Musculoskeletal changes in nursing professionals at university hospitals in the context of COVID-19: a multicenter study
DOI:
https://doi.org/10.4025/ciencuidsaude.v24i1.78859Keywords:
Occupational health, Musculoskeletal diseases, Nursing, Health personnel, HospitalsAbstract
Objective: To understand the use of integrative and complementary practices in the context of palliative care. Method: Qualitative research, whose data collection was carried out in June 2021, by application of a semi-structured instrument with 11 health professionals and a spiritual assistant from two public hospitals linked to clinical units and palliative care commission, in Florianópolis, Santa Catarina. Thematic Content Analysis directed to the analytical processes. Study approved by the Research Ethics Committee of the Federal University of Santa Catarina, under opinion 4.079.038. Results: Two categories emerged from the analysis, the first: Ways of understanding the process of death and dying and the Integrative and Complementary Practices, in which there is the recognition of the finitude and importance of palliative care and the relationship of these practices as mitigating suffering. The second category: Structure of the assistance by the Integrative and Complementary Practices in palliative care, where they show the decision-making regarding the application of the practices in palliative care. Final thoughts: The findings allow to reflect on the importance of integrative practices, through the recognition of professionals as an approach that improves health care.
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References
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16. Alazani HAH, Alshammari HKA, Alazani NKM, Alrasheedi HAJ, Albathali SQS, Albathali EQS. Investigating the prevalence and risk factors of work-related musculoskeletal disorders among nursing technicians in Hafr Al-Batin: a cross-sectional survey study. J Int Clin Res Case Rep. 2024; 7(11): 597-603. Disponível em: URL: https://jicrcr.com/index.php/jicrcr/article/view/472
17. Yang S, Li L, Wang L, Zeng JQ, Li Y. Risk factors for work-related musculoskeletal disorders among intensive care unit nurses in China: a structural equation model approach. Asian Nurs Res. 2020; 14(4): 241-2488. DOI: https://doi.org/10.1016/j.anr.2020.08.004
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19. Teixeira EJS, Petersen R de S, Helena Palucci Marziale MHP. Distúrbios osteomusculares relacionados ao trabalho e instabilidade no trabalho entre profissionais de enfermagem. Rev. Bras. Med. Trab. 2022;20(2):206–14. DOI: https://doi.org/10.47626/1679-4435-2022-677
20. Rezaei B, Mousavi E, Heshmati B, Asadi S. Low back pain and its related risk factors in health care providers at hospitals: a systematic review. Ann Med Surg (Lond). 2021; 70(e102903): 1-8. DOI: https://doi.org/10.1016/j.amsu.2021.102903
21. Moreira AS, Vasconcelos LD, Ferreira JM, Gomes YM, Porto VF, Costa RC, et al. Condições de trabalho, adoecimento e enfrentamento da enfermagem na pandemia de COVID-19 em uma capital brasileira. Enferm Foco. 2023;14(e202338): 1-7. DOI: https://doi.org/10.21675/2357-707X.2023.v14.e-202338
22.Soares SSS, Lisboa MTL, Queiroz ABA, Silva KG, Leite JCRAP, Souza NVDO. Dupla jornada de trabalho na enfermagem: paradigma da prosperidade ou reflexo do modelo neoliberal? Rev Baiana Enferm. 2021; 35: 1-12. DOI: https://doi.org/10.18471/rbe.v35.38745
23. Machado MH, Coelho MCR, Pereira EJ, Telles AO, Soares Neto JJ, Ximenes Neto FRG, et al. .Condições de trabalho e biossegurança dos profissionais de saúde e trabalhadores invisíveis da saúde no contexto da COVID-19 no Brasil. Cien Saude Colet. 2023; 28(10): 1-14. DOI:https://doi.org/10.1590/1413-812320232810.10072023
24. Rhoden DJ, Colet CF, Stumm EMF.Association and correlation between stress, musculoskeletal pain and resilience in nurses before hospital accreditation maintenance assessment. Rev Lat Am Enfermagem. 2021; 29: 1-12. DOI: https://doi.org/10.1590/1518-8345.4658.3465
25. Ventura-Silva JMA, Ribeiro OMPL, Trindade LL, Nogueira MAA, Monteiro MAJ. Ano internacional da enfermagem e a pandemia da covid-19: a expressão na mídia. Cienc Cuid Saude. 2020; 19: 1-8. DOI: https://doi.org/10.4025/ciencuidsaude.v19i0.55546
