Evidence map›Paper›PMID 28395308›Full record

ArticleAnnals of work exposures and health2017

Evaluation of a Training Program to Reduce Stressful Trunk Postures in the Nursing Professions: A Pilot Study.

Agnessa Kozak, Sonja Freitag, Albert Nienhaus

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Annals of work exposures and health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review.International journal of environmental research and public health · 2019
    Pooled it
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  8. Review
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  11. Health Promotion for Outpatient Careworkers in Germany.Healthcare (Basel, Switzerland) · 2022
    Article
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  17. The Back College for nurses - an evaluation of intermediate effects.Journal of occupational medicine and toxicology (London, England) · 2019
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Agnessa KozakInstitute for Health Services Research in Dermatology and Nursing, [Center of Excellence for Epidemiology] and Health Services Research for Healthcare Professionals (CVcare), University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.
Sonja FreitagDepartment for the Principle of Prevention and Rehabilitation, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services, Pappelallee 33/35/37, 22089 Hamburg, Germany.
Albert NienhausInstitute for Health Services Research in Dermatology and Nursing, [Center of Excellence for Epidemiology] and Health Services Research for Healthcare Professionals (CVcare), University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.
National Association of Statutory Health Insurance Physicians · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of this pilot study was to evaluate metrologically the effectiveness of a training program on the reduction of stressful trunk postures in geriatric nursing professions. Methods: A training program, consisting of instruction on body postures in nursing, practical ergonomic work methods at the bedside or in the bathroom, reorganization of work equipment, and physical exercises, was conducted in 12 wards of 6 nursing homes in Germany. The Computer-Assisted Recording and Long-Term Analysis of Musculoskeletal Loads (CUELA) measurement system was used to evaluate all movements and trunk postures adopted during work before and 6 months after the training program. In total, 23 shifts were measured. All measurements were supported by video recordings. A specific software program (WIDAAN 2.75) was used to synchronize the measurement data and video footage. Results: The median proportion of time spent in sagittal inclinations at an angle of >20° was significantly reduced (by 29%) 6 months after the intervention [from 35.4% interquartile range (27.6-43.1) to 25.3% (20.7-34.1); P < 0.001]. Very pronounced inclinations exceeding 60° [2.5% (1.1-4.6) to 1.0% (0.8-1.7); P = 0.002] and static inclinations of over 20° for >4 s [4.4% (3.0-6.7) to 3.6% (2.5-4.5); P < 0.001] were significantly reduced, by 60% and 22%, respectively. Video analysis showed that in 49% of care situations, ergonomic measures were implemented properly, either at the bedside or in the bathroom. Conclusions: Stressful trunk postures could be significantly reduced by raising awareness of the physical strains that frequently occur during a shift, by changes in work practices and by redesigning the work environment. Workplace interventions aimed at preventing or reducing low back pain in nursing personnel would probably benefit from sensitizing employees to their postures during work.

Indexed as

Geriatric NursingLow Back PainPostureAdultGermanyHumansLiftingMiddle AgedMusculoskeletal DiseasesNursing HomesNursing StaffOccupational DiseasesPilot ProjectsTeachingWorkplacebendingergonomicsgeriatric nursesmetrological evaluationmusculoskeletal disordersstressful trunk posturetraining program

Identifiers

PMID28395308
PMCPMC6824526
OpenAlexW2593797699

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.