Design, implementation and evaluation of an inservice training program to prevent and control low-back injuries among nurses

ABSTRACT

Forty bedside nurses from different departments of the main University Hospital were included in the study. This study aimed to [1] design and implement an inservice training program to prevent or control low back injuries among nurses, [2] evaluate the effect of the developed program. To fulfill the design of the program, the following steps were carried out [a] assessment of the incidence and severity of low back pain or fatigue among bedside nurses, [b] assessment of nurses' knowledge and practical application of body mechanics to determine their learning needs, [c] identification of the environmental and contributing factors that enhance low back pain among the nurses. The instruments used in assessment were questionnaire sheet, observation checklist, filling report, as well as flexibility test tool. The inservice training program was developed based on the findings of the assessment part of the study the program was implemented to the nurses in eight sessions. After finishing the teaching sessions, each nurse was followed during the morning shift for reinforcement about practical use of correct body mechanics. The program was evaluated twice, immediately after finishing the sessions, and two months later. The results of the participants knowledge and their practices revealed statistically significant differences between pre-and post-training program. The program had a good impact upon the participants' health life style in relation to the use of their body mechanics correctly. In addition, one forth of them started to practice at least two types of exercise daily which improved their flexibility to certain extent. Furthermore, they changed their self-actions when they experienced fatigue or low back pain