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）的危险因素，并检查工作残疾对杜克大学医学中心（DUMC）大量卫生保健工作者（n = 12,500）的工人及其同事的影响。本研究旨在研究组织因素，如缩小工作规模，同时考虑其他已知和可疑的OBP风险因素，作为卫生保健工作者背部损伤和残疾的可能预测因素，这些因素在以前的研究中没有得到充分解决。此外，还将检查护理人员背部损伤的风险因素，这些护理人员的工作涉及处理病人。将进行详细的分析，以探讨导致整个医疗保健工作者队列中不同人口统计学、社会心理和职业特征的限制和损失工作日的背部损伤的差异。还将讨论影响护理单位修改工作任务的可行性和有效性的因素。在确定修改工作任务的总体有效性时，将考虑损失和限制工作日的数量、身体损害、心理社会需求以及受伤工人对工作场所住宿的看法。通过考虑护士管理人员、护理人员、职业医生、职业健康护士、工人赔偿管理人员和个案管理人员的反馈意见，对护理单位修改工作分配的可行性进行审查，这些管理人员全面参与实施这些工作场所战略。将使用以前在DUMC收集的数据，以及额外的预期监测数据和焦点小组信息。这种混合

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.