Back Pain & Work Disability in Health Care Workers

描述（由申请人提供）：拟议研究的目的是检查职业性背痛（OBP）的风险因素，并检查杜克大学医学中心（DUMC）大量医疗保健工作者（n = 12，500）中工作残疾对工人及其同事的影响。本研究的目的是检查组织因素，如裁员的努力，同时考虑其他已知的和可疑的OBP的风险因素，作为可能的预测因素，在以前的研究中没有得到充分解决的医疗保健工作者的背部损伤和残疾。此外，背部受伤的风险因素，具体到护理人员的工作涉及病人处理将进行检查。将进行详细的分析，以探讨不同的人口统计学，心理社会和职业特征的整个队列的卫生保健工作者的背部受伤，导致限制和损失的工作日的差异。影响因素的可行性和有效性的修改工作分配具体到护理单位也将得到解决。在确定修改工作分配的总体有效性时，将考虑损失和限制工作日的数量、身体损伤、心理社会需求以及受伤工人对工作场所便利的看法。修改工作分配在护理单位的可行性，将审查考虑从护士管理人员，护理人员，职业医生，职业健康护士，工人的赔偿管理人员和个案经理谁是整体参与实施这些工作场所的战略反馈。将使用先前在DUMC收集的数据，以及其他前瞻性监测数据和焦点小组信息。这种混合的 定量和定性技术将被用来解决国家职业研究议程的重点研究领域的下背部疾病，除了解决有关问题的特殊人群的风险，监测工作，和职业卫生服务的研究。

DESCRIPTION (provided by applicant): The purpose of the proposed study is to examine risk factors for occupational back pain (OBP), and to examine the impact of work disability on workers and their co-workers in a large population population (n = 12,500) of health care workers at Duke University Medical Center (DUMC). This study aims to examine organizational factors, such as downsizing efforts while considering other known and suspected risk factors of OBP, as possible predictors for back injury and disability in health care workers that have not been adequately addressed in prior studies. In addition, risk factors for back injury specific to nursing personnel whose jobs involve patient handling will be examined. Detailed analyses will be conducted to explore differences in back injuries that result in restricted and lost workdays across variable demographic, psychosocial, and occupational characteristics for the entire cohort of health care workers. Factors influencing the feasibility and effectiveness of modified work assignments specific to nursing units will also be addressed. The number of lost and restricted workdays, physical impairment, psychosocial demands, and the injured worker's perception of workplace accommodations will be considered in determining the overall effectiveness of modified work assignments. The feasibility of modified work assignments in nursing units will be examined by considering feedback from nurse managers, nursing personnel, occupational physicians, occupational health nurses, and workers' compensation administrators and case-managers who are integrally involved with implementing these workplace strategies. Data previously collected at DUMC will be used, as well as additional prospective surveillance data, and focus group information. This mix of quantitative and qualitative techniques will be utilized to address the National Occupational Research Agenda's Priority Research Area of low back disorders, in addition to addressing issues related to special populations at risk, surveillance efforts, and occupational health services research.