Academic Journal
Perceived health, musculoskeletal disorders, work conditions and safety climate in relation to patient handling and movement − a multicentre cross-sectional study at healthcare workplaces.
| Τίτλος: | Perceived health, musculoskeletal disorders, work conditions and safety climate in relation to patient handling and movement − a multicentre cross-sectional study at healthcare workplaces. |
|---|---|
| Συγγραφείς: | Wåhlin, Charlotte, Sandqvist, Jan, Enthoven, Paul, Buck, Sebastian, Karlsson, Nadine, Strid, Emma Nilsing |
| Πηγή: | BMC Musculoskeletal Disorders; 11/14/2025, Vol. 26 Issue 1, p1-17, 17p |
| Θεματικοί όροι: | Hospital care, Musculoskeletal system diseases, Work environment, Nursing care facilities, Industrial safety, Medical care, Medical personnel, Transportation of patients |
| Γεωγραφικοί όροι: | Sweden |
| Περίληψη: | Background: A safe healthcare work environment is essential to promote patient safety and healthcare workers' (HCWs) well-being. Nevertheless, musculoskeletal disorders (MSDs) remain highly prevalent, particularly in relation to patient handling and movement (PHM). This study aims to describe and compare HCWs health, MSDs, working conditions, and safety climate in relation to PHM in hospital care units and nursing homes, as well as to identify desired workplace improvements. Methods: This multicentre cross-sectional study was based on data collected in 2023 as part of a prospective cluster-randomized trial conducted in Sweden. In total, 1,214 HCWs in 17 hospital care units and 27 nursing homes completed a questionnaire assessing health, PHM routines, organizational conditions, and safety climate using the NOSACQ-50 instrument. Factor analyses of PHM and work environment variables informed mixed linear regression models, evaluating associations with perceived safety climate. Qualitative content analysis was performed on open-ended responses regarding desired workplace improvements. Results: MSDs were highly prevalent, with 79% of HCWs reporting symptoms in the past week. Nursing home HCWs experienced more pain sites, particularly in extremities. Compared to nursing home HCWs, hospital care HCWs more frequently disagreed that PHM activities were guided by clear policies, written guidelines, established routines, or regular training (p < 0.001). Hospital HCWs demonstrated lower adherence to safety policies and less systematic risk assessment. Despite these challenges, the overall perceived safety climate was moderately positive, with NOSACQ-50 mean scores ranging from 3.1 to 3.6. Over 40% of HCWs reported significant physical work environment issues, including heavy lifting, repetitive movements, uncomfortable positions, and high work pace. Regression analyses revealed that organizational support, clear guidelines, ergonomic and psychosocial work factors, and especially managerial support (p < 0.001), were strongly associated with higher perceived safety climate. Qualitative data mostly underscored needs for improved staffing, education, structured routines, and better access to assistive equipment, particularly ceiling lifts. Conclusions: Substantial physical and organizational challenges related to PHM were reported by HCWs across both care contexts. The findings suggest that interventions emphasizing leadership engagement, a systematic approach to training, and tailored solutions are essential to strengthen the safety climate and reduce HCWs' health risks. Trial registration: NCT05276180 Registration date 02112022. [ABSTRACT FROM AUTHOR] |
| Copyright of BMC Musculoskeletal Disorders is the property of BioMed Central and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Βάση Δεδομένων: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: Perceived health, musculoskeletal disorders, work conditions and safety climate in relation to patient handling and movement − a multicentre cross-sectional study at healthcare workplaces. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Wåhlin%2C+Charlotte%22">Wåhlin, Charlotte</searchLink><br /><searchLink fieldCode="AR" term="%22Sandqvist%2C+Jan%22">Sandqvist, Jan</searchLink><br /><searchLink fieldCode="AR" term="%22Enthoven%2C+Paul%22">Enthoven, Paul</searchLink><br /><searchLink fieldCode="AR" term="%22Buck%2C+Sebastian%22">Buck, Sebastian</searchLink><br /><searchLink fieldCode="AR" term="%22Karlsson%2C+Nadine%22">Karlsson, Nadine</searchLink><br /><searchLink fieldCode="AR" term="%22Strid%2C+Emma+Nilsing%22">Strid, Emma Nilsing</searchLink> – Name: TitleSource Label: Source Group: Src Data: BMC Musculoskeletal Disorders; 11/14/2025, Vol. 26 Issue 1, p1-17, 17p – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Musculoskeletal+system+diseases%22">Musculoskeletal system diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Work+environment%22">Work environment</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+care+facilities%22">Nursing care facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Industrial+safety%22">Industrial safety</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Transportation+of+patients%22">Transportation of patients</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: A safe healthcare work environment is essential to promote patient safety and healthcare workers' (HCWs) well-being. Nevertheless, musculoskeletal disorders (MSDs) remain highly prevalent, particularly in relation to patient handling and movement (PHM). This study aims to describe and compare HCWs health, MSDs, working conditions, and safety climate in relation to PHM in hospital care units and nursing homes, as well as to identify desired workplace improvements. Methods: This multicentre cross-sectional study was based on data collected in 2023 as part of a prospective cluster-randomized trial conducted in Sweden. In total, 1,214 HCWs in 17 hospital care units and 27 nursing homes completed a questionnaire assessing health, PHM routines, organizational conditions, and safety climate using the NOSACQ-50 instrument. Factor analyses of PHM and work environment variables informed mixed linear regression models, evaluating associations with perceived safety climate. Qualitative content analysis was performed on open-ended responses regarding desired workplace improvements. Results: MSDs were highly prevalent, with 79% of HCWs reporting symptoms in the past week. Nursing home HCWs experienced more pain sites, particularly in extremities. Compared to nursing home HCWs, hospital care HCWs more frequently disagreed that PHM activities were guided by clear policies, written guidelines, established routines, or regular training (p < 0.001). Hospital HCWs demonstrated lower adherence to safety policies and less systematic risk assessment. Despite these challenges, the overall perceived safety climate was moderately positive, with NOSACQ-50 mean scores ranging from 3.1 to 3.6. Over 40% of HCWs reported significant physical work environment issues, including heavy lifting, repetitive movements, uncomfortable positions, and high work pace. Regression analyses revealed that organizational support, clear guidelines, ergonomic and psychosocial work factors, and especially managerial support (p < 0.001), were strongly associated with higher perceived safety climate. Qualitative data mostly underscored needs for improved staffing, education, structured routines, and better access to assistive equipment, particularly ceiling lifts. Conclusions: Substantial physical and organizational challenges related to PHM were reported by HCWs across both care contexts. The findings suggest that interventions emphasizing leadership engagement, a systematic approach to training, and tailored solutions are essential to strengthen the safety climate and reduce HCWs' health risks. Trial registration: NCT05276180 Registration date 02112022. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of BMC Musculoskeletal Disorders is the property of BioMed Central and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1186/s12891-025-09330-3 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 17 StartPage: 1 Subjects: – SubjectFull: Sweden Type: general – SubjectFull: Hospital care Type: general – SubjectFull: Musculoskeletal system diseases Type: general – SubjectFull: Work environment Type: general – SubjectFull: Nursing care facilities Type: general – SubjectFull: Industrial safety Type: general – SubjectFull: Medical care Type: general – SubjectFull: Medical personnel Type: general – SubjectFull: Transportation of patients Type: general Titles: – TitleFull: Perceived health, musculoskeletal disorders, work conditions and safety climate in relation to patient handling and movement − a multicentre cross-sectional study at healthcare workplaces. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Wåhlin, Charlotte – PersonEntity: Name: NameFull: Sandqvist, Jan – PersonEntity: Name: NameFull: Enthoven, Paul – PersonEntity: Name: NameFull: Buck, Sebastian – PersonEntity: Name: NameFull: Karlsson, Nadine – PersonEntity: Name: NameFull: Strid, Emma Nilsing IsPartOfRelationships: – BibEntity: Dates: – D: 14 M: 11 Text: 11/14/2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 14712474 Numbering: – Type: volume Value: 26 – Type: issue Value: 1 Titles: – TitleFull: BMC Musculoskeletal Disorders Type: main |
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