Yoğun Bakım Ünitelerinde Çalışan Hemşirelerde Psikososyal Faktörler ve Bel Ağrısı Arasındaki İlişki
Yıl 2024,
Cilt: 13 Sayı: 3, 628 - 635, 25.12.2024
Hakan Baydur
,
Sevgi Vermişli
,
Bilgen Ulamış
,
Emel Yılmaz
Öz
Amaç: Bel ağrısı, hemşirelerde en sık görülen mesleki sağlık sorunları arasındadır. Mesleki maruziyetin ve psikososyal faktörlerin önemli risk faktörleri olduğu bilinmektedir. Bu çalışmanın amacı, yoğun bakım ünitelerinde çalışan hemşirelerde bel ağrısının sıklığını ve psikososyal faktörler ile bel ağrısı arasındaki ilişkiyi belirlemektir. Gereç ve Yöntem: Bu araştırma, yoğun bakım ünitelerinde çalışan 127 hemşire ile yürütülen kesitsel bir çalışmadır. Katılımcıların sosyo-demografik özellikleri, bel ağrısı semptomlarının varlığı ve psikososyal faktörler hakkındaki veriler toplanmış ve SPSS 15.0 ile analiz edilmiştir. Bulgular: Son bir ay içinde hemşirelerde bel ağrısı sıklığı %70,9 idi. Kadın katılımcıların bel ağrısı erkeklere [OR:6.56 (%95 GA:1.98-21.73)] ve gece vardiyasında çalışanlara [OR:6.62 (%95 GA:1.68-26.09)] göre yüksek bulunmuştur. Buna karşın iş yerinde sosyal desteğin varlığı [OR:0.97 (%95 GA:0.95-0.99)] bel ağrısına karşı koruyucu bir etkiye sahiptir. Sonuç: Yoğun bakım ünitelerinde çalışan kadın hemşireler ve gece vardiyasında çalışanlar daha fazla bel ağrısı yaşarken, sosyal desteği yüksek olanlarda bel ağrısı sıklığı daha düşüktür.
Kaynakça
- Bos, E., Krol, B., van der Star, L., & Groothoff, J. (2007). Risk factors and musculoskeletal complaints in non-specialized nurses, IC nurses, operation room nurses, and X-ray technologists. International Archives of Occupational and Environmental Health, 80(3), 198-206. https://doi.org/10.1007/s00420-006-0121-8
- Brusini, A. (2021). Low back pain among nurses in Italy: a review. G Ital Med Lav Ergon, 43(4), 369-372.
Cargnin, Z. A., Schneider, D. G., Vargas, M. A. O., & Machado, R. R. (2019). Non-specific low back pain and its relation to the nursing work process. Revista Latino-Americana de Enfermagem. 27, e3172. https://doi.org/10.1590/1518-8345.2915.3172
- Cherry, N. M., Meyer, J. D., Chen, Y., Holt, D. L., & McDonald, J. C. (2001). The reported incidence of work‐related musculoskeletal disease in the UK: MOSS 1997–2000. Occupational Medicine, 51(7), 450-455. https://doi.org/10.1093/occmed/51.7.450
- Choobineh, A., Movahed, M., Tabatabaie, S. H., & Kumashiro, M. (2010). Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals. Industrial Health, 48(1), 74-84.
- Corona, G., Amedei, F., Miselli, F., Padalino, M. P., Tibaldi, S., & Franco, G. (2005). Association between relational and organizational factors and occurrence of musculoskeletal disease in health personnel. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 27(2), 208-212.
- Coury, H. J. C. G., Porcatti, I. A., Alem, M. E. R., & Oishi, J. (2002). Influence of gender on work-related musculoskeletal disorders in repetitive tasks. International Journal of Industrial Ergonomics, 29(1), 33-39. https://doi.org/10.1016/S0169-8141(01)00047-6
- Dahlberg, R., Karlqvist, L., Bildt, C., & Nykvist, K. (2004). Do work technique and musculoskeletal symptoms differ between men and women performing the same type of work tasks? Applied Ergonomics, 35(6), 521-529. https://doi.org/10.1016/j.apergo.2004.06.008
- De Souza Magnago, T. S., Lisboa, M. T., Griep, R. H., Kirchhof, A. L., & De Azevedo Guido, L. (2010). Psychosocial aspects of work and musculoskeletal disorders in nursing workers. Revista Latino-Americana de Enfermagem, 18(3), 429-435.
