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  • 1
    ISSN: 1432-1246
    Keywords: Work factors ; Individual factors ; Musculoskeletal symptoms ; Nursing personnel ; Logistic regression
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The relationship between individual factors, physical and psychosocial exposure at work, and musculoskeletal symptoms in the neck, shoulders, low back, hands, and knees was studied among female nursing personnel working at a Swedish hospital. The personnel had participated in a course in work technique (patient transfer and handling principles). Prior to the course, the subjects had filled in a questionnaire (n = 688). The aim of this cross-sectional study was to elucidate whether different individual and work factors are related to musculoskeletal symptoms in a specific body region. Due to the cross-sectional design, however, causality cannot be discussed. Univariate analyses and multiple logistic regression analyses were performed and yielded similar results. The latter analyses showed that in the present hospital setting, individual factors together with physical and psychosocial work factors were related to symptoms in the neck, low back, and hands; individual factors and psychosocial work factors were related to symptoms in the shoulders; while only individual factors were related to symptoms in the knees. The results of the present study showed that various individual factors and physical and psychosocial work factors were related to musculoskeletal symptoms in the different body regions. Thus, the identification of risk factors might have far-reaching implications for the way in which effective health programs for prevention should be designed in the hospital setting.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background.  The work technique used by health care professionals in patient transfer tasks affects the musculoskeletal load on the professionals, but probably also the safety and well-being of patients being transferred; it is thus a matter of quality of care.Aims.  The aim of this paper is to report a study exploring the relations between the work technique of nurses in patient transfer tasks, and patients’ perceptions of safety and comfort during the transfers.Methods.  The work technique used by 102 nurses at orthopaedic wards to perform two common patient transfers: one transfer higher up in bed and one from bed to wheelchair, were examined using video recordings and an observation instrument. A work technique score for each performed transfer was calculated, indicating the level of musculoskeletal safety for the nurse. Nurses assessed their own work technique and patients rated the perceived safety and comfort on bipolar scales directly after each transfer.Results.  Patients’ perceptions of safety and comfort were positively correlated to the work technique score in both transfers. Patients felt safer and more comfortable during transfers performed with a safe technique, according to the work technique score, than during those performed with a poor technique. Patients’ ratings of safety in the transfer from bed to wheelchair, and their ratings of comfort in both transfers, were positively correlated to nurses’ assessments of their own work technique. However, the correlation coefficients were rather low.Conclusions.  The results support the existence of a relationship between nurses’ skills in patient transfers and quality of patient care.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1439-6327
    Keywords: Psychophysics ; Perceived exertion ; Blood lactate ; Arm and leg exercise
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary To compare some psychophysiological responses to arm exercise with those to leg exercise, an experiment was carried out on electronically braked bicycle ergometers, one being adapted for arm exercise. Eight healthy males took part in the experiment with stepwise increases in exercise intensity every 4 min: 40—70—100—150—200 W in cycling and 20—35—50—70—100 W in arm cranking. Towards the end of each 4 min period, ratings of perceived exertion were obtained on the RPE scale and on a new category ratio (CR) scale: heart rate (HR) and blood lactate accumulation (BL) were also measured. The responses obtained were about twice as high or more for arm cranking than for cycling. The biggest difference was found for BL and the smallest for HR and RPE. The incremental functions were similar in both activities, with approximately linear increases in HR and RPE and positively accelerating functions for CR (exponents about 1.9) and BL (exponents 2.5 and 3.3 respectively). When perceived exertion (according to the CR scale) was set as the dependent variable and a simple combination of HR and BL was used as the independent variable, a linear relationship was obtained for both kinds of exercise, as has previously been found in cycling, running, and walking. The results thus give support for the following generalization: For exercise of a steady state type with increasing loads the incremental curve for perceived exertion can be predicted from a simple combination of HR and BL.
    Type of Medium: Electronic Resource
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