de Sousa Armando David, Baixinho Cristina Lavareda, Presado Maria Helena, Henriques Maria Adriana
São José de Cluny Nursing School, Funchal, Portugal.
Lisbon Nursing School (ESEL), Lisbon, Portugal.
Glob Qual Nurs Res. 2025 Apr 12;12:23333936241306206. doi: 10.1177/23333936241306206. eCollection 2025 Jan-Dec.
Obstetric nurses are at increased risk of work-related musculoskeletal disorders associated with equipment and materials, the parturient and the specific nature of their work. We used the photovoice method to identify obstetric nurses' perceptions of work-related musculoskeletal injuries involving 20 participants who worked in the delivery room. A total of 100 photographs were captured by participants and their narratives were obtained through 20 interviews. Analysis of the photographs, the nurses' descriptions of the photos, the researcher's field notes and the interviews, resulted in three semantic categories: perception of risk, perception of preventive measures and musculoskeletal symptoms, and one expressive category related to decision-making. Perceived risks for musculoskeletal injury were associated with workspaces, the precariousness of the equipment and materials, and the organization and nature of obstetrical nurses' work. The importance of preventive measures was recognized and reinforced by reports of transitory work-related musculoskeletal symptoms by 18 of 20 obstetric nurses participating in the study. The strategies perceived by the obstetric nurses as potentially effective for preventing musculoskeletal injury included improvements to the physical work environment and equipment, sensitization of the team to the problem, and developing biomechanical skills in situ through simulated exercises and peer support.
产科护士因设备和材料、产妇及其工作的特殊性，面临与工作相关的肌肉骨骼疾病的风险增加。我们采用摄影叙事法，以确定20名在产房工作的产科护士对与工作相关的肌肉骨骼损伤的看法。参与者共拍摄了100张照片，并通过20次访谈获得了他们的叙述。对照片、护士对照片的描述、研究人员的实地记录和访谈进行分析，得出了三个语义类别：风险认知、预防措施认知和肌肉骨骼症状，以及一个与决策相关的表达类别。肌肉骨骼损伤的感知风险与工作空间、设备和材料的不稳定状况以及产科护士工作的组织和性质有关。参与该研究的20名产科护士中有18名报告了与工作相关的短暂肌肉骨骼症状，这使预防措施的重要性得到认可和强化。产科护士认为可能有效预防肌肉骨骼损伤的策略包括改善物理工作环境和设备、提高团队对该问题的认识，以及通过模拟练习和同伴支持在现场培养生物力学技能。
