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Westergren, E. & Lindberg, M. (2023). Haemodialysis nurses' occupational health and work‐related musculoskeletal hand pain after work: A cluster analysis. Nursing Open, 10(6), 4064-4070
Open this publication in new window or tab >>Haemodialysis nurses' occupational health and work‐related musculoskeletal hand pain after work: A cluster analysis
2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 6, p. 4064-4070Article in journal (Refereed) Published
Abstract [en]

Aim

To identify clusters based on haemodialysis nurses' self-rated work ability, work engagement and self-reported work hours and to compare the identified clusters regarding hand pain after work.

Design

Cross-sectional survey.

Methods

Data based on the Work Ability Index, Utrecht Work Engagement Scale and hand pain severity after work were collected through a web-based survey among 503 haemodialysis nurses working in Sweden and Denmark. A two-step cluster analysis was used to identify homogenous groups of cases within the dataset, followed by comparative analyses of the clusters.

Results

Four distinct clusters were identified, illustrating differing profiles of haemodialysis nurses' work ability, work engagement and working hours. Nurses who worked part-time and reported moderate work ability and average work engagement had significantly higher ratings of hand pain after work.

Conclusions

Haemodialysis nurses are a heterogeneous group as regards work ability, work engagement and self-reported work hours. The four distinct clusters of nurses indicate a need for customized interventions for retaining each subgroup at work.

Place, publisher, year, edition, pages
Wiley, 2023
Keywords
haemodialysis nurses; musculoskeletal pain; nursing; work ability; work capacity evaluation; work engagement
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-41119 (URN)10.1002/nop2.1666 (DOI)000937046400001 ()36811450 (PubMedID)2-s2.0-85149228226 (Scopus ID)
Funder
AFA Insurance, 170075
Available from: 2023-02-23 Created: 2023-02-23 Last updated: 2023-06-16Bibliographically approved
Westergren, E. & Lindberg, M. (2022). Work-related musculoskeletal complaints among haemodialysis nurses: An exploratory study of the work situation from an ergonomic perspective. Work: A journal of Prevention, Assessment and rehabilitation, 72(3), 875-884
Open this publication in new window or tab >>Work-related musculoskeletal complaints among haemodialysis nurses: An exploratory study of the work situation from an ergonomic perspective
2022 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 72, no 3, p. 875-884Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Haemodialysis nurses have a high prevalence of musculoskeletal complaints, but the reason for this is yet unknown.

OBJECTIVE:The aim of this study was to carry out an exploratory analysis of the work situation of haemodialysis nurses from an ergonomic perspective.

METHODS:Non-participant observations and reflective discussions to assess the work environment and explore possible potential hazards contributing to musculoskeletal complaints were conducted among nineteen nurses at five haemodialysis centres. Additional reflective notes from the observer’s experiences and progress in the field were made. Analytic integration was applied to merge the collected data.

RESULTS:Eight haemodialysis work tasks believed to increase the risk of developing work-related musculoskeletal complaints were identified. Different types of musculoskeletal complaints, mainly in the upper extremity, were mentioned. The design of the dialysis machine used and the physical demands of repetitive work procedures were implicated.

CONCLUSIONS:Our findings add to the understanding of the work-related factors that contribute to musculoskeletal complaints among haemodialysis nurses. The findings support the hypothesis that there might be an association between materials used and the development of work-related complaints involving the fingers, hands and wrists of this population. Repetitive work tasks that have an impact on the development of musculoskeletal problems need to be further investigated.

Place, publisher, year, edition, pages
IOS Press, 2022
Keywords
Haemodialysis; ergonomics; nurse; qualitative research; reflections; work-related musculoskeletal disorders
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-38634 (URN)10.3233/wor-205241 (DOI)000827333200010 ()35634816 (PubMedID)2-s2.0-85134458498 (Scopus ID)
Funder
AFA Insurance, 170075
Available from: 2022-05-30 Created: 2022-05-30 Last updated: 2022-12-07Bibliographically approved
Westergren, E., Ludvigsen, M. S. & Lindberg, M. (2021). Prevalence of musculoskeletal complaints among haemodialysis nurses – a comparison between Danish and Swedish samples. International Journal of Occupational Safety and Ergonomics, 27(3), 896-901
Open this publication in new window or tab >>Prevalence of musculoskeletal complaints among haemodialysis nurses – a comparison between Danish and Swedish samples
2021 (English)In: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 27, no 3, p. 896-901Article in journal (Refereed) Published
Abstract [en]

Purpose. The repetitiveness of priming and dismantling disposables for haemodialysis treatments might be an important contributor to musculoskeletal complaints. The objective was therefore to compare the prevalence of musculoskeletal complaints among haemodialysis nurses in Denmark and Sweden.

