Nurses’ physical and mental well-being is crucial for prompt patient-care service. While research has been conducted on the specific causes of musculoskeletal disorders (MSDs) and occupational stress among Indian nurses, a comprehensive picture considering all these variables is still lacking. This study investigated MSD prevalence and psychosocial stress levels among female nurses in West Bengal, India, and the connections between these factors and MSDs.
Methods
The study was performed in nine different hospitals and nursing homes in West Bengal, India. The modified Nordic questionnaire and Copenhagen Psychosocial Questionnaire (COPSOQ) were used. The body height, body weight, BMI, pulse rate and blood pressure of the subjects were measured using an anthropometer, a weighing machine and a digital blood pressure monitor, respectively.
Results
80.9% of subjects reported that they had discomfort in the past 12 months, with the highest percentage (52.1%) of complaints of low-back pain. From COPSOQ, concerning mean values were found in the demand scales and general health. The presence of different discomforts was found to be significantly related to various scales of COPSOQ.
Conclusion
Increased cognitive, quantitative and sensorial demands were found to be major contributors to the high prevalence of MSDs among nurses in this study. As the well-being of nurses is pivotal for maintaining well-ordered health systems, regular follow-ups on their physical and psychological health are necessary.
ShajanA and NishaC.Anxiety and depression among nurses working in a tertiary care hospital in South India. Int J Adv Med2019; 6: 1611.
2.
LakshmiKS, RamachandranT and BooheneD.Analysis of work life balance of female nurses in hospitals-comparative study between government and private hospital in Chennai, TN., India. Int J Trade Econ Finance2012; 3: 213.
3.
KanePP.Stress causing psychosomatic illness among nurses. Indian J Occup Environ Med2009; 13: 28.
4.
BhatiaN, KishoreJ, AnandT, . Occupational stress amongst nurses from two tertiary care hospitals in Delhi. Australas Medical J2010Sep; 3: 731.
5.
GangopadhyayS, GhoshT, DasT, . Prevalence of upper limb musculo skeletal disorders among brass metal workers in West Bengal, India. Ind Health2007; 45: 365–370.
6.
RaithathaAS, MishraDG.Musculoskeletal disorders and perceived work demands among female nurses at a tertiary care hospital in India. Int J Chronic Dis2016:1–6: 5038381. doi: 10.1155/2016/5038381.
7.
AminNA, NoahRM, QuekKF, . Perceived physical demands in relation to work-related musculoskeletal disorders among nurses. Mater Today: Proc2020Jan1; 31:79–82.
8.
ZareA, ChoobinehA, HassanipourS, . Investigation of psychosocial factors on upper limb musculoskeletal disorders and the prevalence of its musculoskeletal disorders among nurses: a systematic review and meta-analysis. Int Arch Occup Environ Health2021; 94: 1113–1136.
9.
ElferingA, GrebnerS, SemmerNK, . Time control, catecholamines and back pain among young nurses. Scand J Work Environ Health2002; 386–393.
10.
PoskittEM.Body mass index and child obesity: are we nearing a definition?Acta Paediatr2000; 89: 507–509.
11.
KuorinkaI, JonssonB, KilbomA, . Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon1987; 18: 233–237.
12.
DickinsonCE, CampionK, FosterAF, . Questionnaire development: an examination of the Nordic musculoskeletal questionnaire. Appl Ergon1992; 23: 197–201.
13.
KristensenTS, HannerzH, HøghA, . The Copenhagen psychosocial questionnaire-a tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health2005; 31: 438–449doi: 10.5271/sjweh.948.
14.
World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. 2000.
15.
AnbazhaganS, RameshN, NishaC, . Shift work disorder and related health problems among nurses working in a tertiary care hospital, Bangalore, South India. Indian J Occup Environ Med2016; 20: 35.
16.
SharmaF, KalraS, RaiR, . Work-related musculoskeletal disorders, workability and its predictors among nurses working in Delhi Hospitals: a multicentric survey. J Clin Diagnostic Res2022; 16: LC01-LC06.
