A large proportion of the working population experiences musculoskeletal sy
mptoms, which affect the individual's quality of life. Neck/shoulder and/or
low back complaints are common among home care personnel. This occupationa
l sector is characterized by high physical and psychosocial demands and the
staff is typically female. The aim of this qualitative study was to gain a
deeper understanding of those factors in the work environment of home care
personnel that the individuals perceive as demanding and problematic. Eigh
t employees in the home care service were interviewed in depth. Each interv
iew was transcribed and Grounded Theory was applied. Stress, related to dem
anding physical and psychosocial working conditions, emerged as the core va
riable that probably contributed to the development and maintenance of musc
uloskeletal symptoms. Financial cut-backs at the municipality was seen as a
cause of the demanding working conditions. In future studies it is importa
nt to evaluate prevention programmes focused upon coping strategies against
stress.