Occupational Safety and Health Interventions to Reduce Musculoskeletal Symptoms in the Health Care Sector
Introduction Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. Methods A systematic review of the literature used a best evidence synthesis approach to address the general question “Do occupational safety and health interventions in health...
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| Vydané v: | Journal of occupational rehabilitation Ročník 20; číslo 2; s. 199 - 219 |
|---|---|
| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Boston
Springer US
01.06.2010
Springer Springer Nature B.V |
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| ISSN: | 1053-0487, 1573-3688, 1573-3688 |
| On-line prístup: | Získať plný text |
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| Abstract | Introduction
Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards.
Methods
A systematic review of the literature used a best evidence synthesis approach to address the general question “Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?” This was followed by an evaluation of the effectiveness of specific interventions.
Results
The initial search identified 8,465 articles, for the period 1980–2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006–2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health.
Conclusions
The findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied. |
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| AbstractList | Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards.INTRODUCTIONHealth care work is dangerous and multiple interventions have been tested to reduce the occupational hazards.A systematic review of the literature used a best evidence synthesis approach to address the general question "Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?" This was followed by an evaluation of the effectiveness of specific interventions.METHODSA systematic review of the literature used a best evidence synthesis approach to address the general question "Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?" This was followed by an evaluation of the effectiveness of specific interventions.The initial search identified 8,465 articles, for the period 1980-2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006-2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health.RESULTSThe initial search identified 8,465 articles, for the period 1980-2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006-2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health.The findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied.CONCLUSIONSThe findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied. Introduction Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. Methods A systematic review of the literature used a best evidence synthesis approach to address the general question 'Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?' This was followed by an evaluation of the effectiveness of specific interventions. Results The initial search identified 8,465 articles, for the period 1980-2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006-2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health. Conclusions The findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied. Introduction Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. Methods A systematic review of the literature used a best evidence synthesis approach to address the general question "Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?" This was followed by an evaluation of the effectiveness of specific interventions. Results The initial search identified 8,465 articles, for the period 1980-2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006-2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health. Conclusions The findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied.[PUBLICATION ABSTRACT] Introduction Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. Methods A systematic review of the literature used a best evidence synthesis approach to address the general question “Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?” This was followed by an evaluation of the effectiveness of specific interventions. Results The initial search identified 8,465 articles, for the period 1980–2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006–2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health. Conclusions The findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied. Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. A systematic review of the literature used a best evidence synthesis approach to address the general question "Do occupational safety and health interventions in health care settings have an effect on musculoskeletal health status?" This was followed by an evaluation of the effectiveness of specific interventions. The initial search identified 8,465 articles, for the period 1980-2006, which were reduced to 16 studies based on content and quality. A moderate level of evidence was observed for the general question. Moderate evidence was observed for: (1) exercise interventions and (2) multi-component patient handling interventions. An updated search for the period 2006-2009 added three studies and a moderate level of evidence now indicates: (1) patient handling training alone and (2) cognitive behavior training alone have no effect on musculoskeletal health. Few high quality studies were found that examined the effects of interventions in health care settings on musculoskeletal health. The findings here echo previous systematic reviews supporting exercise as providing positive health benefits and training alone as not being effective. Given the moderate level of evidence, exercise interventions and multi-component patient handling interventions (MCPHI) were recommended as practices to consider. A multi-component intervention includes a policy that defines an organizational commitment to reducing injuries associated with patient handling, purchase of appropriate lift or transfer equipment to reduce biomechanical hazards and a broad-based ergonomics training program that includes safe patient handling and/or equipment usage. The review demonstrates MCPHI can be evaluated if the term multi-component is clearly defined and consistently applied. |
| Audience | Academic |
| Author | Brewer, Shelley Amick, Benjamin C. Gimeno, David Pompeii, Lisa A. Wang, Anna Van Eerd, Dwayne Irvin, Emma Tullar, Jessica M. Evanoff, Bradley Mahood, Quenby |
| Author_xml | – sequence: 1 givenname: Jessica M. surname: Tullar fullname: Tullar, Jessica M. email: Jessica.M.Tullar@uth.tmc.edu organization: School of Public Health, Institute for Health Policy, The University of Texas – sequence: 2 givenname: Shelley surname: Brewer fullname: Brewer, Shelley organization: Chemplan, Inc – sequence: 3 givenname: Benjamin C. surname: Amick fullname: Amick, Benjamin C. organization: The Institute for Work & Health, School of Public Health, Division of Health Promotion and Behavioral Sciences, The University of Texas – sequence: 4 givenname: Emma surname: Irvin fullname: Irvin, Emma organization: The Institute for Work & Health – sequence: 5 givenname: Quenby surname: Mahood fullname: Mahood, Quenby organization: The Institute for Work & Health – sequence: 6 givenname: Lisa A. surname: Pompeii fullname: Pompeii, Lisa A. organization: School of Public Health, Division of Epidemiology and Disease Control, The University of Texas – sequence: 7 givenname: Anna surname: Wang fullname: Wang, Anna organization: The Institute for Work & Health – sequence: 8 givenname: Dwayne surname: Van Eerd fullname: Van Eerd, Dwayne organization: The Institute for Work & Health – sequence: 9 givenname: David surname: Gimeno fullname: Gimeno, David organization: School of Public Health at San Antonio Campus, Division of Environmental and Occupational Health, The University of Texas – sequence: 10 givenname: Bradley surname: Evanoff fullname: Evanoff, Bradley organization: School of Medicine, Washington University at St. Louis |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20221676$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Springer Science+Business Media, LLC 2010 COPYRIGHT 2010 Springer |
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| DOI | 10.1007/s10926-010-9231-y |
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| ISSN | 1053-0487 1573-3688 |
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| Issue | 2 |
| Keywords | Health care Occupational health Systematic review Interventions Musculoskeletal |
| Language | English |
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| PublicationTitle | Journal of occupational rehabilitation |
| PublicationTitleAbbrev | J Occup Rehabil |
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| PublicationYear | 2010 |
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| References | FrankJCullenKPreventing injury, illness and disability at workScand J Work Environ Health200632216016716680387 ColeDRivilisIVan EerdDCullenKIrvinEKramerDEffectiveness of participatory ergonomic interventions: a systematic review2005TorontoInstitute for Work & Health Patient Safety Center of Inquiry. Patient care ergonomics resource guide: safe patient handling and movement. Tampa, FL: Veterans Health Administration and Department of Defense; 2001, 78 p. BensleyLNelsonNKaufmanJSilversteinBKalatJShieldsJWInjuries due to assaults on psychiatric hospital employees in Washington stateAm J Ind Med1997311929910.1002/(SICI)1097-0274(199701)31:1<92::AID-AJIM14>3.0.CO;2-21:STN:280:DyaK2s7jvFKlsw%3D%3D8986260 VidemanTOjajarviARiihimakiHTroupJDLow back pain among nurses: a follow-up beginning at entry to the nursing schoolSpine200530202334234110.1097/01.brs.0000182107.14355.ca16227898 LagerstromMHanssonTHagbergMWork-related low-back problems in nursingScand J Work Environ Health19982464494641:STN:280:DyaK1M7ktVGrtA%3D%3D9988087 ShieldsMWilkinsKFindings from the 2005 National survey of the work and health of nurses2006OttawaHealth Canada and Canadian Institute for Health Information164 p NelsonAMatzMChenFSiddharthanKLloydJFragalaGDevelopment and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasksInt J Nurs Stud200643671773310.1016/j.ijnurstu.2005.09.00416253260 HudsonMATexas passes first law for safe patient handling in America: landmark legislation protects health-care workers and patients from injury related to manual patient liftingJ Long Term Eff Med Implants200515555956610.1615/JLongTermEffMedImplants.v15.i5.8016218903 MaulILaubliTOliveriMKruegerHLong-term effects of supervised physical training in secondary prevention of low back painEur Spine J200514659961110.1007/s00586-004-0873-315714351 BrewerSKingEAmickBDelclosGSpearJIrvinEMahoodQLeeLLewisCTetrickLGimenoDWilliamsRA systematic review of injury/illness prevention and loss control programs (IPC)2007TorontoInstitute for Work & Health EvanoffBABohrPCWolfLDEffects of a participatory ergonomics team among hospital orderliesAm J Ind Med199935435836510.1002/(SICI)1097-0274(199904)35:4<358::AID-AJIM6>3.0.CO;2-R1:STN:280:DyaK1M7os1Wgsw%3D%3D10086212 HeaneyCAGoetzelRZA review of health-related outcomes of multi-component worksite health promotion programsAm J Health Promot19971142903071:STN:280:DyaK2s3ktVWksw%3D%3D10165522 EngkvistILEvaluation of an intervention comprising a no lifting policy in Australian hospitalsAppl Ergon200637214114810.1016/j.apergo.2005.05.00816154108 NelsonAFragalaGMenzelNMyths and facts about back injuries in nursingAm J Nurs200310323240 BrewerSVan EerdDAmickBCIIIIrvinEDaumKMGerrFWorkplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic reviewJ Occup Rehabil200616332535810.1007/s10926-006-9031-616933148 Bruce P, Bernard MD, editors. 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: National Institute for Occupational Safety and Health; 1997. 509 p. 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Musculoskeletal disorders and the workplace. Washington, DC: National Academy Press; 2001. 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Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin Co; 2002. 623 p. DonchinMWoolfOKaplanLFlomanYSecondary prevention of low-back pain. A clinical trialSpine199015121317132010.1097/00007632-199012000-000151:STN:280:DyaK3M7is1GktA%3D%3D2149210 IwakiriKKunisueRSotoyamaMUdoHPostural support by a standing aid alleviating subjective discomfort among cooks in a forward-bent posture during food preparationJ Occup Health2008501576210.1539/joh.50.5718285645 CraibKJHackettGBackCCvitkovichYYassiAInjury rates, predictors of workplace injuries, and results of an intervention program among community health workersPublic Health Nurs20072412113110.1111/j.1525-1446.2007.00616.x17319884 MartimoKVerbeekJKarppinenJFurlanADKuijerPViikari-JunturaETakalaEJauhiainenMManual material handling advice and assistive devices for preventing and treating back pain in workersCochrane Database Syst Rev200733CD00595817636814 Cochrane Collaboration. 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A prospective randomized study among hospital employeesSpine199318558759410.1097/00007632-199304000-000111:STN:280:DyaK3s3kvVKjsg%3D%3D8484150 DawsonAPMcLennanSNSchillerSDJullGAHodgesPWStewartSInterventions to prevent back pain and back injury in nurses: a systematic reviewOccup Environ Med2007641064265010.1136/oem.2006.03064317522134 AHRQ guidelines [Web document]. YassiACooperJETateRBGerlachSMuirMTrottierJA randomized controlled trial to prevent patient lift and transfer injuries of health care workersSpine200126161739174610.1097/00007632-200108150-000021:STN:280:DC%2BD3Mvks12hsg%3D%3D11493843 GargALong-term effectiveness of “zero-lift program” in seven nursing homes and one hospital1999Cincinnati, OHNational Institute for Occupational Safety and Health, Center for Disease Control and Prevention, U.S. Department of Health & Human services106 p HarmaMIIlmarinenJKnauthPRutenfranzJHanninenOPhysical training intervention in female shift workers: I. The effects of intervention on fitness, fatigue, sleep, and psychosomatic symptomsErgonomics1988311395010.1080/001401388089666471:STN:280:DyaL1c7ps1SlsQ%3D%3D3359987 SlavinREBest evidence synthesis: an intelligent alternative to meta-analysisJ Clin Epidemiol1995481 A Garg (9231_CR8) 1999 ES Geller (9231_CR21) 1990; 5 T Videman (9231_CR37) 1989; 14 SJ Bigos (9231_CR57) 2009; 9 JW Collins (9231_CR13) 2004; 10 O Dehlin (9231_CR40) 1978; 10 K Iwakiri (9231_CR48) 2008; 50 LM Oldervoll (9231_CR42) 2001; 33 A Yassi (9231_CR39) 2001; 26 9231_CR1 9231_CR2 EH Bos (9231_CR54) 2006; 49 9231_CR5 O Dehlin (9231_CR35) 1981; 13 9231_CR9 LD Jensen (9231_CR49) 2006; 31 NN Menzel (9231_CR53) 2006; 31 IL Engkvist (9231_CR47) 2006; 37 M Shields (9231_CR7) 2006 S Warming (9231_CR52) 2008; 51 B Smith (9231_CR29) 2000 MA