Abstract
Background: Work-related musculoskeletal disorders (WRMSDs) are significant concern in healthcare sector, specifically intensive care units (ICUs) due to distinct work environment. This study aims to comprehensively investigate determinants of WRMSDs and ergonomic challenges, specific to ICU healthcare providers, providing valuable insights for targeted interventions.
Methods: In this mixed methods study, 200 consenting healthcare providers from seven ICUs participated. Structured questionnaires were used to collect details of socio-demographics, occupation, physical and workplace factors, risk perception, and musculoskeletal pain through modified Nordic Musculoskeletal Questinnaire. Qualitative insights were obtained through in-depth interviews until saturation of responses. Statistical analyses included inferential statistics, logistic regression, and thematic analysis.
Results: Study revealed a high prevalence of WRMSDs (84%), with low back pain and neck reported to be most affected regions. Logistic regression analysis identified longer tenure in the ICU, high shift frequency, high physical workload and risk perception, and low exercise habits as significant predictors of WRMSDs among ICU healthcare providers. Qualitative study underscored challenges of heavy patient loads, long hours, and emotional strain faced by ICU healthcare providers, while also highlighting institutional support strategies for prevention of WRMSDs.
Conclusion: This study offers valuable insights into the multifaceted challenges faced by ICU healthcare providers and underscores the importance of multidimensional interventions incorporating physical, behavioural, and environmental factors. There is urgent need to address modifiable risk factors, including ergonomic training, workplace modifications, schedule adjustments, and educational programs to enhance risk awareness and preventive behaviours to effectively combat the burden of WRMSDs.