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Volume 7, Issue 4 (Iranian Journal of Ergonomics 2020)                   Iran J Ergon 2020, 7(4): 40-51 | Back to browse issues page


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Hassanzadeh P, Ghahramani A, Mohebbi I. An Assessment of Association Between Macro-ergonomics Status and Employees’ Prevalence of Musculoskeletal Disorders and Job Stress Outcomes in Urmia Educational and Medical Hospitals. Iran J Ergon 2020; 7 (4) :40-51
URL: http://journal.iehfs.ir/article-1-671-en.html
1- Master in Ergonomics, Urmia University of Medical Sciences, Urmia, Iran
2- Assistant Professor of Occupational Health, Urmia University of Medical Sciences, Urmia, Iran , ghahramani.a@gmail.com
3- Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (14670 Views)

Background and Objectives: Macro Ergonomics is a socio-technical approach that deals with organizational, and work system design, as well as the design of human-machine, human-environment, and human-job interactions. Researches show that workplace macroeconomic’ conditions have undesirable effects on employees’ health, and hospital staff experience high levels of occupational stress and high prevalence of musculoskeletal disorders. This study aimed to investigate the relation between macroeconomic’ condition and prevalence of musculoskeletal disorders as well as outcomes of job stress among employees of hospitals affiliated to Urmia University of Medical Sciences.
Methods: This study was a descriptive cross-sectional study and 350 employees who randomly were selected from 5 hospitals participated in this study. Macro-ergonomic, Nordic and job stress outcomes questionnaires were used for data collection. Descriptive statistics, ANOVA and Chi-square tests were applied for data analysis.
Results: The findings of the present study indicated that out of 350 participants 217 (62%) were female and 168 were nurses (48%). Their mean age was 36.63 (±8.13) years and their average work experience was 11.53 (±7.65) years. The results of ANOVA test showed that the status of macro-ergonomics was significantly different in hospitals and hospital 1 had favorable condition. The majority of musculoskeletal disorder symptoms were reported in the neck (75.7%), hip, and waist (73.7%). The average score of job stress outcomes for the participants was lower than favorable limit. Macro-ergonomic’ conditions had significant associations with musculoskeletal disorders and job stress’ outcomes.
Conclusion: Based on the results of the current study, macro-ergonomic conditions had significant effects on musculoskeletal disorders and job stress outcomes. Interventional efforts should focus on organization and developing macro-ergonomic training programs to reduce musculoskeletal disorders and job stress and improve job conditions in hospitals.

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Based on the results of the current study, macro-ergonomic conditions had significant effects on musculoskeletal disorders and job stress outcomes. Interventional efforts should focus on organization and developing macro-ergonomic training programs to reduce musculoskeletal disorders and job stress and improve job conditions in hospitals.


Type of Study: Research | Subject: Other Cases
Received: 2019/11/9 | Accepted: 2020/01/5 | ePublished: 2020/02/29

