Safety and Health at Work

  • 제11권3호
  • /
  • Pages.335-346
  • /
  • 2020
  • /
  • 2093-7911(pISSN)
  • /
  • 2093-7997(eISSN)
산업안전보건연구원 (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
권호 표지
DOI QR코드

DOI QR Code

A Taxonomy of the Common Tasks and the Development of a Risk Index for Physical Load Assessment in Nursing Job

  • Ryoo, Jang Jin (Graduate School of Public Health, The Catholic University of Korea) ;
  • Lee, Kyung-Sun (Department of Industrial Health, Catholic University of Pusan) ;
  • Koo, Jung-Wan (Department of Occupational & Environmental Medicine, The Catholic University of Korea)
  • 투고 : 2020.03.31
  • 심사 : 2020.05.24
  • 발행 : 2020.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Nursing service is a nonroutine work with an excessive physical load and diverse tasks. This study derived representative common tasks based on the frequently occurring tasks with a high physical load in the nursing workers' daily work and developed indicators to evaluate the work risk by reflecting the characteristics of nonroutine work. Methods: Common tasks were classified through the following stages: literature review, first focus group interview (FGI) with experts, first classification of common tasks, second FGI with hospital health managers, a survey of nursing service workers, and the final classification of common tasks for each task type. To develop an objective risk index for physical load assessment, we investigated the frequency and duration of the derived common tasks via survey. Results: Nursing common tasks were categorized into six task types and 56 subtasks. To evaluate the risks of various tasks in nonroutine works, three frequencies and three working time levels were defined by examining the task frequency and working hours. Exposure time was defined to reflect the characteristics of a nonroutine job. The final risk assessment was the product of the exposure time level and job intensity level. From this, four risk action levels were derived. Conclusion: This study has the advantage of solving the problem of focusing on some tasks in evaluating the physical load. It was meaningful in that a new risk assessment index based on exposure time was proposed based on the development of an evaluation scale for frequency and time by reflecting the characteristics of nonroutine work.