17.
EmmanuelNM, EzhilarasuP and BheemaraoAB.Low back pain among nurses in a tertiary hospital, South India. J Osteopor Phys Ac2015; 3: 100061.
18.
KrishnanKS, RajuG and ShawkatalyPO. revalence of work-related musculoskeletal disorders: psychological and physical risk factors. Int J Environ Res Public Health2021; 18: 9361.
19.
ViesterL, VerhagenEA, HengelKM, . The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord2013; 14:1–9.
20.
SharmaSK, ThakurK and PeterPP. Status of nurses in India: current situation analysis and strategies to improve. J Med Evid2020; 1: 147–152.
21.
DasSK, PathakV and ChakrabortyT. Ergonomic mapping of work-related musculoskeletal disorders and stress among Indian healthcare workers: an overview. J Public Aff2022; 22: e2478.
22.
ChowdhuryU, DasT, MazumderS, . Work-related musculoskeletal disorders and mental health among nursing personnel in the context of COVID-19 pandemic in West Bengal, India. Int J Occup Saf2023; 13: 234–244.
23.
AhwalS and AroraS. Workplace stress for nurses in emergency department. Int J Emerg Trauma Nurs2015; 1: 17–21.
24.
GhawadraSF, AbdullahKL, ChooWY, . Psychological distress and its association with job satisfaction among nurses in a teaching hospital. J Clin Nurs2019; 28: 4087–4097.
25.
SinghA, JhaA and PurbeyS. Identification of measures affecting job satisfaction and levels of perceived stress and burnout among home health nurses of a developing Asian country. Hosp Top2021; 99: 64–74.
26.
AminAA, VankarJR, NimbalkarSM, . Perceived stress and professional quality of life in neonatal intensive care unit nurses in Gujarat, India. Indian J Pediatr2015; 82: 1001–1005.
27.
BoocockMG, TrevelyanF, AshbyL, . The influence of psychosocial and patient handling factors on the musculoskeletal health of nurses. In: proceedings of the 20th congress of the International Ergonomics Association (IEA 2018) volume III: musculoskeletal disorders 20 2019. Springer International Publishing, 2018, pp. 596–603.
28.
SharmaSK, RaniR.Nurse-to-patient ratio and nurse staffing norms for hospitals in India: a critical analysis of national benchmarks. J Fam Med Prim Care2020; 9: 2631.
29.
AbrahamAK, D’silvaF.Job satisfaction, burnout and quality of life of nurses from Mangalore. J Health Manag2013; 15: 91–97.
30.
RathoreH, ShuklaK, SinghS, . Shift work-problems and its impact on female nurses in Udaipur, Rajasthan India. Work2012; 41: 4302–4314.
31.
AnapD, IyerC and RaoK. Work related musculoskeletal disorders among hospital nurses in rural Maharashtra, India: a multi centre survey. Int J Res Med Sci2013; 1: 101–107.
32.
GoswamiS, HaldarP and SahuS. An ergonomic study of postural stress of nurses working in orthopedic wards. Int J Occup Saf Health2013; 3: 26–31.
33.
MajumdarD, PalMS, MajumdarD.Work-related musculoskeletal disorders in Indian nurses: a cross-sectional Study. J Nov Physiother2014; 4: 1–7.
34.
GandhiS, SangeethaG, AhmedN, . Somatic symptoms, perceived stress and perceived job satisfaction among nurses working in an Indian psychiatric hospital. Asian J Psychiatr2014; 12: 77–81.
35.
ChaudhariAP, MazumdarK, MotwaniYM, . A profile of occupational stress in nurses. Ann Indian Psychiatr2018; 2: 109–114.
36.
ChesakSS, CutshallSM, BoweCL, . Stress management interventions for nurses: critical literature review. J Holist Nurs2019; 37: 288–295.
37.
AlkhawaldehJF, SohKL, MukhtarFB, . Stress management interventions for intensive and critical care nurses: a systematic review. Nurs Crit Care2020; 25: 84–92.