- Demiral, Y., Baydur, H., & Arık, H. (2012). Psychometric Properties of the effort-reward imbalance scale turkish version. 15.National Public Health Congress, Bursa-Turkey.
- Demiral, Y., Ünal, B., Kılıç, B., Soysal, A., Bilgin, A. C., Uçku, R., & Theorell, T. (2007). Validity and reliability of job stress questionnaire in izmir-konak municipality workers. Bull Community Medicine, 26(1), 11-18.
- Du, J., Zhang, L., Xu, C., & Qiao, J. (2021). Relationship Between the exposure to occupation-related psychosocial and physical exertion and upper body musculoskeletal diseases in hospital nurses: a systematic review and meta-analysis. Asian Nursing Research, 15(3), 163-173. https://doi.org/10.1016/j.anr.2021.03.003
- Ferrari, A. J., Santomauro, D. F., Aali, A., Abate, Y. H., Abbafati, C., Abbastabar, H., . . . Murray, C. J. L. (2024). Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 403(10440), 2133-2161. https://doi.org/10.1016/S0140-6736(24)00757-8
- Fujii, T., Oka, H., Takano, K., Asada, F., Nomura, T., Kawamata, K., . . . Matsudaira, K. (2019). Association between high fear-avoidance beliefs about physical activity and chronic disabling low back pain in nurses in Japan. BMC Musculoskeletal Disorders, 20(1), 572. https://doi.org/10.1186/s12891-019-2965-6
- Golabadi, M., Attarchi, M., Raeisi, S., & Namvar, M. (2013). Effects of psychosocial strain on back symptoms in Tehran general hospital nursing personnel. Archives Hygiene Rada Toxicology, 64(4), 505-512. https://doi.org/10.2478/10004-1254-64-2013-2366
- Habibi, E., Pourabdian, S., Atabaki, A. K., & Hoseini, M. (2012). Evaluation of work-related psychosocial and ergonomics factors in relation to low back discomfort in emergency unit nurses. International Journal of Preventive Medicine, 3(8), 564-568.
- Herin, F., Paris, C., Levant, A., Vignaud, M. C., Sobaszek, A., & Soulat, J. M. (2011). Links between nurses' organisational work environment and upper limb musculoskeletal symptoms: independently of effort-reward imbalance! The ORSOSA study. Pain, 152(9), 2006-2015. https://doi.org/10.1016/j.pain.2011.04.018
- Huang, G. D., Feuerstein, M., & Sauter, S. L. (2002). Occupational stress and work-related upper extremity disorders: concepts and models. The American Journal of Industrial Medicine., 41(5), 298-314. https://doi.org/10.1002/ajim.10045
- Hughes, R. E., Silverstein, B. A., & Evanoff, B. A. (1997). Risk factors for work-related musculoskeletal disorders in an aluminum smelter. American Journal of Industrial Medicine, 32(1), 66-75.
- Kasa, A. S., Workineh, Y., Ayalew, E., & Temesgen, W. A. (2020). Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies. BMC Musculoskeletal Disorders, 21(1), 310. https://doi.org/10.1186/s12891-020-03341-y
- Latina, R., Petruzzo, A., Vignally, P., Cattaruzza, M. S., Vetri Buratti, C., Mitello, L., . . . D'Angelo, D. (2020). The prevalence of musculoskeletal disorders and low back pain among Italian nurses: An observational study. Acta Biomedica, 91(12-s), e2020003. https://doi.org/10.23750/abm.v91i12-S.10306
- Lee, S. J., Lee, J. H., & Gershon, R. R. (2015). Musculoskeletal symptoms in nurses in the early implementation phase of california's safe patient handling legislation. Research in Nursing & Health, 38(3), 183-193. https://doi.org/10.1002/nur.21657
- Lorusso, A., Bruno, S., & L'Abbate, N. (2007). A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Industrial Health, 45(5), 637-644.