26. Bardaquim VA, Dias EG, Dalri RCMB, Robazzi MLCC. Reflexão sobre as condições de trabalho da enfermagem: subsídio à s 30 horas de trabalho. Rev Enf Contemp. 2019; 8(2): 172-81. DOI: https://doi.org/10.17267/2317-3378rec.v8i2.2466
27. Kang M, Kim I, Chang P, Min A. Relationship between musculoskeletal disorders and productivity loss among hospital nurses: an analytical cross-sectional study with secondary data analysis. J Nurs Scholarsh. 2025: 1-10. DOI: https://doi.org/10.1111/jnu.70020
28. Sousa SC, Resende JTMOR, Borges MFG, Moreira EM, Martins FDS. Lesões musculoesqueléticas e ergonomia na enfermagem: impactos e práticas preventivas para redução de lesões ocupacionais. Rev FT. 2025; 29(144): DOI: https://dx.doi.org/10.69849/revistaft/ch10202503262117
2. Schultz CC, Colect CF, Treviso P, Stumm EMF. Fatores relacionados à dor musculoesquelética de enfermeiros no âmbito hospitalar: estudo transversal. Rev. Gaúcha Enferm. 2022; 43: 1-13. DOI: https://doi.org/10.1590/1983-1447.2022.20210108.pt
3. Nemera A, Eliyas M, Likassa T, Teshome M, Tadesse B, Dugasa YG, et al. Magnitude of work-related musculoskeletal disorders and its associated factors among Ethiopian nurses: a facility based cross-sectional study. BMC Musculoskelet Disord. 2024; 25 (452): 1-10. DOI: https://doi.org/10.1186/s12891-024-07479-x
4. Jesus SA, Nascimento FPB, Tracera GMP, Sousa KHJF, Santos KM, Santos RS, et al. Dor osteomuscular entre profissionais de enfermagem de centros de material e esterilização. Rev. Esc. Enferm. USP. 2023; 57: 1-9. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2023-0019pt
5. Tamborini MMF, Colet CF, Centenaro APFC, Souto ENS, Andres ATG, Schultz CC, et al. Dor musculoesquelética em profissionais da atenção primária durante a pandemia COVID-19: marinho estudo de métodos mistos. Cogitare Enferm. 2024; 29: 1-12. DOI: https://doi.org/10.1590/ce.v29i0.91903
6. Zambonato D, Krause LS, Tamborini MMF, Räder FAS, Fachinetto JM, Colet CF. Dor musculoesquelética em profissionais de saúde que atuaram em Unidades de Terapia Intensiva de COVID-19: estudo multicêntrico e transversal. BrJP. 2024; 7: 1-7. DOI: https://doi.org/10.5935/2595-0118.20240030-pt
7. Santos LH, Kantorski LP, Treichel CAS, Menezes ES, Silva PS, Oliveria MM, et al. Cotidiano dos profissionais de enfermagem na pandemia de covid-19: invenção da vida e do trabalho. Ciênc. Cuid. Saúde. 2024; 23: 1-9 DOI: https://doi.org/10.4025/ciencuidsaude.v23i0.66847
8. Kunrath GM, Santarem MD, Oliveira JLC, Machado MLP, Camargo MP, Rosa MG, et al. Preditores associados ao absenteísmo-doença entre profissionais de enfermagem de um serviço hospitalar de emergência. Rev. Gaúcha Enferm. 2021; 42: 1-8. DOI: https://doi.org/10.1590/1983-1447.2021.20190433
9. Sun W, Yin L, Zhang T, Zhang R, Cai W. Prevalence of work-related musculoskeletal disorders among nurses: a meta-analysis. Iran. J. Public Health. 2023; 52(3). DOI: https://doi.org/10.18502/ijph.v52i3.12130
10. Von EE, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (strobe) statement: guidelines for reporting observational studies. PLoS Med. 2007; (10). DOI: https://dx.doi.org/10.1371/journal.pmed.0040296
11. Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012. Diário Ofic. União. Brasília (DF). 2013; [citado em 14 ago. 2025]. Disponível em: URL: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
12. Mohammed IS, Abdulai MH, Ibrahim MM, Buasilenu H, Baako IA, Nyarko BA, et al. Prevalence of workplace-related musculoskeletal disorders among nurses and midwives in a tertiary healthcare facility: a descriptive cross-sectional survey. Nurs Open. 2024; 11(11): 1-10. DOI: https://dx.doi.org/10.1002/nop2.70098
13. Krishnan KS, Raju G, Shawkataly O. Prevalence of work-related musculoskeletal disorders: psychological and physical risk factors. Int. J. Environ. Res. Public Health. 2021; 18(17): 1-11. DOI: https://doi.org/10.3390/ijerph18179361
14. Mahajan D, Gupta MK, Mantri N, Joshi NK, Gnanasekar S, Goel AD, et al. Musculoskeletal disorders among doctors and nursing officers: an occupational hazard of overstrained healthcare delivery system in western Rajasthan, India. BMC Musculoskelet Disord. 2023; 24(349): 1-10. DOI: https://doi.org/10.1186/s12891-023-06457-z
