In this retrospective case-control study, researchers examined risk factors for four types of work-related injury (WRI) in hospital employees. Data were collected from employee health charts and computer databases (N = 2050) and analyzed using logistic regression. Study results showed that strain injuries were related to increased age, increased body mass index (BMI), and maintenance, custodial, and direct-caregiver employment types. Repetitive motion injuries were related to increased BMI and clerical and custodial employment types. Exposure/reaction injuries were related to increased age, increased BMI, and maintenance, custodial, and direct-caregiver employment types. Contact/assault injuries were related to increased age, increased BMI, and maintenance, custodial, and direct-caregiver employment types. All injury types were most often related to female gender and full-time employment status. Reformulating policies to improve screening, prevention, and education for those at risk for certain injury types may limit WRI occurrences and costs.
References
1.
AbbasM.A.AfifiA.A.ZhangZ.W.KrausJ.F. (1998). Meta-analysis of published studies of work-related carpal tunnel syndrome. International Journal of Occupational and Environmental Health: Official Journal of the International Commission on Occupational Health, 4(3), 160–167.
2.
AlcouffeJ.ManillierP.BrehierM.FabinC.FaupinF. (1999). Analysis by sex of low back pain among workers from small companies in the Paris area: Severity and occupational consequences. Occupational and Environmental Health, 56(10), 696–701.
3.
BerteraR.L. (1991). The effects of behavioral risks on absenteeism and health-care costs in the workplace. Journal of Occupational Medicine, 33(11), 1119–1124.
4.
BrownN.P.ThomasN.I. (2003). Exploring variables among medical center employees with injuries: Developing interventions and strategies. AAOHN Journal, 51(11), 470–481.
5.
Bureau of Labor Statistics. (2000a). Lost-worktime injuries and illnesses: Characteristics and resulting time away from work, 2000 [Bulletin 02–196]. Washington, DC: Author.
6.
Bureau of Labor Statistics. (2000b). Occupational injuries and illnesses: Counts, rates, and characteristics, 2000 [Bulletin 2493]. Washington, DC: Author.
7.
Bureau of Labor Statistics. (2003). Census of fatal occupational injuries: 2003 data-information on deadly work hazards. Retrieved April 13, 2005, from www.bls.gov/iif/oshwc/cfoi/cfch0002.pdf.
8.
BurgessA.W.BurgessA.G.DouglasJ.E. (1994). Examining violence in the workplace: A look at work-related fatalities. Journal of Psychosocial Nursing, 32(7), 11–18, 53.
9.
Centers for Disease Control and Prevention. (1997). Facts about occupational injuries. Retrieved August 27, 2002, from www.cdc.gov/od/oc/media/fact/safety.htm.
10.
Centers for Disease Control and Prevention. (1998). Surveillance for nonfatal occupational injuries treated in hospital emergency departments. Morbidity and Mortality Weekly Report, 47, 302–306.
11.
Central Arkansas Veterans Healthcare System. (2000a). Annual fiscal year report: 2000. North Little Rock, AR: Department of Human Resource Management Services.
12.
Central Arkansas Veterans Healthcare System. (2000b). Memorandum No. 05-8. North Little Rock, AR: Department of Human Resource Management Services.
13.
CoggonD.CroftP.KellingrayS.BarrettD.McLarenM.CooperC. (2000). Occupational physical activities and osteoarthritis of the knee. Arthritis & Rheumatism, 43(7), 1443–1449.
14.
CollinsJ.W.WolfL.BellJ.EvanoffB. (2004). An evaluation of a “best practices” musculoskeletal injury prevention program in nursing homes. Journal of Occupational and Environmental Hygiene, 1(8), 542–550.
15.
DawsonD.ReidK. (1997). Fatigue, alcohol, and performance impairment. Nature, 388, 235.
16.
DembeA.E.EricksonJ.B.DelbosR. (2004). Predictors of work-related injuries and illnesses: National survey findings. Applied Ergonomics, 35(3), 285–292.
17.
DempseyP.G.BurdorfA.WebsterB.S. (1997). The influence of personal variables in work-related low-back disorders and implications for future research. Journal of Occupational and Environmental Medicine, 39(8), 748–759.
18.
EngelsJ.A.van der GuldenJ.W.J.SendenT.F.van't HofB. (1999). Work related risk factors for musculoskeletal complaints in the nursing profession: Results of a questionnaire survey. Occupational & Environmental Medicine, 53(9), 636–641.
19.
EngkvistI.L.HjelmE.W.HagbergM.MenckelE.EkenvallL. (2000). Risk indicators for reported over-exertion back injuries among female nursing personnel. Epidemiology, 11(5), 519–522.
20.
FaucettJ.WernerR.A. (1998). Non-biomechanical factors potentially affecting musculoskeletal disorders. In Steering Committee for the Workshop on Work-Related Musculoskeletal Injures: The Research Base, Committee on Human Factors, Commission on Behavioral and Social Sciences Education, & National Research Council, Work-related musculoskeletal disorders report, workshop summary, and workshop papers (pp. 175–199). Washington, DC: National Academies Press.
21.
FisherE.S.WelchH.G. (1995). The future of the department of veterans affairs health care system. The Journal of the American Medical Association, 273(8), 651–655.
22.
