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Interventions to Reduce Back Pain in Rehabilitation Hospital Nursing Staff

Background and Significance of the Problem Nursing personnel (registered nurses [RNs], licensed practical nurses [LPNs], and nursing aides “As]) have one of the highest job-related injury rates of any occupation (Leighton & Reilly, 1995; US. Department of Labor, 2005). The majority of these injuries are musculoskeletal, particularly back strains and sprains (Harber et al., 1985; Knibbe & Friehle, 1996). In the industrial classification that includes hospitals and nursing homes, “Education and health services,” the incidence rate of nonfatal occupational strains and sprains (80 per 10,000 workers) was the third highest, after ”Construction” (91.2) and “Trade, transportation and utiLities”(81.7) (US. Department of Labor, 2005). In the United States, NAs are ranked second after laborers among all occupations for the number of nonfatal musculoskeletal disorders resulting in days away from work (U.S. Department of Labor). In addition to the high incidence of back injuries, the prevalence of back pain among direct patient care staff is higher than many other occupational groups (Menzel, 2004). Personal consequences of back injuries to nursing personnel include prolonged periods of disability that affect both work and home life and lead to loss of income from unscheduled absences and the potential loss of career and earning capacity (Helminger, 1997). Consequences to employers include the high cost of workers‘ compensation insurance to pay for medical care for injured workers and lost time.