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      Emotional Distress as a Predictor of Work-Related Musculoskeletal Disordersin Malaysian Nursing Professionals

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background:

          Emotional distress is becoming a great concern and is more common in both developed and developing countries. It is associated with several disease conditions.

          Objective:

          To determine the prevalence of self-perceived emotional distress and its relation to work-related musculoskeletal disorders (WRMSDs) in nurses.

          Methods:

          A self-administered questionnaire survey was carried out on 660 female nurses working in public hospitals in the Klang Valley, Malaysia. The validated Malay version of the standardized Nordic musculoskeletal questionnaire (M-SNMQ) was used to identify the annual prevalence of WRMSDs; perceived emotional distress was assessed using the validated Malay short version, depression, anxiety, and stress (M-DASS) instrument. In addition, socio-demographic and occupational profiles of the participants were considered. Factors associated with WRMSDs were identified using logistic regression analysis.

          Results:

          A total of 376 nurses completed the survey (response rate 83.3%). 73.1% of the nursing staffs experienced WRMSDs in at least one anatomical site 12 months prior to the study. 75% of nurses expressed emotional distress. Of these, over half also reported anxiety and stress. Multiple logistic regression analysis showed that stress and anxiety significantly increased the risk of WRMSDs by approximately twofold.

          Conclusion:

          There were significant associations between emotional distress and WRMSDs. Future longitudinal studies are therefore needed to investigate and identify the sources of emotional distress (non-occupational and occupational) to be used to establish preventive strategies to reduce the risk of WRMSDs.

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          Workplace stress in nursing: a literature review.

          Andrew McVicar (2003)
          Stress perception is highly subjective, and so the complexity of nursing practice may result in variation between nurses in their identification of sources of stress, especially when the workplace and roles of nurses are changing, as is currently occurring in the United Kingdom health service. This could have implications for measures being introduced to address problems of stress in nursing. To identify nurses' perceptions of workplace stress, consider the potential effectiveness of initiatives to reduce distress, and identify directions for future research. A literature search from January 1985 to April 2003 was conducted using the key words nursing, stress, distress, stress management, job satisfaction, staff turnover and coping to identify research on sources of stress in adult and child care nursing. Recent (post-1997) United Kingdom Department of Health documents and literature about the views of practitioners was also consulted. Workload, leadership/management style, professional conflict and emotional cost of caring have been the main sources of distress for nurses for many years, but there is disagreement as to the magnitude of their impact. Lack of reward and shiftworking may also now be displacing some of the other issues in order of ranking. Organizational interventions are targeted at most but not all of these sources, and their effectiveness is likely to be limited, at least in the short to medium term. Individuals must be supported better, but this is hindered by lack of understanding of how sources of stress vary between different practice areas, lack of predictive power of assessment tools, and a lack of understanding of how personal and workplace factors interact. Stress intervention measures should focus on stress prevention for individuals as well as tackling organizational issues. Achieving this will require further comparative studies, and new tools to evaluate the intensity of individual distress.
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            The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain.

            A. Louw, Emilio Puentedura, Ina Diener … (2011)
            To evaluate the evidence for the effectiveness of neuroscience education (NE) for pain, disability, anxiety, and stress in chronic musculoskeletal (MSK) pain. Systematic searches were conducted on Biomed Central, BMJ.com, CINAHL, the Cochrane Library, NLM Central Gateway, OVID, ProQuest (Digital Dissertations), PsycInfo, PubMed/Medline, ScienceDirect, and Web of Science. Secondary searching (PEARLing) was undertaken, whereby reference lists of the selected articles were reviewed for additional references not identified in the primary search. All experimental studies including randomized controlled trials (RCTs), nonrandomized clinical trials, and case series evaluating the effect of NE on pain, disability, anxiety, and stress for chronic MSK pain were considered for inclusion. Additional limitations: studies published in English, published within the last 10 years, and patients older than 18 years. No limitations were set on specific outcome measures of pain, disability, anxiety, and stress. Data were extracted using the participants, interventions, comparison, and outcomes (PICO) approach. Methodological quality was assessed by 2 reviewers using the Critical Review Form-Quantitative Studies. This review includes 8 studies comprising 6 high-quality RCTs, 1 pseudo-RCT, and 1 comparative study involving 401 subjects. Most articles were of good quality, with no studies rated as poor or fair. Heterogeneity across the studies with respect to participants, interventions evaluated, and outcome measures used prevented meta-analyses. Narrative synthesis of results, based on effect size, established compelling evidence that NE may be effective in reducing pain ratings, increasing function, addressing catastrophization, and improving movement in chronic MSK pain. For chronic MSK pain disorders, there is compelling evidence that an educational strategy addressing neurophysiology and neurobiology of pain can have a positive effect on pain, disability, catastrophization, and physical performance. Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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              Occupational stress, job satisfaction, and working environment among Icelandic nurses: a cross-sectional questionnaire survey.

              Páll Biering, Alfons Ramel, Herdís Sveinsdóttir (2006)
              Nurses' occupational stress decreases job satisfaction, increases turnover rate, and reduces nursing quality. At different workplaces nurses are confronted with different work tasks, working conditions and hence different sources of stress. The purpose of this study was to explore what factors contribute to work-related stress among Icelandic nurses working within and outside the hospital environment. The study used a cross-sectional survey design. The study population was composed of all working nurses registered at the Icelandic Nurses' Association (INA). Approximately 95% (N=2,234) of Icelandic nurses are members of the INA. Questionnaires were posted to 522 (23.4%) randomly selected participants. The response rate was 42% (N=219), representing 9.8% of the population. Data was analyzed from 206 nurses; 35% worked outside the hospital setting and 65% were hospital based. Data was gathered on demographic information and indicators of working conditions, occupational stress, workload, and job satisfaction. A stepwise, multiple linear regression model was employed to calculate significant predictors of occupational stress. The findings suggest that the strenuous conditions of Icelandic nurses are felt more severely among hospital nurses than among nurses working outside hospital settings. The study identified which sources of occupational stress are specific to each of the two groups. The study found several factors that contribute to work-related stress. These findings can be used to guide preventive measures to diminish occupational stress among Icelandic nurses.
              Article 0 comments Cited 52 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Occup Environ Med
                Journal ID (iso-abbrev): Int J Occup Environ Med
                Journal ID (publisher-id): Int J Occup Environ Med
                Journal ID (publisher-id): IJOEM
                Title: The International Journal of Occupational and Environmental Medicine
                Publisher: Shiraz: NIOC Health Organization
                ISSN (Print): 2008-6520
                ISSN (Electronic): 2008-6814
                Publication date Collection: April 2018
                Publication date (Electronic): 01 April 2018
                Volume: 9
                Issue: 2
                Pages: 69-78
                Affiliations
                [1 ]Universiti Kuala Lumpur-Institute of Medical Science Technology, Malaysia
                [2 ]Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Malaysia
                [3 ]Monash Injury Research Institute, Monash University, Australia
                Author notes
                Correspondence to Nur Azma Amin, Universiti Kuala Lumpur- Institute of Medical Science Technology, Taman Kajang Sentral, 43000 Kajang, Selangor, Malaysia E-mail: wnm7912@ 123456gmail.com
                Article
                DOI: 10.15171/ijoem.2018.1158
                PMC ID: 6466982
                PubMed ID: 29667644
                SO-VID: 5e2eac85-a20c-4895-9acf-734ccc34339e
                Copyright statement: Copyright @ 2018
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                Date received : 19 September 2018
                Date accepted : 26 December 2017
                Page count
                Tables: 2, References: 44, Pages: 10
                Categories
                Subject: Original Article

                Keywords: stress,psychological,musculoskeletal diseases,occupational diseases,nurses,malaysia
                Data availability:
                Keywords: stress, psychological, musculoskeletal diseases, occupational diseases, nurses, malaysia

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