Materials and methods. For this cross-sectional study, nurses were recruited from haemodialysis centres in Denmark (n=194) and Sweden (n=351). Prevalence of musculoskeletal complaints was evaluated using the Nordic Musculoskeletal Questionnaire.

Results and conclusion. The percentage of nurses reporting musculoskeletal complaints from at least one part of their body was 90.2% in the Danish and 88.9% in the Swedish sample. The anatomical locations with the most complaints were the neck, lower back and hands. Except for the proportion of complaints concerning the neck, there were no differences between the countries. Absenteeism from work was mostly due to complaints regarding the hands. The prevalence of musculoskeletal complaints seems to be higher among haemodialysis nurses than among nurses in general. Because complaints concerning the hands are common, and also related to absenteeism from work, it is of particular importance that manufacturers of dialysis equipment and nurse managers acknowledge these occupational health and safety hazards in their efforts to create a good work environment.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Work-related musculoskeletal disorders; haemodialysis; nurse; NMQ; prevalence; ergonomics
National Category
Work Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-30852 (URN)10.1080/10803548.2019.1688018 (DOI)000504171900001 ()31679466 (PubMedID)2-s2.0-85077095166 (Scopus ID)
Funder
AFA Insurance, 170075University of Gävle, N/A
Available from: 2019-10-30 Created: 2019-10-30 Last updated: 2021-08-17Bibliographically approved
Westergren, E., Ludvigsen, M. S. & Lindberg, M. (2020). Associations between materials used and work-related musculoskeletal hand complaints among haemodialysis nurses. Journal of Renal Care, 46(3), 185-192
Open this publication in new window or tab >>Associations between materials used and work-related musculoskeletal hand complaints among haemodialysis nurses
2020 (English)In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 46, no 3, p. 185-192Article in journal (Refereed) Published
Abstract [en]

Background

One in every two haemodialysis nurses has reported musculoskeletal complaints concerning their hands, which is twice that reported for hospital nurses in general. It is possible that there is an association between the materials used by haemodialysis nurses and the occurrence of hand complaints.

Objectives

To examine the association between the type of dialysis machine and disposables used with the occurrence of hand complaints among haemodialysis nurses. To compare occupational risks of developing work‐related musculoskeletal disorders based on the materials used for haemodialysis.

Design

Cross‐sectional.

Participants

Two hundred and eighty‐two nurses working in 27 haemodialysis centres in Sweden participated in a survey, and 19 nurses at five centres were observed during priming procedures.

Measurements

Nurses supplied demographic data and answered the Nordic Musculoskeletal Questionnaire. Centre level data regarding machines and disposables used for haemodialysis during the past year were also collected.

Results

There were no differences in the prevalence of hand complaints based on the type of haemodialysis machines, dialysers or tubing used. There were no differences found in physical exposure to the hands during priming, based on machine type used.

