An investigation into fatigue prevalence amongst citrus packhouse sorters in the Eastern Cape province of South Africa
- Authors: Robinson, Harry Jack
- Date: 2023-10-13
- Subjects: Uncatalogued
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424312 , vital:72142
- Description: Background: South Africa is the second most influential exporter of citrus fruits internationally and holds a pivotal role in economic revenue for the country. Rural areas, such as the Sundays River Valley in the Eastern Cape province of South Africa, contribute to the country’s citrus production. Many women depend on citrus packhouses for employment as citrus sorters. As humans perceive certain defects in citrus fruits more accurately than machines, these sorters must identify and manually remove any fruit that does not conform with export requirements. Citrus sorters are exposed to numerous physical and cognitive stressors during the task while faced with organizational challenges, such as shift work and long working hours. Therefore, the potential for fatigue development is anticipated. Given the multifactorial nature of fatigue and the negative consequences it may have on workers, it also has the potential to impede the accuracy of the sorting performance. Stringent disciplinary action for the entire South African citrus industry may be of consequence if nonconforming or pest-infested fruit is missed by citrus sorters and exported to foreign countries. This study aimed to investigate the prevalence of fatigue among citrus sorters in a citrus packhouse in the Sundays River Valley of the Eastern Cape throughout a citrus harvesting season and to identify factors that may contribute towards fatigue development. Methods: The research design utilized a crosssectional, two-part approach that applied mixed methods. Part one was administered once-off, incorporating demographic, work-, and non-work-related questions. Part two was a self-developed repeated measures assessment comprising close-ended contextual questions, the Modified Fatigue Impact Scale, and the Karolinska Sleepiness Scale. Environmental and work output data were also recorded. Results: Citrus sorters (n= 35) recorded a mean MFIS score of 39.35 throughout the harvest season, which was above the prescribed fatigue threshold (38). However, there was no significant difference in fatigue ratings over time (p= 0.122). Day shift workers exceeded the fatigue threshold for the entire season compared to night shift workers, who only exceeded it in the last two weeks. The physical, cognitive, and psychosocial subscales found no significant difference in fatigue scores, although physical fatigue recorded the highest scores across all weeks and displayed a significant difference over time. Overall, participants, on average, perceived to be “neither sleepy nor alert” over the season. However, eight participants (22%) recorded sleepiness scores ii exceeding the excessive sleepiness threshold of seven. Educational levels, health status, work-pace, and the number of family dependents significantly contributed to fatigue development, albeit a weak correlation. Discussion: Sorters were perceived to be fatigued from week three till the end of the study; however, there was no variation in fatigue scores over time. An accumulation of physical fatigue over time was revealed where prolonged standing, repetitive work, and irregular working postures may have contributed. Night shift workers did not receive the recommended hours of sleep (7-8 hours); hence, they registered greater sleepiness scores over the season than day shift workers. Environmental and work output recordings did not prove to have a significant influence on fatigue development, and neither did work experience or physical exercise. Conclusion: An amalgamation of numerous contributing factors within the work situation, private situation, and the individual influenced the development of fatigue, where there was no primary causal factor. Future studies should consider recording the accuracy of the sorting performance to acquire rich, objective data. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Authors: Robinson, Harry Jack
- Date: 2023-10-13
- Subjects: Uncatalogued
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424312 , vital:72142
- Description: Background: South Africa is the second most influential exporter of citrus fruits internationally and holds a pivotal role in economic revenue for the country. Rural areas, such as the Sundays River Valley in the Eastern Cape province of South Africa, contribute to the country’s citrus production. Many women depend on citrus packhouses for employment as citrus sorters. As humans perceive certain defects in citrus fruits more accurately than machines, these sorters must identify and manually remove any fruit that does not conform with export requirements. Citrus sorters are exposed to numerous physical and cognitive stressors during the task while faced with organizational challenges, such as shift work and long working hours. Therefore, the potential for fatigue development is anticipated. Given the multifactorial nature of fatigue and the negative consequences it may have on workers, it also has the potential to impede the accuracy of the sorting performance. Stringent disciplinary action for the entire South African citrus industry may be of consequence if nonconforming or pest-infested fruit is missed by citrus sorters and exported to foreign countries. This study aimed to investigate the prevalence of fatigue among citrus sorters in a citrus packhouse in the Sundays River Valley of the Eastern Cape throughout a citrus harvesting season and to identify factors that may contribute towards fatigue development. Methods: The research design utilized a crosssectional, two-part approach that applied mixed methods. Part one was administered once-off, incorporating demographic, work-, and non-work-related questions. Part two was a self-developed repeated measures assessment comprising close-ended contextual questions, the Modified Fatigue Impact Scale, and the Karolinska Sleepiness Scale. Environmental and work output data were also recorded. Results: Citrus sorters (n= 35) recorded a mean MFIS score of 39.35 throughout the harvest season, which was above the prescribed fatigue threshold (38). However, there was no significant difference in fatigue ratings over time (p= 0.122). Day shift workers exceeded the fatigue threshold for the entire season compared to night shift workers, who only exceeded it in the last two weeks. The physical, cognitive, and psychosocial subscales found no significant difference in fatigue scores, although physical fatigue recorded the highest scores across all weeks and displayed a significant difference over time. Overall, participants, on average, perceived to be “neither sleepy nor alert” over the season. However, eight participants (22%) recorded sleepiness scores ii exceeding the excessive sleepiness threshold of seven. Educational levels, health status, work-pace, and the number of family dependents significantly contributed to fatigue development, albeit a weak correlation. Discussion: Sorters were perceived to be fatigued from week three till the end of the study; however, there was no variation in fatigue scores over time. An accumulation of physical fatigue over time was revealed where prolonged standing, repetitive work, and irregular working postures may have contributed. Night shift workers did not receive the recommended hours of sleep (7-8 hours); hence, they registered greater sleepiness scores over the season than day shift workers. Environmental and work output recordings did not prove to have a significant influence on fatigue development, and neither did work experience or physical exercise. Conclusion: An amalgamation of numerous contributing factors within the work situation, private situation, and the individual influenced the development of fatigue, where there was no primary causal factor. Future studies should consider recording the accuracy of the sorting performance to acquire rich, objective data. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
Development of an evidence-based framework for the prevention and management of musculoskeletal disorders in South Africa
- Authors: De Bruyn, Elrico
- Date: 2023-10-13
- Subjects: Uncatalogued
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424232 , vital:72135
- