, Carlton South VIC 3053, Australia
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Abstract

Rehabilitation counsellors have long been interested in back injuries among at-risk occupational groups such as nurses. Back injuries have a high prevalence among nurses, with enormous financial costs being incurred by health agencies and governments. Consequently the prevention of back injuries is a high priority for all concerned. Following a discussion of prevalence studies and risk factors for back injuries, we selectively review research on the effectiveness of multi-component (education and exercises) preventive programs designed specifically for nurses. While there is some empirical support for preventive programs, research in the area is still in its infancy. Looking at the broader picture, we conclude that preventive efforts must ultimately address the design of the workplace and the availability of proper equipment. Importantly, nursing unions and governments are moving towards “no lifting” policies and re-organisation of work practices. For effective rehabilitation, though, of those who do suffer back injuries, the adoption of a Workplace Disability Management approach (rather the traditional OH&S and return to work services provided by health and rehabilitation professionals) is advocated.

Type
Articles
Information
The Australian Journal of Rehabilitation Counselling , Volume 7 , Issue 2 , 2001 , pp. 106 - 116
Copyright
Copyright © Cambridge University Press 2001

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References

Andersson, G.B.J., Pope, M.H.Frymoyer, J.W. & Snook, S.H. (1990). Epidemiology and cost. In Pope, M.H., Andersson, G.B.J., Frymoyer, M.H., & Chaffin, D.B. (Eds), Occupational bui back pain (pp. 95–113). St Louis: Mosby.Google Scholar
Apts, D.W. (1992). Back injury prevention handbook. U.S.A.: Lewis Chelsea.Google Scholar
Bean, C. A. (1989). The better back book. New York: William Morrow.Google Scholar
Bell, R.D. & Hoshizaki, T.B. (1981). Relationship of age and sex with range of motion of seventeen joint actions in humans. Canadian Journal of Applied Sports Science, 6, 202–206.Google ScholarPubMed
Blue, C.L. (1996). Preventing back injury among nurses. Orthopaedic Nurse, 15(6), 9–20.Google ScholarPubMed
Buckle, P. (1987). Epidemiological aspects of back pain within the nursing profession. International Journal of Nursing Studies, 24, 319–324.CrossRefGoogle ScholarPubMed
Buys, N., & Kendall, E. (1998). Stress and burnout among rehabilitation counsellors within the context of insurance based rehabilitation: An institutional analysis. Australian Journal of Rehabilitation Counselling, 4, 1–12.CrossRefGoogle Scholar
Cato, C., Olson, K., & Studer, M. (1989). Incidence, prevalence, and variables associated with low back pain in staff nurses. AAOHN Journal, 40(10), 321–327.CrossRefGoogle Scholar
Cole, A. (1994). Staff hide back pain for fear of dismissal. Nursing Times, 90(16), 9.Google Scholar
Coleman, S., & Hansen, S. (1994). Reducing work-related back injuries. Nursing Management, 25(11), 60–61.CrossRefGoogle ScholarPubMed
Deyo, R.A. & Bass, J.E. (1989). Lifestyle and low back pain: The influence of smoking and obesity. Spine, 14, 501–506.CrossRefGoogle ScholarPubMed
Feldstein, A., Valanis, B., Vollmer, W., Stevens, N., & Overton, C. (1993). The back injury prevention project pilot study. Assessing the effectiveness of Back Attack, an injury prevention program among nurses, aides and orderlies. Journal of Occupational Medicine, 35, 114–120.CrossRefGoogle ScholarPubMed
Galka, M.L. (1991). Back injury prevention on a spinal cord unit. SCI Nursing, 8, 48–51.Google Scholar
Garrett, B., Singiser, D., & Banks, S. (1992). Back injuries among nursing personnel. AAOHN Journal, 40, 510–516.CrossRefGoogle ScholarPubMed
Griffin, V. (1985). The incidence of back injuries within the Queensland nursing workforce 1981/82 to 1983/84. Queensland Nurses' Union of Employees.Google Scholar
Harber, P., Billet, E., Gutowski, M., Soohoo, D., Lew, M., & Roman, A. (1985). Occupational low back pain in hospital nurses. Journal of Occupational Medicine, 27, 518–524.Google ScholarPubMed
Harber, P., Billet, E., Vojtecky, M., Rosental, E., Shimozaki, S., & Horan, M. (1988). Nurses' beliefs about cause and prevention of occupational back pain. Journal of Occupational Medicine, 30, 797–800.CrossRefGoogle ScholarPubMed
Hignett, S. (1996). Work-related backpain in nurses. Journal of Advanced Nursing, 23, 1238–1246.CrossRefGoogle ScholarPubMed
Howie, C. (1982). Oh, my back! Nursing Times, 78(46), 1937–1938.Google Scholar
Jensen, R.C. (1987). Disabling back injuries among nursing personnel: Research needs and justification. Research in Nursing and Health, 10, 29–38.CrossRefGoogle ScholarPubMed
Langford, E. (1991). Hurt at work? Balancing priorities for healthcare dollars. Australian Nurses Journal, 21(2), 14–16.Google ScholarPubMed
Lee, Y., & Chiou, W. (1994). Risk factors for low back pain, and patient handling capacity in nursing personnel. Journal of Safety Research, 25, 135–145.CrossRefGoogle Scholar
Leonard, S. (1990) The role of exercise and posture in preventing low back injury. AAOHN Journal, 38, 318–322.CrossRefGoogle ScholarPubMed
Love, C. (1996). Injury caused by lifting: A study of the nurse's viewpoint. Nursing Standard 10(46), 34–39.CrossRefGoogle ScholarPubMed
Marchette, I., & Marchette, B. (1985). Back injury: A preventable occupational hazard. Orthopaedic Nursing, 4(6), 25–29.CrossRefGoogle ScholarPubMed
McAbee, R.R. (1988). Nurses and back injuries: A literature review. AAOHN Journal, 26, 200–209.CrossRefGoogle Scholar
Moffett, J., Hughes, M., & Griffiths, P. A. (1993). Longitudinal study of low back pain in student nurse. International Journal of Nursing Studies, 30, 197–212.CrossRefGoogle Scholar
Morieson, B. (1998). Industry pulse. Herald Sun Newspaper. Melbourne, 2 05.Google Scholar
Murphy, G., Athanasou, J., & King, N. J. (in press) Organisational citizenship behavior and job satisfaction among a sample of Australian human-service workers. Journal of Management Psychology.Google Scholar
Murhy, G., Foreman, P., & Young, A. (1997). Differences in the organisational behavior beliefs held by Australian employer representatives and health professionals involved in occupational rehabilitation. International Journal of Human Resource Management, 8, 18–27.CrossRefGoogle Scholar
Norton, R., Coggan, C., Roberts, I., & Hope, V. (1995). Obesity and the risk of nursing-related back pain. Journal of Occupational Health and Safety – Australia and New Zealand, 11, 157–159.Google Scholar
Owen, B. (1986). Personal characteristics important to back injury. Rehabilitation Nursing, 11 (4), 12–16.CrossRefGoogle ScholarPubMed
Owen, B.D. & Damron, C.P. (1984). Personal characteristics and back injury among hospital nursing personnel. Research in Nursing and Health, 7, 305–313.CrossRefGoogle ScholarPubMed
Pope, M.H.Anderssen, J.W.Frymoyer, J.W. & Chaffin, D.B. (Eds) (1991). Occupational low back pain: Assessment, treatment and prevention. St Louis: Mosby.Google Scholar
Retsas, A., & Pinikana, J. (1999). Manual handling practices and injuries among nurses. Australian Journal of Advanced Nursing, 17, 37–42.Google Scholar
Rodgers, S. (1985a). Shouldering the load — Back pain one. Nursing Times, 81 (3), 24–26.Google ScholarPubMed
Rodgers, S. (1985b). Back pain four: Positive lifting. Nursing Times, 81, 43–45.Google ScholarPubMed
Shrey, D., & Hursch, N. (1999). Workplace disability management: International trends and perspectives. Journal of Occupational Rehabilitation, 9, 45–59.CrossRefGoogle Scholar
Smedley, J., Egger, P., Cooper, C., & Coggon, D. (1995). Manual handling activities and risk for low back pain in nursing. Occupational and Environmental Medicine, 52, 160–163.CrossRefGoogle Scholar
Stobbe, T.J.Plummer, R.W., Jensen, R.C.Attfield, M.D. (1988). Incidence of low back injuries among nursing personnel as a function of patient lifting frequency. Journal of Safety Research, 19, 21–28.CrossRefGoogle Scholar
Stubbs, D.A.Buckle, P., Hudos, M., Rivers, P., & Worringham, C. (1983). Back pain in the nursing profession: Part 1. Epidemiology and pilot methodology. Ergonomics, 26, 755–765.CrossRefGoogle Scholar
Swezey, R.L. & Swezey, A.M. (1990). Good news for bad backs. New York: Knightsbridge Publishing Company.Google Scholar
Victorian Workcover Authority 1996–1997 Statistical Reports, Australian Government Printing Office.Google Scholar
Videman, T., Nurminen, T., Tola, S., Korinski, I., Vanharanta, H., & Troup, J.D. (1984). Low back pain in nurses and some loading factors of work. Spine, 9, 400–404.CrossRefGoogle ScholarPubMed
Walding, M.F. (1991). Pain, anxiety and powerlessness. Journal of Advanced Nursing, 16, 388–397.CrossRefGoogle ScholarPubMed
Weeks, JL, Levy, B.S. & Wagner, G.R. (Eds) (1991). Preventing occupational disease and injury. Washington, DC: American Public Health Association.Google Scholar
Wipf, J.E, Deyo, R.A. (1995). Low back pain. Medical Clinics of North America, 79(2), 231–246.CrossRefGoogle ScholarPubMed