15. Hooftman WE, Poppel MNM, Beek AJ, Bongers PM, Mechelen W. Gender differences in the relations between work-related physical and psychosocial risk factors and musculoskeletal complaints. Scand J Work Environ Health. 2004; 30(4): 261-278. DOI: https://doi.org/10.5271/sjweh.794
16. Alazani HAH, Alshammari HKA, Alazani NKM, Alrasheedi HAJ, Albathali SQS, Albathali EQS. Investigating the prevalence and risk factors of work-related musculoskeletal disorders among nursing technicians in Hafr Al-Batin: a cross-sectional survey study. J Int Clin Res Case Rep. 2024; 7(11): 597-603. Disponível em: URL: https://jicrcr.com/index.php/jicrcr/article/view/472
17. Yang S, Li L, Wang L, Zeng JQ, Li Y. Risk factors for work-related musculoskeletal disorders among intensive care unit nurses in China: a structural equation model approach. Asian Nurs Res. 2020; 14(4): 241-2488. DOI: https://doi.org/10.1016/j.anr.2020.08.004
18. Ribeiro NF, Fernandes R de CP, Solla DJF, Santos Junior AC, Sena Junior AS de. Prevalência de distúrbios osteomusculares relacionados ao trabalho em profissionais de enfermagem. Rev bras epidemiol. 2012;15:429–38. DOI: https://doi.org/10.1590/S1415-790X2012000200020
19. Teixeira EJS, Petersen R de S, Helena Palucci Marziale MHP. Distúrbios osteomusculares relacionados ao trabalho e instabilidade no trabalho entre profissionais de enfermagem. Rev. Bras. Med. Trab. 2022;20(2):206–14. DOI: https://doi.org/10.47626/1679-4435-2022-677
20. Rezaei B, Mousavi E, Heshmati B, Asadi S. Low back pain and its related risk factors in health care providers at hospitals: a systematic review. Ann Med Surg (Lond). 2021; 70(e102903): 1-8. DOI: https://doi.org/10.1016/j.amsu.2021.102903
21. Moreira AS, Vasconcelos LD, Ferreira JM, Gomes YM, Porto VF, Costa RC, et al. Condições de trabalho, adoecimento e enfrentamento da enfermagem na pandemia de COVID-19 em uma capital brasileira. Enferm Foco. 2023;14(e202338): 1-7. DOI: https://doi.org/10.21675/2357-707X.2023.v14.e-202338
22.Soares SSS, Lisboa MTL, Queiroz ABA, Silva KG, Leite JCRAP, Souza NVDO. Dupla jornada de trabalho na enfermagem: paradigma da prosperidade ou reflexo do modelo neoliberal? Rev Baiana Enferm. 2021; 35: 1-12. DOI: https://doi.org/10.18471/rbe.v35.38745
23. Machado MH, Coelho MCR, Pereira EJ, Telles AO, Soares Neto JJ, Ximenes Neto FRG, et al. .Condições de trabalho e biossegurança dos profissionais de saúde e trabalhadores invisíveis da saúde no contexto da COVID-19 no Brasil. Cien Saude Colet. 2023; 28(10): 1-14. DOI:https://doi.org/10.1590/1413-812320232810.10072023
24. Rhoden DJ, Colet CF, Stumm EMF.Association and correlation between stress, musculoskeletal pain and resilience in nurses before hospital accreditation maintenance assessment. Rev Lat Am Enfermagem. 2021; 29: 1-12. DOI: https://doi.org/10.1590/1518-8345.4658.3465
25. Ventura-Silva JMA, Ribeiro OMPL, Trindade LL, Nogueira MAA, Monteiro MAJ. Ano internacional da enfermagem e a pandemia da covid-19: a expressão na mídia. Cienc Cuid Saude. 2020; 19: 1-8. DOI: https://doi.org/10.4025/ciencuidsaude.v19i0.55546
26. Bardaquim VA, Dias EG, Dalri RCMB, Robazzi MLCC. Reflexão sobre as condições de trabalho da enfermagem: subsídio à s 30 horas de trabalho. Rev Enf Contemp. 2019; 8(2): 172-81. DOI: https://doi.org/10.17267/2317-3378rec.v8i2.2466
27. Kang M, Kim I, Chang P, Min A. Relationship between musculoskeletal disorders and productivity loss among hospital nurses: an analytical cross-sectional study with secondary data analysis. J Nurs Scholarsh. 2025: 1-10. DOI: https://doi.org/10.1111/jnu.70020
28. Sousa SC, Resende JTMOR, Borges MFG, Moreira EM, Martins FDS. Lesões musculoesqueléticas e ergonomia na enfermagem: impactos e práticas preventivas para redução de lesões ocupacionais. Rev FT. 2025; 29(144): DOI: https://dx.doi.org/10.69849/revistaft/ch10202503262117
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2025-12-30
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Musculoskeletal changes in nursing professionals at university hospitals in the context of COVID-19: a multicenter study. (2025). Ciência, Cuidado E Saúde, 24(1). https://doi.org/10.4025/ciencuidsaude.v24i1.78859