- Murray, C. J. L., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., . . . Lopez, A. D. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010 [Article]. The Lancet, 380(9859), 2197-2223. https://doi.org/10.1016/S0140-6736(12)61689-4
- Özcan, E., Esmaeilzadeh, S., & Bölükbaş, N. (2007). Work related musculoskeletal disorders and therapy. nobel medicus, 3(1), 12-17.
Rezaee, M., & Ghasemi, M. (2014). Prevalence of low back pain among nurses: predisposing factors and role of work place violence. Trauma Monthly, 19(4), e17926. https://doi.org/10.5812/traumamon.17926
- Sadeghian, F., Coggon, D., Ntani, G., & Hosseinzadeh, S. (2015). Predictors of low back pain in a longitudinal study of Iranian nurses and office workers. Work, 51(2), 239-244. https://doi.org/10.3233/wor-141850
- Sang, S., Wang, J., & Jin, J. (2021). Prevalence of low back pain among intensive care nurses: A meta-analysis. Nursing in Critical Care, 26(6), 476-484. https://doi.org/10.1111/nicc.12646
- Sanne, B., Torp, S., Mykletun, A., & Dahl, A. A. (2005). The Swedish Demand-Control-Support Questionnaire (DCSQ): factor structure, item analyses, and internal consistency in a large population. Scandinavian Journal of Public Health, 33(3), 166-174. https://doi.org/10.1080/14034940410019217
- Serranheira, F., Cotrim, T., Rodrigues, V., Nunes, C., & Sousa-Uva, A. (2012). Nurses' working tasks and MSDs back symptoms: results from a national survey. Work, 41 Supplement 1, 2449-2451. https://doi.org/10.3233/wor-2012-0479-2449
- Siegrist, J., Li, J., & Montano, D. (2014). Psychometric properties of the Effort-reward imbalance questionnaire. In. Germany: Department of Medical Sociology, Faculty of Medicine, Duesseldorf University.
- Skov, T., Borg, V., & Orhede, E. (1996). Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. Occupational and Environmental Medicine, 53(5), 351-356.
Skovron, M. L., Mulvihill, M. N., Sterling, R. C., Nordin, M., Tougas, G., Gallagher, M., & Speedling, E. J. (1987). Work organization and low back pain in nursing personnel. Ergonomics, 30(2), 359-366. https://doi.org/10.1080/00140138708969719
Strazdins, L., & Bammer, G. (2004). Women, work and musculoskeletal health. Socal Science & Medicine, 58(6), 997-1005. https://doi.org/10.1016/s0277-9536(03)00260-0
- Sun, W., Zhang, H., Tang, L., He, Y., & Tian, S. (2021). The factors of non-specific chronic low back pain in nurses: A meta-analysis. Journal of Back Musculoskeletal Rehabilitation, 34(3), 343-353. https://doi.org/10.3233/bmr-200161
- Urquhart, D. M., Kelsall, H. L., Hoe, V. C., Cicuttini, F. M., Forbes, A. B., & Sim, M. R. (2013). Are psychosocial factors associated with low back pain and work absence for low back pain in an occupational cohort? The Clinical Journal of Pain, 29(12), 1015-1020. https://doi.org/10.1097/AJP.0b013e31827ff0c0
- Vinstrup, J., Jakobsen, M. D., & Andersen, L. L. (2020). Perceived stress and low-back pain among healthcare workers: a multi-center prospective cohort study. Front Public Health, 8, 297. https://doi.org/10.3389/fpubh.2020.00297
- Weyers, S., Peter, R., Boggild, H., Jeppesen, H. J., & Siegrist, J. (2006). Psychosocial work stress is associated with poor self-rated health in Danish nurses: a test of the effort-reward imbalance model. Scandinavian Journal of Caring Sciences, 20(1), 26-34. https://doi.org/10.1111/j.1471-6712.2006.00376.x
- Woods, V. (2005). Work-related musculoskeletal health and social support. Occupational Medicine (Lond), 55(3), 177-189. https://doi.org/10.1093/occmed/kqi085
- Yassi, A., & Lockhart, K. (2013). Work-relatedness of low back pain in nursing personnel: a systematic review. International Archives of Occupational and Environmental Health, 19(3), 223-244. https://doi.org/10.1179/2049396713y.0000000027