FuortesL.J.ShiY.ZhangM.ZwerlingC.SchootmanM. (1994). Epidemiology of back injury in university hospital nurses from review of workers' compensation records and a case-control survey. Journal of Occupational Medicine, 36(9), 1022–1026.
23.
GoodmanG.BrowningM.CampbellS.HudakH. (2005). Evaluation of an occupational rehabilitation program. Work, 24(1), 21–31.
HosmerD.W.LemeshowS. (2000). Applied logistic regression (2nd ed.). New York: John Wiley & Sons.
26.
KashimaS.R. (2003). A petroleum company's experience in implementing a comprehensive medical fitness for duty program for professional truck drivers. Journal of Occupational & Environmental Medicine, 45(2), 185–196.
27.
LaflammeL.MenckelE. (1995). Aging and occupational accidents: A review of the literature of the last three decades. Safety Science, 21, 145–161.
28.
MorrisJ.A. (1999). Injury experience of temporary workers in a manufacturing setting: Factors that increase vulnerability. AAOHN Journal, 47(10), 470–478.
29.
MyersA.H.BakerS.P.LiG.SmithG.S.WikerS.LiangK.JohnsonJ.V. (1999). Back injury in municipal workers: A case-control study. American Journal of Public Health, 89(7), 1036–1041.
30.
National Institute for Occupational Safety and Health. (1997). Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck upper extremity, and low back. Cincinnati, OH: Author.
31.
National Institute for Occupational Safety and Health. (2002). Worker health chartbook, 2000: Non-fatal injury [Publication No. 2002-119]. Cincinnati, OH: Author.
32.
NieuwenhuijsenE.R. (2004). Health behavior change among office workers: An exploratory study to prevent repetitive strain injuries. Work, 24(1), 33–40.
33.
ParkC.H.WagenerD.K.ParsonV.L. (1997). Back pain among U.S. workers: Comparison of worker attributes according to self-reported causes of back pain. International Journal of Occupational & Environmental Health, 3(1), 37–44.
34.
PopeD.P.SimianA.J.CherryN.M.PritchardC.MacfarlaneG.J. (2001). Association of occupational physical demand and psychosocial working environment with disabling shoulder pain. Annals of the Rheumatic Diseases, 60(9), 852–858.
35.
SiddharthanK.NelsonA.WeisenbornG. (2005). A business case for patient care ergonomic interventions. Nursing Administration Quarterly, 29(1), 63–71.
36.
SpaineL.A.BollenS.R. (1996). ‘The bigger they come…’: The relationship between body mass index and severity of ankle fractures. Injury, 27(10), 687–689.
37.
ThomasN.BrownN.D.HodgesL.C.GandyJ.LawsonL.LordJ.E.WilliamsD.K. (2006). Factors associated with work-related injury among hospital employees: A case-control study. AAOHN Journal, 54(1), 24–31.
38.
TrinkoffA.M.StorrC.L.LipscombJ.A. (2001). Physically demanding work and inadequate sleep, pain medication use, and absenteeism in registered nurses. Journal of Occupational & Environmental Medicine, 43(4), 355–363.
39.
TsaiS.P.GilstrapE.L.CowlesS.R.WaddellL.C.RossC.E. (1992). Personal and job characteristics of musculoskeletal injuries in an industrial population. Journal of Occupational Medicine, 34(6), 606–612.
40.
U.S. Department of Labor. (1997). Individual factors and epidemiology of work-related musculoskeletal disorder. Retrieved August 27, 2002, from www.osha-slc.gov/ergonomics-standard/heappl.html.
Viikari-JunturaE.MartikainenR.LuukkonenR.MutanenP.TakalaE.P.RiihimäkiH. (2001). Longitudinal study on work-related and individual risk factors affecting radiating neck pain. Occupational and Environmental Medicine, 58(5), 345–352.
43.
VisschersV.H.RuiterR.A.KoolsM.MeertensR.M. (2004). The effects of warnings and an educational brochure on computer working posture: A test of the C-HJP model in the context of RSI-relevant behaviour. Journal of Occupational and Environmental Medicine, 46(10), 1084–1095.
WernerR.A.FranzblauA.AlbersJ.W.ArmstrongT.J. (1997). Influence of body mass index and work activity on the prevalence of median mononeuropathy at the wrist. Occupational & Environmental Medicine, 54(4), 268–271.
46.
WillyM.E.DhillonG.L.LoewenN.L.WesleyR.A.HendersonD.K. (1990). Adverse exposures and universal precautions practices among a group of highly exposed health professionals. Infection Control and Hospital Epidemiology, 11, 351–356.
47.
WilsonC.B. (1991). U.S. businesses suffer for workplace trauma. Personnel Journal, July, 47–50.
48.
XuY.BachE.OrhedeE. (1997). Work environment and low back pain: The influence of occupational activities. Occupational & Environmental Medicine, 54(10), 741–745.
49.
YassiA.KhokharJ.TateR.CooperJ.SnowC.VallentyneS. (1995). The epidemiology of back injuries in nurses at a large Canadian tertiary care hospital: Implications for prevention. Occupational Medicine, 45(4), 215–220.
50.
YassinM.LierlM.B.FischerT.J.O'BrienK.CrossJ.SteinmetzC. (1994). Latex allergy in hospital employees. Annals of Allergy, 72, 245–249.
