Managing low back pain: knowledge and attitudes of hospital managers

Managing low back pain: knowledge and attitudes of hospital managers
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DOI:
10.1093/occmed/kqn015
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发表时间:
2008-06-01
影响因子:
5.1
通讯作者:
Blake, Catherine
Blake, Catherine
中科院分区:
医学4区
文献类型:
--
作者:
Cunningham, Caitriona;Doody, Catherine;Blake, Catherine

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被引文献

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背景下背痛(LBP)是导致工作相关残疾的主要原因。尽管越来越强调雇主和工作场所管理者在减少工作残疾方面的作用,但很少有研究在这一领域进行。管理LBP工人遇到的困难和管理LBP在工作中的组织需求。方法横断面调查的直线经理(n = 92)在爱尔兰大学医院使用自填问卷。将定量数据输入社会科学统计软件包(V 11),并使用描述性统计进行分析。定性数据进行编码和分析为共同themes.Results 64%(n = 59)的响应率实现。与目前的证据相反,54%(n = 32)的受访经理报告说,工作人员需要在返回工作岗位(RTW)之前没有疼痛。管理人员报告说,在与LBP工人的同事打交道以及了解LBP工人的工作能力方面存在困难。管理者表现出对管理者-工人关系在影响RTW方面的重要性认识不足。管理者认为更多的信息,更容易获得医疗服务,更符合人体工程学的培训和更好的人力资源是必要的支持,在促进管理工人与LBP。结论医院一线管理人员的知识的证据,他们在LBP管理的作用需要提高。管理人员认为,更好的信息,改善人力资源和更容易获得健康和人体工程学服务,将有助于他们的管理工人与LBP。
Background Low back pain (LBP) is a major cause of work-related disability. Despite an increasing emphasis on the role of employers and workplace managers in reducing work disability, little research has been conducted in this area.Aims To identify hospital line managers' knowledge, attitudes and beliefs regarding LBP and its management; the difficulties encountered in managing the worker with LBP and the organizational needs in relation to managing LBP at work.Methods Cross-sectional survey of line managers (n = 92) at an Irish University Hospital using a self-administered questionnaire. Quantitative data were entered onto the Statistical Package for the Social Sciences (V 11) and analysed using descriptive statistics. Qualitative data were coded and analysed for common themes.Results A 64% (n = 59) response rate was achieved. Contrary to current evidence, 54% (n = 32) of respondent managers reported that a staff member needs to be pain free prior to return to work (RTW). Managers reported difficulties in dealing with colleagues of workers with LBP and in knowing the work capacity of the worker with LBP. Managers demonstrated poor awareness of the importance of the manager-worker relationship in influencing RTW. Managers believed more information, easier access to health services, more ergonomic training and better staff resources were necessary supports in facilitating the management of workers with LBP.Conclusions Hospital line managers' knowledge of the evidence regarding their role in LBP management needs to be improved. Managers believed better information, improved staff resources and easier access to health and ergonomic services would facilitate their management of workers with LBP.