Association Between Psychosocial Factors and Low Back Pain Among Nurses Working in Intensive Care Units
Yıl 2024,
Cilt: 13 Sayı: 3, 628 - 635, 25.12.2024
Hakan Baydur
,
Sevgi Vermişli
,
Bilgen Ulamış
,
Emel Yılmaz
Öz
Objective: Low back pain is among the most common occupational health problems in nurses. It is known that occupational exposure and psychosocial factors are important risk factors. The purpose of this study is to assess the prevalence of low back pain among nurses employed in intensive care units and to examine the relationship between psychosocial factors and the occurrence of low back pain. Materials and Methods: This cross-sectional study was conducted with 127 nurses employed in intensive care units. Data were gathered on participants' socio-demographic characteristics, presence of low back pain symptoms, and psychosocial factors, and were analyzed using SPSS 15.0. Results: The one-month prevalence of low back pain among these nurses was found to be 70.9%. Low back pain was high in female participants [OR:6.56 (95% CI:1.98-21.73)] and those who worked the night shift [OR:6.62 (95% CI:1.68-26.09)] and the presence of the social support in the workplace [OR:0.97 (95% CI:0.95-0.99)] has a protective effect against low back pain. Conclusion: Among nurses working in intensive care units, females and those assigned to night shifts experienced more intense low back pain, while those with social support reported less frequent discomfort.
Kaynakça
- Bos, E., Krol, B., van der Star, L., & Groothoff, J. (2007). Risk factors and musculoskeletal complaints in non-specialized nurses, IC nurses, operation room nurses, and X-ray technologists. International Archives of Occupational and Environmental Health, 80(3), 198-206. https://doi.org/10.1007/s00420-006-0121-8
- Brusini, A. (2021). Low back pain among nurses in Italy: a review. G Ital Med Lav Ergon, 43(4), 369-372.
Cargnin, Z. A., Schneider, D. G., Vargas, M. A. O., & Machado, R. R. (2019). Non-specific low back pain and its relation to the nursing work process. Revista Latino-Americana de Enfermagem. 27, e3172. https://doi.org/10.1590/1518-8345.2915.3172
- Cherry, N. M., Meyer, J. D., Chen, Y., Holt, D. L., & McDonald, J. C. (2001). The reported incidence of work‐related musculoskeletal disease in the UK: MOSS 1997–2000. Occupational Medicine, 51(7), 450-455. https://doi.org/10.1093/occmed/51.7.450
- Choobineh, A., Movahed, M., Tabatabaie, S. H., & Kumashiro, M. (2010). Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals. Industrial Health, 48(1), 74-84.
- Corona, G., Amedei, F., Miselli, F., Padalino, M. P., Tibaldi, S., & Franco, G. (2005). Association between relational and organizational factors and occurrence of musculoskeletal disease in health personnel. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 27(2), 208-212.
- Coury, H. J. C. G., Porcatti, I. A., Alem, M. E. R., & Oishi, J. (2002). Influence of gender on work-related musculoskeletal disorders in repetitive tasks. International Journal of Industrial Ergonomics, 29(1), 33-39. https://doi.org/10.1016/S0169-8141(01)00047-6
- Dahlberg, R., Karlqvist, L., Bildt, C., & Nykvist, K. (2004). Do work technique and musculoskeletal symptoms differ between men and women performing the same type of work tasks? Applied Ergonomics, 35(6), 521-529. https://doi.org/10.1016/j.apergo.2004.06.008
- De Souza Magnago, T. S., Lisboa, M. T., Griep, R. H., Kirchhof, A. L., & De Azevedo Guido, L. (2010). Psychosocial aspects of work and musculoskeletal disorders in nursing workers. Revista Latino-Americana de Enfermagem, 18(3), 429-435.