References
1. García-Herrero S, Mariscal MA, García-Rodríguez J, Ritzel DO. Working conditions, psychological/physical symptoms and occupational accidents. Bayesian network models. Safety science. 2012 Nov 1;50(9):1760-74. [DOI:10.1016/j.ssci.2012.04.005]
2. Nahrgang JD, Morgeson FP, Hofmann DA. Safety at work: a meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes. Journal of applied psychology. 2011 Jan;96(1):71. [DOI:10.1037/a0021484] [PMID]
3. Carayon P, Gürses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive and Critical Care Nursing. 2005 Oct 1;21(5):284-301. [DOI:10.1016/j.iccn.2004.12.003] [PMID]
4. Barzideh M, Choobineh AR, Tabatabaee HR. Job stress dimensions and their relationship to musculoskeletal disorders in Iranian nurses. Work. 2014 Jan 1;47(4):423-9. [DOI:10.3233/WOR-121585] [PMID]
5. Abdollahpour N, Helali F, Peysepar S. An Improving Working Condition System (health, safety and ergonomics) Survey and analysis with Macroergonomics Approach in a manufacturing company from Iran Power Plant Industry in 2010. Iran Occupational Health. 2013 Nov 15;10(4):55-64. [Google Scholar]
6. Kleiner BM, Drury CG. Large‐scale regional economic development: Macroergonomics in theory and practice. Human Factors and Ergonomics in Manufacturing & Service Industries. 1999 Mar;9(2):151-63. https://doi.org/10.1002/(SICI)1520-6564(199921)9:2<151::AID-HFM2>3.0.CO;2-G [DOI:10.1002/(SICI)1520-6564(199921)9:23.0.CO;2-G]
7. Helali F, Shahnavaz H. Ergonomics intervention in industries of the industrially developing countries. Case study: Glucosan-Iran. Proceedings of Human Factors in Organizational Design and Management V. Amsterdam, The Netherlands: North-Holland. 1996:141-6. [Article] [Google Scholar]
8. Kleiner BM. Macroergonomics: analysis and design of work systems. Applied ergonomics. 2006 Jan 1;37(1):81-9. [DOI:10.1016/j.apergo.2005.07.006] [PMID]
9. Hanse JJ, Forsman M. Identification and analysis of unsatisfactory psychosocial work situations: a participatory approach employing video-computer interaction. Applied Ergonomics. 2001 Feb 1;32(1):23-9. [DOI:10.1016/S0003-6870(00)00057-0]
10. Halvani GH, Fallah H, Hokmabadi RA, Smaeili S, Dabiri R, Sanei B, Saberi A. Ergonomic assessment of work related musculoskeletal disorders risk in furnace brickyard workers in Yazd. Journal of North Khorasan University of Medical Sciences. 2014 Dec 10;6(3):543-50. [DOI:10.29252/jnkums.6.3.543]
11. Lotfizadeh M, Noor-Hassim E, Habibi E. Analysis of occupational stress and the related issues among employees of ٍ Esfahan steel company (ESCO), Iran (2009). Journal of Shahrekord Uuniversity of Medical Sciences. 2011;13. (5):37-45. [Article] [Google Scholar]
12. Sherehiy B, Karwowski W. The relationship between work organization and workforce agility in small manufacturing enterprises. International Journal of Industrial Ergonomics. 2014 May 1;44(3):466-73. [DOI:10.1016/j.ergon.2014.01.002]
13. Ayatollahi J, Hatami H, Ghavidel F. Occupational health hazards among health care workers of Shahid Sadoughi Hospital. Iran Occupational Health. 2007 Apr 15;4(1):25-8. [Article] [Google Scholar]
14. Salem M, RashidiJahan H, Tavakoli R, Sanaienasab H, Pourtaghi G. Study of work related diseases among staff of a hospital in Tehran. Journal of North Khorasan University of Medical Sciences. 2014 Jun 10;6(1):71-9. [DOI:10.29252/jnkums.6.1.71]
15. Leigh JP, Markowitz SB, Fahs M, Shin C, Landrigan PJ. Occupational injury and illness in the United States: estimates of costs, morbidity, and mortality. Archives of Internal Medicine. 1997 Jul 28;157(14):1557-68. [DOI:10.1001/archinte.157.14.1557] [PMID]
16. Pransky G, Benjamin K, Hill‐Fotouhi C, Himmelstein J, Fletcher KE, Katz JN, Johnson WG. Outcomes in work‐related upper extremity and low back injuries: Results of a retrospective study. American journal of industrial medicine. 2000 Apr;37(4):400-9. https://doi.org/10.1002/(SICI)1097-0274(200004)37:4<400::AID-AJIM10>3.0.CO;2-C [DOI:10.1002/(SICI)1097-0274(200004)37:43.0.CO;2-C]
17. Sadra Abarghouei N. Comprehensive ergonomic interventions for improving ergonomic conditions in an automobile spare part manufacturing plant: A case study. Iranian Journal of Ergonomics. 2015 Sep 15;3(2):1-3. [Article] [Google Scholar]
18. Carayon P, Smith MJ, Haims MC. Work organization, job stress, and work-related musculoskeletal disorders. Human factors. 1999 Dec;41(4):644-63. [DOI:10.1518/001872099779656743] [PMID]
19. Nwaelele OD. Macroergonomics interventions: Influence of referralmethod, psychosocial, and demographic factors on outcomes. Seattle University; 2015. [Article] [Google Scholar]
20. Sadra Abarqhouei N, Hosseini Nasab H, Fakhrzad MB. Macro ergonomics interventions and their impact on productivity and reduction of musculoskeletal disorders: including a case study. Iran occupational health. 2012 Nov 15;9(2):27-39. [Article] [Google Scholar]
21. Akbari J, Kazemi M, Safari S, Mououdi MA, Mahaki B. Macro-ergonomics and human ability indices at work: Assessment of job groups and workers by using of Relative Stress Index (RSI) and Work Ability Index (WAI). Journal of Basic Research in Medical Sciences. 2014 Sep 10;1(2):43-7. [Google Scholar]
22. Hendrick HW. An overview of macroergonomics. Macroergonomics: Theory, methods, and applications. 2002 Apr 1:1-23. [DOI:10.1201/b12477-2] [PMID]
