Musculoskeletal Pain and Injury in Professional Orchestral Musicians in Australia

2012 ◽  
Vol 27 (4) ◽  
pp. 181-187 ◽  
Author(s):  
Bronwen Ackermann ◽  
Tim Driscoll ◽  
Dianna T Kenny

This paper reports on the major findings from the questionnaire component of a cross-sectional survey of the musicians in Australia’s eight fulltime professional symphonic and pit orchestras, focusing on performance-related musculoskeletal disorders (PRMDs). METHODS: All musician members of the orchestras participating in this project were invited to complete a self-report survey. The overall response rate was about 70% (n = 377). In addition to general health and experience questions, respondents who reported a current or previous PRMD were asked to report on a range of associated factors. RESULTS: Of the participants, 84% had experienced pain or injuries that had interfered either with playing their instrument or participating in normal orchestral rehearsals and performances. Fifty percent reported having such pain or injury at the time of the survey, mostly with disorders perceived by the musicians to be work-related. Twenty-eight percent had taken at least 1 day off from work for such pain in the previous 18 months. The most common broad sites affected were the trunk (primarily the back), the right upper limb and neck, the left upper limb and neck, and the neck alone, but the relative proportions varied by instrument. Of those musicians who reported at least one episode of pain or injury in the past, less than 50% reported that they had completely recovered. The most commonly cited performance-related factors that had contributed to injury or pain all related to training and playing load (including practice and performance). CONCLUSION: This study provides strong evidence that PRMDs are a common complaint in professional orchestral musicians and identifies a range of factors suggested as contributing to the occurrence or persistence of these disorders.

Author(s):  
Julie Anne Faye Sobrepeña Palma ◽  
Ryan Michael Flores Oducado ◽  
Bonna Sobrepeña Palma

Background & Aim: Mandatory Continuing Professional Development (CPD) remains to be an issue among nurses. The relatively new implementation of the CPD Act in the Philippines has led to varying perceptions and oppositions that warrant exploration. This study aimed to determine the awareness, attitude, facilitators, and barriers to CPD among hospital nurses in the Philippines. Methods & Materials: This study employed a descriptive, cross-sectional survey design with 237 randomly selected nurses in tertiary hospitals in Iloilo City, Philippines. Self-administered instruments were used to gather self-report data. Data were analyzed using descriptive statistics, ttest, ANOVA, and Pearson’s r. Results: Results indicated that nurses were moderately aware of the CPD law (M=2.31; SD=.31), were positive about the importance of CPD (M=3.91; SD=.72) but were ambivalent toward CPD implementation (M=5.98; SD=2.01). Attitude toward CPD importance significantly differed (p=.000) across age group. Awareness of CPD law (p=.000) and attitude toward the importance of CPD (p=.000) were significantly related to their attitude toward the implementation of CPD. Awareness that CPD is a requirement for license renewal (90.7%), knowledge that it can help improve skills at work (78.9%), and sponsorship from the organization (62%) were considered the major facilitators while cost (98.75%), not available to all staff (61.6%), and time-related factors (60.3%) were the major barriers to CPD participation. Conclusion: Along with current efforts to strengthen CPD in the country, it is hoped that identification of knowledge gaps and addressing the barriers may lead to better understanding, acceptance, and participation of nurses to mandatory CPD.


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055916
Author(s):  
Jun Kako ◽  
Yoshiyasu Ito ◽  
Kohei Kajiwara ◽  
Yasutaka Kimura ◽  
Takahiro Kakeda ◽  
...  

IntroductionThe COVID-19 pandemic is spreading globally with a high risk of mortality. It is also significantly affecting mental health. For nursing students, the impact of COVID-19 on mental health is predicted to be significant; however, sufficient data have not been obtained. Therefore, this study will aim to assess the mental health of nursing students and evaluate the related factors.Methods and analysisThis proposed study is a cross-sectional survey using a self-report questionnaire. An online questionnaire will be distributed among all nursing students of eight universities in Japan. The survey questionnaire will consist of questions related to demography, life satisfaction, fear of COVID-19, mental health and physical activities. The target sample size is 1300 nursing students. We will calculate descriptive statistics for each measurement item and perform univariate and logistic regression analyses to evaluate the potential risk factors for anxiety, depression and insomnia symptoms in nursing students. The strength of association will be assessed using the OR and its 95% CIs. Statistical significance will be set at a p<0.05.Ethics and disseminationThe protocol was approved by the Institutional Review Board (IRB) of the University of Hyogo on 22 March 2021 (ID: 2020F29). In addition, all of the participating facilities required ethical approval from their local IRBs. The findings will be disseminated through peer-reviewed publications and conference presentations. We believe that the proposed large-scale investigation of the mental health of nursing students during the COVID-19 pandemic and the relationship between mental health and fear of COVID-19 are novel and will be a strength of this study.