- Demiral, Y., Baydur, H., & Arık, H. (2012). Psychometric Properties of the effort-reward imbalance scale turkish version. 15.National Public Health Congress, Bursa-Turkey.
- Demiral, Y., Ünal, B., Kılıç, B., Soysal, A., Bilgin, A. C., Uçku, R., & Theorell, T. (2007). Validity and reliability of job stress questionnaire in izmir-konak municipality workers. Bull Community Medicine, 26(1), 11-18.
- Du, J., Zhang, L., Xu, C., & Qiao, J. (2021). Relationship Between the exposure to occupation-related psychosocial and physical exertion and upper body musculoskeletal diseases in hospital nurses: a systematic review and meta-analysis. Asian Nursing Research, 15(3), 163-173. https://doi.org/10.1016/j.anr.2021.03.003
- Ferrari, A. J., Santomauro, D. F., Aali, A., Abate, Y. H., Abbafati, C., Abbastabar, H., . . . Murray, C. J. L. (2024). Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 403(10440), 2133-2161. https://doi.org/10.1016/S0140-6736(24)00757-8
- Fujii, T., Oka, H., Takano, K., Asada, F., Nomura, T., Kawamata, K., . . . Matsudaira, K. (2019). Association between high fear-avoidance beliefs about physical activity and chronic disabling low back pain in nurses in Japan. BMC Musculoskeletal Disorders, 20(1), 572. https://doi.org/10.1186/s12891-019-2965-6
- Golabadi, M., Attarchi, M., Raeisi, S., & Namvar, M. (2013). Effects of psychosocial strain on back symptoms in Tehran general hospital nursing personnel. Archives Hygiene Rada Toxicology, 64(4), 505-512. https://doi.org/10.2478/10004-1254-64-2013-2366
- Habibi, E., Pourabdian, S., Atabaki, A. K., & Hoseini, M. (2012). Evaluation of work-related psychosocial and ergonomics factors in relation to low back discomfort in emergency unit nurses. International Journal of Preventive Medicine, 3(8), 564-568.
- Herin, F., Paris, C., Levant, A., Vignaud, M. C., Sobaszek, A., & Soulat, J. M. (2011). Links between nurses' organisational work environment and upper limb musculoskeletal symptoms: independently of effort-reward imbalance! The ORSOSA study. Pain, 152(9), 2006-2015. https://doi.org/10.1016/j.pain.2011.04.018
- Huang, G. D., Feuerstein, M., & Sauter, S. L. (2002). Occupational stress and work-related upper extremity disorders: concepts and models. The American Journal of Industrial Medicine., 41(5), 298-314. https://doi.org/10.1002/ajim.10045
- Hughes, R. E., Silverstein, B. A., & Evanoff, B. A. (1997). Risk factors for work-related musculoskeletal disorders in an aluminum smelter. American Journal of Industrial Medicine, 32(1), 66-75.
- Kasa, A. S., Workineh, Y., Ayalew, E., & Temesgen, W. A. (2020). Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies. BMC Musculoskeletal Disorders, 21(1), 310. https://doi.org/10.1186/s12891-020-03341-y
- Latina, R., Petruzzo, A., Vignally, P., Cattaruzza, M. S., Vetri Buratti, C., Mitello, L., . . . D'Angelo, D. (2020). The prevalence of musculoskeletal disorders and low back pain among Italian nurses: An observational study. Acta Biomedica, 91(12-s), e2020003. https://doi.org/10.23750/abm.v91i12-S.10306
- Lee, S. J., Lee, J. H., & Gershon, R. R. (2015). Musculoskeletal symptoms in nurses in the early implementation phase of california's safe patient handling legislation. Research in Nursing & Health, 38(3), 183-193. https://doi.org/10.1002/nur.21657
- Lorusso, A., Bruno, S., & L'Abbate, N. (2007). A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Industrial Health, 45(5), 637-644.
- Murray, C. J. L., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., . . . Lopez, A. D. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010 [Article]. The Lancet, 380(9859), 2197-2223. https://doi.org/10.1016/S0140-6736(12)61689-4
- Özcan, E., Esmaeilzadeh, S., & Bölükbaş, N. (2007). Work related musculoskeletal disorders and therapy. nobel medicus, 3(1), 12-17.
