Improvement Of Working Condition Through A Participatory Ergonomics Approach Decrease Low Back Pain Complaints And Increase The Productivity Of Tailors

Tailors work in a static position and bend over with a relatively long duration of workPostural muscle load on tailors results in the risk of complaints of low back pain which affects the productivity of tailor. The aim is to know the effect of improving working conditions through a participatory ergonomics approach to reduce low back pain complaints and increase tailor productivity.The method uses of experimental research with treatment by subject design, involving 9 samples selected by simple random sampling. Period 1 sample is working with conventional working conditions. Period 2 samples worked with improving working conditions through a participatory ergonomics approach. Washing out period and adaptation are given between the two periods. Complaints of low back pain were measured by the Oswestry Disability Index, while productivity was based on a comparison between the number of stitches/day and the score for complaints of low back pain per working time. The results showed that improving working conditions through a participatory ergonomics approach had a significant effect (p < 0.05). There was a decreasing in low back pain by 11.87% from an average of 48.67±1.73 to 42.89±1.76 and an increasing in productivity of 42.10% from an average of 0.038±0.004 to 0.054±0.005.

Process evaluation of a complex workplace intervention to prevent musculoskeletal pain in nursing staff: results from INTEVAL_Spain

Background INTEVAL_Spain was a complex workplace intervention to prevent and manage musculoskeletal pain among nursing staff. Process evaluations can be especially useful for complex and multifaceted interventions through identifying the success or failure factors of an intervention to improve the intervention implementation. Objectives This study performed a process evaluation of INTEVAL_Spain and aimed to examine whether the intervention was conducted according to the protocol, to investigate the fulfilment of expectations and the satisfaction of workers. Methods The intervention was a two-armed cluster randomized controlled trial and lasted 1 year. The process evaluation included quantitative and qualitative methods. Quantitative methods were used to address the indicators of Steckler and Linnan’s framework. Data on recruitment was collected through a baseline questionnaire for the intervention and the control group. Reach and dose received were collected through participation sheets, dose delivered and fidelity through internal registries, and fulfilment of expectations and satisfaction were collected with two questions at 12-months follow-up. Qualitative methods were used for a content analysis of discussion groups at the end of the intervention led by an external moderator to explore satisfaction and recommendations. The general communication and activities were discussed, and final recommendations were agreed on. Data were synthesized and results were reported thematically. Results The study was performed in two Spanish hospitals during 2016-2017 and 257 workers participated. Recruitment was 62 and 51% for the intervention and the control group, respectively. The reach of the activities ranged from 96% for participatory ergonomics to 5% for healthy diet. The number of sessions offered ranged from 60 sessions for Nordic walking to one session for healthy diet. Fidelity of workers ranged from 100% for healthy diet and 79% for participatory ergonomics, to 42 and 39% for Nordic walking and case management, respectively. Lowest fidelity of providers was 75% for case management and 82% for Nordic walking. Fulfilment of expectations and satisfaction ranged from 6.6/10 and 7.6/10, respectively, for case management to 10/10 together for the healthy diet session. Discussion groups revealed several limitations for most of the activities, mainly focused on a lack of communication between the Champion (coordinator) and the workers. Conclusions This process evaluation showed that the implementation of INTEVAL_Spain was predominantly carried out as intended. Process indicators differed depending on the activity. Several recommendations to improve the intervention implementation process are proposed. Trial registration ISRCTN15780649.

Investigating the effect of participatory ergonomics implementation on job satisfaction in the staff of Shahid Rajaei Faridan Hospital

Introduction: Participatory ergonomics means the participation of all components of an organization in the development and implementation of ergonomic knowledge, to optimize the working environment with the full support of the senior manager of the organization. Use it to solve problems in your work environment. This study aimed to investigate the effect of participatory ergonomics implementation on job satisfaction in the staff of Shahid Rajaei Hospital in Frieden. Materials and Methods: The present study was performed as an intervention, before and after, and in Shahid Rajaei Frieden Hospital. The data collection method was through a job spectrum questionnaire. Data analysis was performed using SPSS25 software and paired t-test. Results: The results showed, the highest job satisfaction is related to rewards and the lowest is related to ancillary benefits. The average scores obtained from the completed questionnaire before and after the intervention were 123 and 135, respectively and a significant relationship between participatory ergonomics implementation and job satisfaction was seen (P <0.03). Conclusion: In this study, participatory ergonomics was used to improve the ergonomic aspects. The results of this study showed that participatory ergonomics can increase job satisfaction among employees So that there was a significant relationship between the implementation of participatory ergonomics and job satisfaction.