2019 ◽  
Author(s):  
pei pei ◽  
Guohua Lin ◽  
Gaojie Li ◽  
Yifan Zhu ◽  
Xiaoyu Xi

Abstract Background: Research shows that physicians often report job burnout and have a high level of presenteeism, but few studies concerns the relationship between job burnout and presenteeism. The purpose of this study was to explore the relationship between physicians’ presenteeism and three dimensions of job burnout in China, and to identify aspects that can help alleviate presenteeism. Methods: A cross-sectional survey involving physicians in second-and third-class medical institutions was conducted in the interior of China. Using a single presenteeism questionnaire and a 15-item Chinese version of the BMI-GS questionnaire, this study investigated prevalence of physicians' presenteeism behavior and job burnout in three dimensions, and determined the relationship between presenteeism and job burnout by logistical model. Results: Relationships between presenteeism and three dimensions of job burnout were explored, and the influence of demography and work factors were evaluated. The survey was completed by 1376/1547 hospital doctors, with a response rate of 88.9%. 30.7%(n=422) of the subjects reported having presenteeism behavior. Using MBI-GS, 86.8%(n=1195) of physicians were moderately burnout and 6.0%(n=82) were severely job burnout. Logistic regression analysis showed that physicians with moderate, severe emotional exhaustion and severe cynicism were more likely to engage in presenteeism (all p < 0.05). In addition, two other work-related factors, including the physician's department and position, were also more likely to influence their presenteeism (all p < 0.05). Conclusions: At present, there is quite presenteeism among physicians in the second-and third-class medical institutions in China, which is significantly related to emotional exhaustion and cynicism. Considering the modifiable job-related factors, health care institutions must take appropriate measures to relieve physicians' job burnout, help them adjust their self-awareness properly, and ensure occupational mental health to alleviate the prevalence of presenteeism. Keywords: presenteeism, job burnout, emotional exhaustion, cynicism, physicians


Author(s):  
M. Guerreiro ◽  
F. Serranheira ◽  
E. B. Cruz ◽  
A. Sousa-Uva

Assembly lines are related to health risks and work-related musculoskeletal disorders (WMSD), particularly of the neck and upper limbs (WULMSD). The assessment of perceived musculoskeletal symptoms is essential to WULMSD prevention, but studies in this field are lacking. A cross sectional survey on assembly line workers (n=270) was performed. The objective of this study was to analyze the frequency and distribution of upper limb musculoskeletal symptoms in assembly line workers. Participants were predominantly men, with ages between 30 and 40 years. Neck and upper limbs pain/discomfort were the most reported symptoms (35.9%), with intensity predominantly moderate or severe. General Health Status and past musculoskeletal injury were the variables more related to the existence of musculoskeletal symptoms; longer working life in the same company, as under 5 years, were related to higher intensity of symptoms. An early identification of musculoskeletal symptoms and health surveillance over time is of most importance to develop WRULMSD prevention measures.


2021 ◽  
Author(s):  
Chun Y. Fu ◽  
Xue J. Tang ◽  
Ling P. Pan ◽  
Hai Y. Jin ◽  
Juan F. Yao ◽  
...  

Abstract Background The benefits of exclusive breastfeeding (EBF) in the first six months are well recognized, but the EBF rate is still lower in China. WeChat, a most widely used communication application in China, is now used for maternal health education and management in Jiaxing, Zhejiang province, China. The aim of this study was to assess the EBF rate and its associated factors among the mothers within the maternal health WeChat groups. Methods This was a cross-sectional survey on healthy mothers with infants aged 7-12 months from seven maternal health WeChat groups in Jiaxing, China. Data including breastfeeding practice in the first six months, maternal sociodemographic and obstetric characteristics, hospitalization information, work related factors and reasons for non-EBF were collected using an online self-administered questionnaire in October 2021. A multivariable logistic regression analysis was performed to identify the factors independently associated with EBF in the first six months. Results A total of 822 mothers were included in this study. Among them, 586 mothers exclusively breastfed their infants until six months with a EBF rate of 71.3%. Multivariable logistic regression analysis indicated that maternal age (adjusted odds ratio, AOR: 0.948, 95% CI: 0.909-0.990) and perceived insufficient breast milk (AOR: 0.104, 95%CI: 0.072-0.150) were negatively associated with EBF, while EBF during hospitalization was positively associated with EBF within six months (AOR: 2.889, 95% CI: 2.014-4.143). The five of common reasons for non-EBF were no or insufficient breast milk (59.8%), return to work (23.9%), no flexible nursing breaks at work (18.2 %), infant crying or feeling tired or troubled with breastfeeding (9.7%), and nipple and breast problems (9.3%). Conclusion The EBF rate is higher among the mothers within maternal health WeChat groups. WeChat group model can be used to be a cost-effective and useful measure to promote EBF in China. However, perceived insufficient breast milk and work related factors are still the main barriers to EBF in this setting.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e040178
Author(s):  
Amy Pui Pui Ng ◽  
Weng Yee Chin ◽  
Eric Yuk Fai Wan ◽  
Julie Chen ◽  
Chak Sing Lau

