SELF-REPORTED SYMPTOMS IN THE NECK AND UPPER LIMBS IN NURSES

This paper describes a cross-sectional study which examines musculoske letal symptoms in nurses working in two similar units in a residential care centre for the developmentally disabled, Amongst the 30 nurses w ho were administered the Nordic Questionnaire, neck and upper limb sym ptoms had resulted in considerable inability to perform work, In contr ast, a similar incidence of reported back symptoms in these nurses had not prevented them from doing their work, An examination of the worke r's compensation claims made by nurses from the whole facility showed low back claims to be more common than neck and upper limb claims. It appears that nurses are more likely to make a worker's compensation cl aim for low back symptoms than neck and upper limb symptoms, In other words, worker's compensation claims do not accurately reflect the type s of musculoskeletal symptoms actually experienced by nurses and affec ting their ability to do their work, Five nurses from each unit were a lso observed during the entire morning and afternoon shifts to examine the work load and the effects of fatigue on the musculoskeletal syste m, Heart rate measurements and ratings of perceived exertion were take n, Activities performed and types of transfers carried out were also r ecorded. Nurses in one of the units had significantly more reported ne ck and shoulder symptoms than their counterparts, Observations of a sa mple of five nurses from each unit also showed higher ratings of perce ived exertion in this unit. These differences were possibly confounded by the fact that nurses in the unit which experienced these problems were about 8 cm shorter and about 5 kg lighter than their counterparts , Differences in the work practices in the two units, especially metho ds of manual handling and use of ergonomic interventions were identifi ed as important contributing factors. Copyright (C) 1996 Elsevier Scie nce Ltd.