Tapering Chronic Opioid Medications: A Human Factors Approach to Building a Provider-Facing App

Approximately 25.3 million adults in the U.S. take prescription opioid medication to provide relief from their daily pain. Over-prescription of these medications has contributed to the opioid epidemic in the U.S. Many patient desire tapering opioids. However, guidelines of opioid tapering are complex and difficult to translate into practice at the point of care. Our research used human factors methods, including participatory ergonomics, task analysis, interviews, and usability testing to design a provider app to aid safe opioid tapering. We present preliminary prototypes of our app that is currently being deployed across a large 10-hospital healthcare system in the mid-Atlantic region. Our app will be integrated into the electronic health record and comprises five sections: Patient Context, Taper Settings, Create Taper Plan, Withdrawal and Non-opioid Pain Plan, and Summary Dashboard.

Does participatory ergonomics reduce musculoskeletal pain in sonographers? A mixed methods study

Introduction Sonographers in the Western New South Wales Local Health District (WNSWLHD) reported a musculoskeletal pain prevalence rate of 95%. Participatory ergonomics, where workers are consulted about improving work conditions, was utilised to identify work-related musculoskeletal disorder (WMSD) risks and potential solutions. The aim of this study was to compare the prevalence of WMSD in a cohort of sonographers before and after implementation of ergonomic changes that were driven by recommendations from a participatory ergonomics approach. Methods This observational mixed methods study analysed the impact of participatory ergonomic-driven interventions on changes on musculoskeletal pain in a cohort of sonographers employed within the WNSWLHD. A retrospective analysis of 10 sonographer WMSD pain surveys over five sites was completed, along with semi-structured interviews regarding which interventions were perceived as useful, which interventions were not implemented and any barriers to implementation. Results Installation of patient monitors, use of ergonomic scanning techniques and job rotation were perceived as responsible for decreased musculoskeletal pain. Taking lunch breaks and microbreaks, use of antifatigue mats and having two sonographers perform mobile exams were not fully implemented. No interventions were perceived as responsible for increased pain. Conclusion This small study provides preliminary evidence that a participatory ergonomics approach facilitated identification of occupation and site-specific risks for WMSD in the WNSWLHD, allowing implementation of ergonomic changes to be tailored to the workplace, resulting in a safer work environment for sonographers.

Process Evaluation of a Complex Workplace Intervention to Prevent Musculoskeletal Pain in Nursing Staff: Results From INTEVAL_Spain.

Background: The nursing staff is an occupational group at high risk of musculoskeletal pain. Scientific evidence has shown that multifaceted interventions are more effective than those based on a single component to prevent musculoskeletal pain. INTEVAL_Spain was a complex workplace intervention to prevent and manage musculoskeletal pain among nursing staff. Objectives: This study performed a process evaluation of INTEVAL_Spain and aimed to examine whether the intervention was conducted according to the protocol, to investigate the fulfilment of expectations and the satisfaction of workers.Methods: The intervention was a two-armed cluster randomized controlled trial and lasted one year. The process evaluation included quantitative and qualitative methods. Quantitative methods were used to address the indicators of Steckler and Linnan’s framework. Data on recruitment was collected through a baseline questionnaire for the intervention and the control group. Reach and dose received were collected through participation sheets, dose delivered and fidelity through internal registries, and fulfilment of expectations and satisfaction were collected with two questions at 12-months follow-up. Qualitative methods were used for a content analysis of discussion groups at the end of the intervention led by an external moderator to explore satisfaction and recommendations. The general communication and activities were discussed, and final recommendations were agreed on. Data were synthesized and results were reported thematically.Results: The study was performed in two Spanish hospitals during 2016-2017 and 257 workers participated. Recruitment was 62% and 51% for the intervention and the control group, respectively. The reach of the activities ranged from 96% for participatory ergonomics to 5% for healthy diet. The number of sessions offered ranged from 60 sessions for Nordic walking to one session for healthy diet. Fidelity of workers ranged from 100% for healthy diet and 79% for participatory ergonomics, to 42% and 39% for Nordic walking and case management, respectively. Lowest fidelity of providers was 75% for case management and 82% for Nordic walking. Fulfilment of expectations and satisfaction ranged from 6.6/10 and 7.6/10, respectively, for case management to 10/10 together for the healthy diet session. Discussion groups revealed several limitations for most of the activities, mainly focused on a lack of communication between the Champion (coordinator) and the workers. Conclusions: This process evaluation showed that the implementation of INTEVAL_Spain was predominantly carried out as intended. Process indicators differed depending on the activity. Several recommendations to improve the intervention implementation process are proposed.Study registration: ISRCTN15780649