키워드

참고문헌

  1. Lee JH, Hwang JJ, Lee KS. Job satisfaction and job-related stress among nurses: the moderating effect of mindfulness. Work 2019;62:87-95. https://doi.org/10.3233/WOR-182843
  2. Chauhan D. Effect of job involvement on burnout. Indian J Indus Relations 2009;44:441-53.
  3. Barzideh M, Choobineh AR, Tabatabaee HR. Job stress dimensions and their relationship to musculoskeletal disorders in Iranian nurses. Work 2014;47:423-9. https://doi.org/10.3233/WOR-121585
  4. Sorour AS, EL-Maksoud MM. Relationship between musculoskeletal disorders, job demands, and burnout among emergency nurses. Adv Emerg Nurs J 2012;34:272-82. https://doi.org/10.1097/TME.0b013e31826211e1
  5. Menzel NN. Psychosicial factors in musculoskeletal disorders. Critical Care Nurs Clin North Am 2007;19:145-53. https://doi.org/10.1016/j.ccell.2007.02.006
  6. Finneran A, O'Sullivan L. Force, posture, and repetition induced discomfort as a mediator in self-paced cycle time. Int J Indus Ergonom 2010;40:257-66. https://doi.org/10.1016/j.ergon.2010.01.004
  7. Naidoo RN, Haq SA. Occupational use syndromes. Best Pract Res Clin Rheumatol 2008;22:677-97. https://doi.org/10.1016/j.berh.2008.04.001
  8. Long MH, Bogossian FE, Johnston V. The prevalence of work-related neck, shoulder, and upper back musculoskeletal disorders among midwives, nurses, and physicians: a systematic review. Workplace Health Saf 2013;61:223-9. https://doi.org/10.3928/21650799-20130426-38
  9. Choi SD, Brings K. Work-related musculoskeletal risks associated with nurses and nursing assistants handling over-weight and obese patients: a literature review. Work 2016;53:439-48. https://doi.org/10.3233/WOR-152222
  10. Park JK. Features of work and posture analysis outputs in general hospital nurses. J Korean Soc Occup Environ Hygiene 2019;29:375-82.
  11. Amin NA, Noah RM, Quek KF, Oxley JA, Rusli BN. Perceived physical demands in relation to work-related musculoskeletal disorders among nurses. Mat Today: Proc 2020. https://doi.org/10.1016/j.matpr.2020.01.196 in press.
  12. Yao YC, Zhao S, An Z, Wang S, Li H, Lu L, Yao S. The associations of work style and physical exercise with the risk of work-related musculoskeletal disorders in nurses. Int J Occup Med Environ Health 2019;32:15-24.
  13. Mohanalakshmi D, Bai RR. Prevalence and risk factors of work-related musculoskeletal health problems among staff nursing service workers. Int J Nurs Med Invest J Korean Soc Occup Environ Hygiene 2019;4:74-8.
  14. Kee DH, Seo SR. Musculoskeletal disorders among nursing personnel in Korea. Int J Indus Ergonom 2007;37:207-12. https://doi.org/10.1016/j.ergon.2006.10.020
  15. Arsalani N, Fallahi-Khoshknab M, Josephson M, Lagerstrom M. Musculoskeletal disorders and working conditions among Iranian Nursing personnel. Int J Occup Safety Ergonom 2014;20:671-80. https://doi.org/10.1080/10803548.2014.11077073
  16. Abedini R, Choobineh AR, Hasanzadeh J. Patient manual handling risk assessment among hospital nurses. Work 2015;50:669-75. https://doi.org/10.3233/WOR-141826
  17. Kim H, Dropkin J, Spaeth K, Smith F, Moline J. Patient handling and musculoskeletal disorders among hospital workers: analysis of 7 years of insttitutional workers' compensation claims data. Am J Indus Med 2012;55:683-90. https://doi.org/10.1002/ajim.22006
  18. Pompeii LA, Lipscomb HJ, Schoenfisch AL, Dement JM. Musculoskeletal injuries resulting from patient handling tasks among hospital workers. Am J Indus Med 2009;52:571-8. https://doi.org/10.1002/ajim.20704
  19. Daynard D, Yassi A, Cooper JE, Tate R, Norman R, Wells R. Biomechanical analysis of peak and cumulative spinal loads during simulated patienthandling activities: a substudy of a randomized controlled trial to prevent lift and transfer injury of health care workers. Appl Ergonom 2001;32:199-214. https://doi.org/10.1016/S0003-6870(00)00070-3
  20. Ministry of Employment and Labor. Occupational safety and health acts, Article 39 (Health measures); 2020.
  21. Ministry of Employment and Labor. Occupational safety and health acts, Notice No. 2018-13.
  22. Washington State Industrial Safety and Health Act (WISHA). Evaluation tools. Washington State Dept. of Labor and Industries; 2002.
  23. Washington State Industrial Safety and Health Act (WISHA). Worksite anlysis sample checklists; 2003.
  24. Fiedler KM, Weir PL, van Wyk PM, Andrews DM. Analyzing what nurses do during work in a hospital setting: a feasibility study using video. Work 2012;43:515-23. https://doi.org/10.3233/WOR-2012-1419
  25. Gold JE, Park JS, Punnett L. Work routinization and implications for ergonomic exposure assessment. Ergonomic 2006;49:12-27. https://doi.org/10.1080/00140130500356643
  26. Serranheira F, Cotrim T, Rodrigues V, Nunes C, Sousa-Uva A. Nurses' working tasks and MSDs back symptoms: results from a national survey. Work 2012;41:2449-51. https://doi.org/10.3233/WOR-2012-0479-2449
  27. Brophy MO, Achinmore L, Moore-Dawson J. Reducing incidence of low-back injureies reduces cost. Am Indus Hygiene Assoc 2001;62:508-11. https://doi.org/10.1202/0002-8894(2001)062<0508:RIOLBI>2.0.CO;2
  28. American National Standard Institute/American Society of Safety Engineers. Prevention through design: guidelines for addressing occupational hazards and risks in design and redesign processes (ANSI/ASSE Z590.3). The American Society of Safety Engineers, Des Plaines; 2011.
  29. Alexopoulos EC, Burdorf A, Kalokerinou A. A comparative analysis on musculoskeletal disorders between Greek and Dutch nursing personnel. Int Archive Occup Environ Health 2006;79:82-8. https://doi.org/10.1007/s00420-005-0033-z
  30. Lorusso A, Bruno S, L'Abbate N. A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Indus Health 2007;45:637-44. https://doi.org/10.2486/indhealth.45.637
  31. Tinubu BMS, Mbada CE, Oyeyemi AL, Fabunmi AA. Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a crosssectional survey. BMC Musculoskeletal Disorders 2010;11:1-8. https://doi.org/10.1186/1471-2474-11-1
  32. Torghabeh ZJ, Hosseinian SH, Ressang A. Risk assessment of ergonomic risk factors at construction sites. Appl Mechanics Mater 2013;330:857-61. https://doi.org/10.4028/www.scientific.net/AMM.330.857
  33. Bahr NJ. System safety engineering and risk assessment: a practical approach. 2nd ed. CRC Press; 2015.
  34. Popov G, Lyon BK, Hollcroft B. Risk assessment: a practical guide to assessing operational risks. Wiley; 2016.

피인용 문헌

  1. Analysis of Product Sustainability by Using a Risk‐Oriented System Dynamics Model vol.5, pp.9, 2021, https://doi.org/10.1002/adsu.202100065