Prevention of musculoskeletal injuries related to the work of obstetric nurses
a focus group
DOI:
https://doi.org/10.1590/ce.v30i0.97343ptKeywords:
Obstetric Nursing, Occupational Risks, Occupational Health, Cumulative Trauma Disorders, Professional TrainingAbstract
Objective: To analyze the perception of obstetric nurses trained at the Lisbon School of Nursing regarding the need for training to prevent work-related musculoskeletal injuries in their clinical practice and to identify training strategies and proposals.
Method: Qualitative study using focus group technique, conducted online in November 2022 with the participation of five obstetric nurses. The data was organized based on content analysis and WebQDA® software.
Results: Five categories emerged that embody the emerging areas for change: Care environment; Awareness for practice; Risk management tools; Comfort of the parturient; Professional development and role of the organization.
Conclusion: It is essential that organizations promote a balance between patient care and professional ergonomics to mitigate the risk of injury.
References
1. Presado MH, Marques FM, Nascimento T, Mineiro AL, Cardoso M, Baixinho CL. Contributos da formação pós-graduada na prevenção das lesões músculo-esqueléticas ligadas ao trabalho: um focus group. New Trends in Qualitative Research [Internet]. 2023 [cited 2024 May 3];18:e863. Available from: https://doi.org/10.36367/ntqr.18.2023.e863
2. Boakye H, Numarce B, Ameh JO, Bello AI. Work-related musculoskeletal disorders among nurses and midwives at a municipal health facility in Ghana. Ghana Med J [Internet]. 2018 [cited 2024 May 3];52:228-34. Available from: https://doi.org/10.4314/gmj.v52i4.10
3. Castelôa L, Luís S, Romeiro T, Oliveira I. Prevalência das lesões músculo-esqueléticas relacionadas com o trabalho dos enfermeiros: revisão integrativa. Revista de Investigação & Inovação em Saúde [Internet]. 2019 [cited 2024 May 4];2(1):63-74. Available from: https://doi.org/10.37914/riis.v2i1.48
4. Fernandes CS, Couto G, Carvalho R, Fernandes D, Brito L, Carvalho P, et al. Risk observation in the handling of dependent patients in health professionals of a hospital unit. Nurs Pract Today [Internet]. 2018 [cited 2024 Apr 10];5(4):385-394. Available from: https://npt.tums.ac.ir/index.php/npt/issue/view/24
5. Ribeiro T, Serranheira F, Loureiro H. Work related musculoskeletal disorders in primary health care nurses. App Nurs Res [Internet]. 2017 [cited 2024 Apr 10];33:72-7. Available from: https://doi.org/10.1016/j.apnr.2016.09.003
6. Luan HD, Hai NT, Xanh PT, Giang HT, Thuc PV, Hong NM, et al. Musculoskeletal disorders: prevalence and associated factors among district hospital nurses in Haiphong, Vietnam. Biomed Res Int [Internet]. 2018 [cited cited 2024 Apr 10];(1):3162564. Available from: https://doi.org/10.1155/2018/3162564
7. Presado MH, Sousa AD, Baixinho CL, Mineiro AL, Marques FM, Cardoso M, et al. Risco de lesões músculo esqueléticas nos enfermeiros: contributos do Photovoice. New Trends in Qualitative Research [Internet]. 2021 [cited 2024 Apr 10];8:192-201. Available from: https://doi.org/10.36367/ntqr.8.2021.192-201
8. Okuyucu K, Gyi D, Hignett S, Doshani A. Midwives are getting hurt: UK survey of the prevalence and risk factors for developing musculoskeletal symptoms. Midwifery [Internet]. 2019 [cited 2024 Apr 7];79:102546. Available from: https://doi.org/10.1016/j.midw.2019.102546
9. Okuyucu K, Hignett S, Gyi D, Doshani A. Midwives’ thoughts about musculoskeletal disorders with an evaluation of working tasks. Appl Ergon [Internet]. 2021 [cited 2024 Apr 2];90:103263. Available from: https://doi.org/10.1016/j.apergo.2020.103263
10. Presado MH, Cardoso M, Marques MFM, Baixinho CL. Analysis of student biomechanics in videos of delivery simulation practice. Rev Esc Enferm USP [Internet]. 2019 [cited 2024 Apr 2];53:e03507. Available from: https://doi.org/10.1590/S1980-220X2018028203507
11. Cardoso M, Presado MH, Sousa AD, Mineiro AL, Marques FM, Baixinho CL, et al. Biomechanical analysis of nurses students of midwifery in vertical deliveries. In: Costa AP, Reis LP, Moreira A, editors. Computer Supported Qualitative Research WCQR 2019 [Internet]. Cham, CH: Springer; 2019 [cited 2024 Apr 5]. p. 102-113. Available from: https://link.springer.com/chapter/10.1007/978-3-030-31787-4_8
12. Sousa AS, Presado MH. O parto horizontal e o risco de lesões músculo-esqueléticas nos enfermeiros obstetras. New Trends in Qualitative Research [Internet]. 2020 [cited 2024 Apr 5];3:882-94. Available from: https://doi.org/10.36367/ntqr.3.2020.882-894
13. Liu S, Yang L, Zhang C, Xiang Y, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry [Internet]. 2020 [cited 2024 Apr 5];7(4):e17-e18. Available from: https://doi.org/10.1016/s2215-0366(20)30077-8
14. Bianchi T, Belingheri M, Nespoli A, De Vito G, Riva MA. Occupational risks in midwifery: from Bernardino Ramazzini to modern times. Saf Health Work [Internet]. 2019 [cited 2024 Apr 10];10:245-47. Available from: https://doi.org/10.1016/j.shaw.2018.11.002
15. Nascimento T, Pestana G. Improving efficiency in organizations by monitoring stress and promoting awareness and wellbeing at the workplace. In: Tome E, Cesario F, Soares RR, editors. Proceedings of the 20th European Conference on Knowledge Management (ECKM 2019) [Internet]. Sonning Common, UK: Academic Conferences and Publishing International; 2019 [cited 2024 Apr 10]. p. 1197-1204. Available from: http://hdl.handle.net/10400.26/35901
16. Pyo J, Lee W, Choi EY, Jang SG, Ock M. Qualitative research in healthcare: necessity and characteristics. J Prev Med Public Health [Internet]. 2023 [cited 2024 Apr 7];56(1):12-20. Available from: https://doi.org/10.3961/jpmph.22.451
17. Baixinho CL, Presado MH, Ribeiro J. Qualitative research and the transformation of public health. Ciên Saúde Colet [Internet]. 2019 [cited 2024 Apr 6];24(2):1582. Available from: https://doi.org/10.1590/1413-81232018245.05962019
18. Menary J, Stetkiewicz S, Nair A, Jorasch P, Nanda AK, Guichaoua A, et al. Going virtual: adapting in-person interactive focus groups to the online environment [version 2; peer review: 2 approved]. Emerald Open Research [Internet]. 2023 [cited 2024 Apr 2];3:6. Available from: https://doi.org/10.1108/EOR-06-2023-0008
19. de Oliveira JC, Penido CMF, Franco ACR, dos Santos TLA, Silva BAW. Especificidades do grupo focal on-line: uma revisão integrativa. Ciênc Saúde Colet [Internet]. 2022 [cited 2024 Apr 10];27(5):1813-26. Available from: https://doi.org/10.1590/1413-81232022275.11682021
20. Tran B, Rafinejad-Farahani B, Moodie S, O’Hagan R, Glista D. A scoping review of virtual focus group methods used in rehabilitation sciences. Int J Qual Methods [Internet]. 2021 [cited 2024 Apr 7];20:16094069211042227. Available from: https://doi.org/10.1177/16094069211042227
21. Richard B, Sivo SA, Ford RC, Murphy J, Boote DN, Witta E, et al. A guide to conducting online focus groups via Reddit. Int J Qual Methods [Internet]. 2021 [cited 2024 Apr 10];20: 16094069211012217. Available from: https://doi.org/10.1177/16094069211012217
22. Daniels N, Gillen P, Casson K, Wilson I. STEER: Factors to consider when designing online focus groups using audiovisual technology in health research. Int J Qual Methods [Internet]. 2019 [cited 2024 Apr 10];18:1609406919885786. Available from: https://doi.org/10.1177/1609406919885786
23. Cheon J, You SY. Nursing students’ witnessed experience of patient death during clinical practice: a qualitative study using focus groups. Nurse Educ Today [Internet]. 2022 [cited 2024 Apr 10];111:105304. Available from: https://doi.org/10.1016/j.nedt.2022.105304
24. Barbour R. Doing focus groups [Internet]. 2nd ed. London: SAGE Publications; 2018 [cited 2024 Apr 4]. Available from: https://doi.org/10.4135/9781526441836
25. Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016. 280 p.