23. Habibi E, Amini N, Porabdian S, Rismanchian M. Assessment of relationship between Macro Ergonomic conditions and employees work satisfaction Touse-eh and Omran factory. Iran Occupational Health. 2008 Apr 15;5(1):15-20. [Article] [Google Scholar]
24. Stanton NA, Hedge A, Brookhuis K, Salas E, Hendrick HW, editors. Handbook of human factors and ergonomics methods. CRC press; 2004 Aug 30. [DOI:10.1201/9780203489925]
25. Realyvásquez A, Maldonado-Macías AA, García-Alcaraz J, Cortés-Robles G, Blanco-Fernández J. Structural model for the effects of environmental elements on the psychological characteristics and performance of the employees of manufacturing systems. International journal of environmental research and public health. 2016 Jan;13(1):104. [DOI:10.3390/ijerph13010104] [PMID] [PMCID]
26. Morgeson FP, Humphrey SE. The Work Design Questionnaire (WDQ): developing and validating a comprehensive measure for assessing job design and the nature of work. Journal of applied psychology. 2006 Nov;91(6):1321. [DOI:10.1037/0021-9010.91.6.1321] [PMID]
27. Sims Jr HP, Szilagyi AD, Keller RT. The measurement of job characteristics. Academy of Management journal. 1976 Jun 1;19(2):195-212. [DOI:10.2307/255772] [PMID]
28. Campion MA. Interdisciplinary approaches to job design: A constructive replication with extensions. Journal of applied psychology. 1988 Aug;73(3):467. [DOI:10.1037/0021-9010.73.3.467]
29. Ostry AS, Marion SA, Demers PA, Hershler R, Kelly S, Teschke K, Hertzman C. Measuring psychosocial job strain with the job content questionnaire using experienced job evaluators. American journal of industrial medicine. 2001 Apr;39(4):397-401. [DOI:10.1002/ajim.1030] [PMID]
30. Choi B, Ko S, Ostergren PO. Validity test of the IPD-work consortium approach for creating comparable job strain groups between Job Content Questionnaire and demand-control questionnaire. International journal of occupational medicine and environmental health. 2015 Apr 1;28(2):321-33. [DOI:10.13075/ijomeh.1896.00355] [PMID]
31. Dababneh A, Lowe B, Krieg E, Kong YK, Waters T. A checklist for the ergonomic evaluation of nonpowered hand tools. Journal of Occupational and Environmental Hygiene. 2004 Dec 1;1(12):D135-45. [DOI:10.1080/15459620490883150] [PMID]
32. Janowitz IL, Gillen M, Ryan G, Rempel D, Trupin L, Swig L, Mullen K, Rugulies R, Blanc PD. Measuring the physical demands of work in hospital settings: design and implementation of an ergonomics assessment. Applied ergonomics. 2006 Sep 1;37(5):641-58. [DOI:10.1016/j.apergo.2005.08.004] [PMID]
33. Dickinson CE, Campion K, Foster AF, Newman SJ, O'rourke AM, Thomas PG. Questionnaire development: an examination of the Nordic Musculoskeletal Questionnaire. Applied ergonomics. 1992 Jun 1;23(3):197-201. [DOI:10.1016/0003-6870(92)90225-K]
34. Hendrick HW, Kleiner BM. Macroergonomics: Theory, methods, and applications. Lawrence Erlbaum Associates Publishers; 2002. [DOI:10.1201/b12477]
35. Bevan S. Economic impact of musculoskeletal disorders (MSDs) on work in Europe. Best Practice & Research Clinical Rheumatology. 2015 Jun 1;29(3):356-73. [DOI:10.1016/j.berh.2015.08.002] [PMID]
36. Lelis CM, Battaus MR, Freitas FC, Rocha FL, Marziale MH, Robazzi ML. Distúrbios osteomusculares relacionados ao trabalho em profissionais de enfermagem: revisão integrativa da literatura. Acta paulista de enfermagem. 2012;25(3):477-82. [DOI:10.1590/S0103-21002012000300025]
37. Nasl Saraji J, Hosseini M, Shahtaheri S, Golbabaei F, Ghasemkhani M. Evaluation of ergonomic postures of dental professions by Rapid Entire Body Assessment (REBA), in Birjand, Iran. jdm. 2005; 18 (1):61-67.
38. Abareshi F, Hekmatshoar R, Rastaghi S, Sharifi Z. Appropriateness of Hospital Equipment Ergonomic Indices to Nurse's anthropometric Dimensions. Journal of Occupational Hygiene Engineering Volume. 2019 Jan 1;5(4):33-40. [DOI:10.29252/johe.5.4.33]
39. Showraki N, Fakhraei F, Saadatmand N, Farhadi A. Effects of Teaching Ergonomic Principles on Working Status in Dental Students. ISMJ. 2019 Jun 15;22(2):130-40. [DOI:10.29252/ismj.22.2.130]
40. Magnago TS, Lisboa MT, Griep RH, Kirchhof AL, Guido LD. Psychosocial aspects of work and musculoskeletal disorders in nursing workers. Revista latino-americana de enfermagem. 2010 Jun;18(3):429-35. [DOI:10.1590/S0104-11692010000300019] [PMID]
41. Karasek R. Healthy work. Stress, productivity, and the reconstruction of working life. 1990.
42. Moshtagh Eshgh Z, Peyman A, Amirkhani A, Taghinejad F. The relationship between occupational stresses with job burnout in pre-hospital emergency staff. Jorjani Biomedicine Journal. 2014 Dec 10;2(2):41-33. [Article] [Google Scholar]
43. Hasani A, Mobaraki H, Moghadami Fard Z. The importance of ergonomics in increasing efficiency and improve the performance of employees of the Ministry of Health and Medical Education. Journal of Occupational Medicine specialized. 2013;4(4):92-101. [Google Scholar]
44. Raesi P. The effect of stress on the performance and efficiency of hospital managers and matrons. Journal of Health Administration. 2000 Apr 10;3(6):176-91. [Article] [Google Scholar]
45. Alvaani M, Abtahi H. Research on stress management in the country's industrial sector. Management Studies in Development and Evolution. Volume 2, Issue 5, Spring 1992, Page 12-40.

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