Hudson (9231_CR14) 2005; 15 M Badii (9231_CR45) 2006; 48 W Charney (9231_CR46) 2006; 54 BA Evanoff (9231_CR19) 1999; 35 H Alamgir (9231_CR43) 2008; 39 L Bensley (9231_CR16) 1997; 31 NN Menzel (9231_CR50) 2006; 7 J Frank (9231_CR59) 2006; 32 M Lagerstrom (9231_CR3) 1998; 24 I Maul (9231_CR34) 2005; 14 A Nelson (9231_CR4) 2003; 103 K Martimo (9231_CR12) 2007; 3 A Garg (9231_CR56) 1992; 35 A Nelson (9231_CR51) 2006; 43 E Tompa (9231_CR32) 2004 MI Harma (9231_CR33) 1988; 31 C Mustard (9231_CR15) 2007 S Brewer (9231_CR58) 2007 KJ Craib (9231_CR18) 2007; 24 S Hignett (9231_CR11) 2003; 60 J Smedley (9231_CR36) 2003; 29 B Gundewall (9231_CR38) 1993; 18 CA Heaney (9231_CR23) 1997; 11 9231_CR27 D Cole (9231_CR31) 2005 T Videman (9231_CR6) 2005; 30 SS Islam (9231_CR17) 2003; 25 9231_CR24 S Brewer (9231_CR26) 2006; 16 D Daynard (9231_CR55) 2001; 32 R Franche (9231_CR28) 2004 P Cote (9231_CR30) 2001; 26 AP Dawson (9231_CR10) 2007; 64 9231_CR20 RE Slavin (9231_CR25) 1995; 48 9231_CR22 M Donchin (9231_CR41) 1990; 15 JL Bell (9231_CR44) 2008; 51 |
| References_xml | – reference: HignettSIntervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic reviewOccup Environ Med2003609E610.1136/oem.60.9.e61:STN:280:DC%2BD3szpvFShsQ%3D%3D12937202 – reference: NelsonAMatzMChenFSiddharthanKLloydJFragalaGDevelopment and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasksInt J Nurs Stud200643671773310.1016/j.ijnurstu.2005.09.00416253260 – reference: MustardCKerrMEvaluation findings: Ontario patient lift evaluation study2007TorontoInstitute for Work & Health – reference: EngkvistILEvaluation of an intervention comprising a no lifting policy in Australian hospitalsAppl Ergon200637214114810.1016/j.apergo.2005.05.00816154108 – reference: VidemanTRauhalaHAspSLindstromKCedercreutzGKamppiMPatient-handling skill, back injuries, and back pain: an intervention study in nursingSpine198914214815610.1097/00007632-198902000-000021:STN:280:DyaL1M7mt1Wlsw%3D%3D2522242 – reference: Patient Safety Center of Inquiry. Patient care ergonomics resource guide: safe patient handling and movement. Tampa, FL: Veterans Health Administration and Department of Defense; 2001, 78 p. – reference: Bruce P, Bernard MD, editors. 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: National Institute for Occupational Safety and Health; 1997. 509 p. – reference: SmedleyJTrevelyanFInskipHBucklePCooperCCoggonDImpact of ergonomic intervention on back pain among nursesScand J Work Environ Health200329211712312718497 – reference: JensenLDGongeHJorsERyomPFoldspangAChristensenMPrevention of low back pain in female eldercare workers: randomized controlled work site trialSpine200631161761176910.1097/01.brs.0000227326.35149.3816845347 – reference: CraibKJHackettGBackCCvitkovichYYassiAInjury rates, predictors of workplace injuries, and results of an intervention program among community health workersPublic Health Nurs20072412113110.1111/j.1525-1446.2007.00616.x17319884 – reference: Trial Stat. SRS—Systematic Review Software. 2006. – reference: FrankJCullenKPreventing injury, illness and disability at workScand J Work Environ Health200632216016716680387 – reference: NRC and IOM Report. Musculoskeletal disorders and the workplace. Washington, DC: National Academy Press; 2001. – reference: IslamSSEdlaSRMujuruPDoyleEJDucatmanAMRisk factors for physical assault: state-managed workers’ compensation experienceAm J Prev Med2003251313710.1016/S0749-3797(03)00095-312818307 – reference: CollinsJWWolfLBellJEvanoffBAn evaluation of a “best practices” musculoskeletal injury prevention program in nursing homesInj Prev200410420621110.1136/ip.2004.0055951:STN:280:DC%2BD2cvgvVGhtQ%3D%3D15314046 – reference: BrewerSVan EerdDAmickBCIIIIrvinEDaumKMGerrFWorkplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic reviewJ Occup Rehabil200616332535810.1007/s10926-006-9031-616933148 – reference: SmithBReport of the chronic pain expert advisory panel2000TorontoWorkplace Safety & Insurance Board334 p – reference: Shadish W, Cook T, Campbell D. Experimental and quasi-experimental designs for generalized causal inference. 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Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards.
Methods
A systematic review of the... Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. A systematic review of the literature used a best... Introduction Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. Methods A systematic review of the... Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards.INTRODUCTIONHealth care work is dangerous and... Introduction: Health care work is dangerous and multiple interventions have been tested to reduce the occupational hazards. Methods: A systematic review of the... |
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| Title | Occupational Safety and Health Interventions to Reduce Musculoskeletal Symptoms in the Health Care Sector |
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