26. do Nascimento AB, Maeda ST, Egry EY. Potencialidades do webQDA® para análise qualitativa das barreiras enfrentadas por enfermeiras atuantes em Unidades Básicas de Saúde. New Trends in Qualitative Research [Internet]. 2021 [cited 2024 Mar 27];8:263-69. Available from: https://doi.org/10.36367/ntqr.8.2021.263-269
27. Machado ALG, Vieira NFC. Uso do software webQDA na pesquisa qualitativa em enfermagem: relato de experiência. Rev Bras Enferm [Internet]. 2020 [cited 2024 Apr 10];73(3):e20180411. Available from: https://doi.org/10.1590/0034-7167-2018-0411
28. Dartey AF, Dzansi G, Atachie C, Sunnu E, Nyande FK. The experiences of Ghanaian midwives on the use of nonadjustable delivery beds: a qualitative study. SAGE Open Nurs [Internet]. 2021 [cited 2024 Apr 8];7:23779608211038204. Available from: https://doi.org/10.1177/23779608211038204
29. Sousa AD, Baixinho CL, Presado MH, Henriques MA. The effect of interventions on preventing musculoskeletal injuries related to nurses work: systematic review. J Pers Med [Internet]. 2023 [cited 2024 Apr 8];13(2):185. Available from: https://doi.org/10.3390/jpm13020185
30. Rodríguez-García MC, Martos-López IM, Casas-López G, Márquez-Hernández VV, Aguilera-Manrique G, Gutiérrez-Puertas L. Exploring the relationship between midwives’ work environment, women’s safety culture, and intent to stay. Women Birth [Internet]. 2023 [cited 2024 Apr 8];36:e10-e16. Available from: https://doi.org/10.1016/j.wombi.2022.04.002
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Tiago Filipe Rodrigues do Nascimento, Maria Helena de Carvalho Valente Presado, Maria de Fátima Mendes Marques, Cristina Rosa Soares Lavareda Baixinho, Ana Leonor Saraiva Mineiro, Mário Manuel Escaleira Cardoso
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cogitare Enfermagem reserves the right to make normative, orthographic, and grammatical changes to the published article to maintain the cultured standard of the language, while respecting the authors' style.
The published study is the sole responsibility of the author(s), and Cogitare Enfermagem is exclusively responsible for evaluating the manuscript as a scientific publication vehicle. Revista Cogitare Enfermagem is not responsible for any violations of Law No. 9,610/1998, the Brazilian Copyright Law.
Cogitare Enfermagem allows the author to hold the copyright of articles accepted for publication, without restrictions.
The articles published are licensed under the Creative Commons license CC BY 4.0 Creative Commons - Attribution 4.0 International - CC BY 4.0 - The attribution adopted by Cogitare Enfermagem is permitted:
- Share - copy and redistribute the material in any media or format.
- Adapt - remix, transform and build upon the material for any purpose, even commercially.
- Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do this in any reasonable way, but not in a way that suggests that the licensor endorses it or approves of its use.
- No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing something that the license allows.