ObjectiveTo estimate the prevalence and severity of burnout and explore the factors associated with burnout among Hong Kong medical graduates up to 20 years post-graduation.DesignCross-sectional survey.SettingHong Kong.ParticipantsDoctors who graduated from the University of Hong Kong between 1995 and 2014.Primary and secondary outcome measuresBurnout as measured by the Copenhagen Burnout Inventory (CBI), alcohol consumption as measured by the Alcohol Use Disorders Identification Test Version C, lifestyle behaviours (hours of sleep and work, exercise, smoking, substance use), career satisfaction and sociodemographic characteristics were obtained using paper or online questionnaires.ResultsResponse rate was 30.9% (496/1607). Prevalence of CBI burnout was 63.1% (personal), 55.9% (work-related) and 35.4% (patient-related). The mean CBI subscale scores were 57.4±21.4 (personal), 48.9±7.4 (work-related) and 41.5±21.8 (client-related). Factors associated with personal and patient-related burnout included age (coeff −0.437, 95% CI −0.779 to −0.095 and coeff −0.596, 95% CI −0.965 to −0.228, respectively), practice setting (coeff −5.759, 95% CI −10.665 to −0.853 and coeff −5.317, 95% CI −10.602 to −0.032, respectively) and regular exercise (coeff −6.855, 95% CI −11.102 to −2.608 and coeff −6.769, 95% CI −11.333 to −2.205, respectively). Gender (coeff 5.1, 95% CI 1.382 to 8.818), average hours of sleep per night (coeff −5.200, 95% CI −7.139 to −3.262) and work hours per week (coeff 0.226, 95% CI 0.099 to 0.353) were associated with personal burnout only. No factors were significantly associated with work-related burnout.ConclusionBurnout is highly prevalent among Hong Kong medical graduates. Younger doctors, women and those working in the public sector appear to be at higher risk for burnout and may benefit from targeted interventions. Policymakers and healthcare authorities should consider measures to help reduce burnout by enabling adequate sleep, reducing work hours and encouraging exercise.


2017 ◽  
Vol 25 (11) ◽  
pp. 3495-3504 ◽  
Author(s):  
Kin Cheung ◽  
Siu Yin Shirley Ching ◽  
Amy Chan ◽  
Doris Cheung ◽  
Suk Yee Polly Cheung

2020 ◽  
Author(s):  
Pei Pei ◽  
Guohua Lin ◽  
Gaojie Li ◽  
Yifan Zhu ◽  
Xiaoyu Xi

Abstract Background: Research shows that physicians often report job burnout and have a high level of presenteeism, but few studies concerns the relationship between job burnout and presenteeism. The purpose of this study was to explore the relationship between physicians’ presenteeism and three dimensions of job burnout in China, and to identify aspects that are can help alleviate associated with presenteeism. Methods: A cross-sectional survey involving physicians in second-and third-class medical institutions was conducted in the interior of China. Using one item measure about presenteeism a single presenteeism questionnaire and a 15-item Chinese version of the BMI-GS questionnaire, this study investigated prevalence of physicians' presenteeism behavior and job burnout in three dimensions, and determined the relationship between presenteeism and job burnout by logistical model. Results: Relationships between presenteeism and three dimensions of job burnout were explored, and the influence of demography and work factors were evaluated. The survey was completed by 1376/1547 hospital doctors, with a response rate of 88.9%. 30.7%(n=422) of the subjects reported having presenteeism behavior. Using MBI-GS, 86.8%(n=1195) of physicians had scores of moderate job burnout were moderately burnout and 6.0%(n=82) were severely job burnout. Logistic regression analysis showed that physicians with moderate, severe emotional exhaustion and severe cynicism were more likely to engage in associate with presenteeism (all p < 0.05). In addition, two other work-related factors, including the physician's department and position, were also more likely to influence relate with their presenteeism (all p < 0.05). Conclusions: At present, there is quite presenteeism among physicians in the second-and third-class medical institutions in China, which is significantly related to emotional exhaustion and cynicism. Considering the modifiable job-related factors, health care institutions must take appropriate measures to relieve physicians' job burnout, help them adjust their self-awareness properly, and ensure occupational mental health to alleviate the prevalence of presenteeism.


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