Conclusion

The results of this study could not reveal any association between disposable materials used and the occurrence of hand complaints among haemodialysis nurses. Additionally, there were no occupational risks detected based on the types of machines used. Hence, the results of the present study strongly indicate that a deeper ergonomic analysis of the work environment is needed to understand the prevalence of hand complaints among nurses working in haemodialysis settings.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
Ergonomics; Haemodialysis; Work-related musculoskeletal disorders
National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-31292 (URN)10.1111/jorc.12317 (DOI)000511355500001 ()32030898 (PubMedID)2-s2.0-85079146757 (Scopus ID)
Funder
AFA Insurance, 170075
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2021-04-01Bibliographically approved
Westergren, E. (2020). Hög förekomst av muskelbesvär hos hemodialyspersonal. Dialäsen (2)
Open this publication in new window or tab >>Hög förekomst av muskelbesvär hos hemodialyspersonal
2020 (Swedish)In: Dialäsen, ISSN 2002-9322, no 2Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-34316 (URN)
Projects
HD besvär
Funder
AFA Insurance, 170075
Available from: 2020-11-20 Created: 2020-11-20 Last updated: 2020-11-26Bibliographically approved
Westergren, E. (2020). Muskuloskeletala besvär i händerna och använt material för dialys: -finns det ett samband?. Dialäsen (4), 12-14
Open this publication in new window or tab >>Muskuloskeletala besvär i händerna och använt material för dialys: -finns det ett samband?
2020 (Swedish)In: Dialäsen, ISSN 2002-9322, no 4, p. 12-14Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-34317 (URN)
Projects
HD besvär
Funder
AFA Insurance, 170075
Available from: 2020-11-20 Created: 2020-11-20 Last updated: 2020-11-26Bibliographically approved
Friberg, S., Jansson, J., Westergren, E. & Lindberg, M. (2016). Grundutbildade sjuksköterskors upplevelse att börja arbeta på en barnavdelning. Nordisk sygeplejeforskning, 6(1), 20-33
Open this publication in new window or tab >>Grundutbildade sjuksköterskors upplevelse att börja arbeta på en barnavdelning
2016 (Swedish)In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 6, no 1, p. 20-33Article in journal (Refereed) Published
Abstract [en]

Basic trained nurses experience to start working on a children’s ward

The aim of the study was to describe nurses trained to a basic level experience of starting work on a children's ward. A qualitative study has been conducted with a purposively drawn sample of informants. Semi-structured interviews were conducted with eight basic trained nurses. Data were analyzed using qualitative content analysis. The results showed that respondents felt that the pediatrics course is not preparing for the professional work with children. Most felt that it was through real situations in the workplace that they gained necessary knowledge. Furthermore, it was found that only a few were satisfied with the induction. Spending time with many different supervisors was an important factor for experiencing dissatisfaction with the induction. Good support was received from employees; however the support of the organization was poor. Conclusion: Today's undergraduate education in nursing does not include enough pediatrics to prepare students for professional work with children and adolescents. Actions at individual and workplace levels are needed to increase knowledge of the basic trained nurse. Continuity and support during the induction is important for newly employed nurses to feel competent in their work.

Keywords
general nurses, children, knowledge, supervision, safety, allmänsjuksköterskor, barn, kunskap, handledning, trygghet
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-20700 (URN)10.18261/issn.1892-2686-2016-01-03 (DOI)
Available from: 2015-11-30 Created: 2015-11-30 Last updated: 2024-03-18Bibliographically approved
Westergren, E. (2012). Lära för livet och inte för tentamen: en kritisk diskussion från seminarierummet. In: Göran Fransson & Helena Hammarström (Ed.), I mötet mellan vetenskap och lärande: 13 högskolepedagogiska utmaningar (pp. 111-124). Gävle: Gävle University Press
Open this publication in new window or tab >>Lära för livet och inte för tentamen: en kritisk diskussion från seminarierummet
2012 (Swedish)In: I mötet mellan vetenskap och lärande: 13 högskolepedagogiska utmaningar / [ed] Göran Fransson & Helena Hammarström, Gävle: Gävle University Press , 2012, p. 111-124Chapter in book (Other academic)
Place, publisher, year, edition, pages
Gävle: Gävle University Press, 2012
Series
Lärarutbildningens skriftserie, ISSN 1652-0955 ; 6
National Category
Educational Sciences Pedagogy Didactics
Identifiers
urn:nbn:se:hig:diva-12575 (URN)978-91-974893-5-5 (ISBN)
Available from: 2012-08-14 Created: 2012-08-14 Last updated: 2022-09-20Bibliographically approved
Westergren, E. (2011). Hematologiutbildning för sjuksköterskor. Tidningen Cancervården (4), 10-13
Open this publication in new window or tab >>Hematologiutbildning för sjuksköterskor
2011 (Swedish)In: Tidningen Cancervården, ISSN 1401-6583, no 4, p. 10-13Article in journal (Other (popular science, discussion, etc.)) Published
Keywords
utbildning, avancerad nivå, hematologi
National Category
Nursing Hematology
Identifiers
urn:nbn:se:hig:diva-13071 (URN)
Available from: 2012-09-24 Created: 2012-09-24 Last updated: 2022-09-20Bibliographically approved
Projects
Belastningsbesvär hos hemodialyssjuksköterskor i Sverige och Danmark [170075]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9672-9714

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