July
2022
- Volume 16, Issue 2
Factors
Affecting the Promotion of Back Care Practices Among Nurses
Working in Long Term Care Settings: An Integrative Review
Nagwa
Mohamed (1)
Jessie Johnson (1)
Mariam Al Mutawa (2)
Daniel Forgrave (1)
(1) University of Calgary in Qatar
(2) Hamad Medical Corporation, Doha, Qatar
Corresponding author:
Nagwa Mohamed, MN RN,
University of Calgary in Qatar
Email: nmohd3@hamad.qa
Received: May 2022;
Accepted: June 2022; Published: July 2022
Citation: Nagwa Mohamed, Jessie Johnson, Mariam Al Mutawa,
Daniel Forgrave. Factors Affecting the Promotion of Back Care
Practices Among Nurses Working in Long Term Care Settings:
An Integrative Review. Middle East Journal of Nursing 2022;
16(2): 23-32. DOI: 10.5742/MEJN2021.9378024
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ABSTRACT
Background:
Work-related musculoskeletal injuries and disorders are multifactorial
and have diverse negative occupational, economic, and health
impacts, including poor quality of life, high compensation
costs, and reduced productivity among the working populations.
The impact is noticeable among nurses due to the physical
demands of their duties, such as patient positioning and mobilization.
Several approaches, including back-care programs, have been
implemented to prevent negative impact and reduce the incidence
of low back pain among nurses. However, back-care practices
are influenced by various factors that affect their success
among nurses, especially those working in long-term care settings.
Aim: This integrative review
aims to identify the factors that promote back-care practices
among nurses working in long-term care settings.
Method: This integrative review was guided by Whittemore
and Knafls (2005) framework. Three databases were searched
for peer-reviewed studies published between 2011 and 2021
based on set inclusion and exclusion criteria. A hand search
was also conducted among the reference lists of the included
peer-reviewed articles. The identified articles were critically
appraised using the Mixed Methods Appraisal Tool. Data was
then extracted, and the various barriers and facilitators
of back-care practices were noted based on the three levels
of the Socio-Ecological Model: individual, organizational,
and environmental.
Results: Three main factors
that influence back-care practices include lack of knowledge
among nurses about the programs, lack of organizational support,
and lack of maneuvering space.
Conclusion: It is imperative
that educational sessions related to the safe handling of
patients be provided to nurses to increase their knowledge
and implementation of appropriate back-care practices.
Keywords: work-related musculoskeletal
injuries, long-term care nurses, back care practices, socio-ecological
model
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