Rezaee, M., & Ghasemi, M. (2014). Prevalence of low back pain among nurses: predisposing factors and role of work place violence. Trauma Monthly, 19(4), e17926. https://doi.org/10.5812/traumamon.17926
- Sadeghian, F., Coggon, D., Ntani, G., & Hosseinzadeh, S. (2015). Predictors of low back pain in a longitudinal study of Iranian nurses and office workers. Work, 51(2), 239-244. https://doi.org/10.3233/wor-141850
- Sang, S., Wang, J., & Jin, J. (2021). Prevalence of low back pain among intensive care nurses: A meta-analysis. Nursing in Critical Care, 26(6), 476-484. https://doi.org/10.1111/nicc.12646
- Sanne, B., Torp, S., Mykletun, A., & Dahl, A. A. (2005). The Swedish Demand-Control-Support Questionnaire (DCSQ): factor structure, item analyses, and internal consistency in a large population. Scandinavian Journal of Public Health, 33(3), 166-174. https://doi.org/10.1080/14034940410019217
- Serranheira, F., Cotrim, T., Rodrigues, V., Nunes, C., & Sousa-Uva, A. (2012). Nurses' working tasks and MSDs back symptoms: results from a national survey. Work, 41 Supplement 1, 2449-2451. https://doi.org/10.3233/wor-2012-0479-2449
- Siegrist, J., Li, J., & Montano, D. (2014). Psychometric properties of the Effort-reward imbalance questionnaire. In. Germany: Department of Medical Sociology, Faculty of Medicine, Duesseldorf University.
- Skov, T., Borg, V., & Orhede, E. (1996). Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. Occupational and Environmental Medicine, 53(5), 351-356.
Skovron, M. L., Mulvihill, M. N., Sterling, R. C., Nordin, M., Tougas, G., Gallagher, M., & Speedling, E. J. (1987). Work organization and low back pain in nursing personnel. Ergonomics, 30(2), 359-366. https://doi.org/10.1080/00140138708969719
Strazdins, L., & Bammer, G. (2004). Women, work and musculoskeletal health. Socal Science & Medicine, 58(6), 997-1005. https://doi.org/10.1016/s0277-9536(03)00260-0
- Sun, W., Zhang, H., Tang, L., He, Y., & Tian, S. (2021). The factors of non-specific chronic low back pain in nurses: A meta-analysis. Journal of Back Musculoskeletal Rehabilitation, 34(3), 343-353. https://doi.org/10.3233/bmr-200161
- Urquhart, D. M., Kelsall, H. L., Hoe, V. C., Cicuttini, F. M., Forbes, A. B., & Sim, M. R. (2013). Are psychosocial factors associated with low back pain and work absence for low back pain in an occupational cohort? The Clinical Journal of Pain, 29(12), 1015-1020. https://doi.org/10.1097/AJP.0b013e31827ff0c0
- Vinstrup, J., Jakobsen, M. D., & Andersen, L. L. (2020). Perceived stress and low-back pain among healthcare workers: a multi-center prospective cohort study. Front Public Health, 8, 297. https://doi.org/10.3389/fpubh.2020.00297
- Weyers, S., Peter, R., Boggild, H., Jeppesen, H. J., & Siegrist, J. (2006). Psychosocial work stress is associated with poor self-rated health in Danish nurses: a test of the effort-reward imbalance model. Scandinavian Journal of Caring Sciences, 20(1), 26-34. https://doi.org/10.1111/j.1471-6712.2006.00376.x
- Woods, V. (2005). Work-related musculoskeletal health and social support. Occupational Medicine (Lond), 55(3), 177-189. https://doi.org/10.1093/occmed/kqi085
- Yassi, A., & Lockhart, K. (2013). Work-relatedness of low back pain in nursing personnel: a systematic review. International Archives of Occupational and Environmental Health, 19(3), 223-244. https://doi.org/10.1179/2049396713y.0000000027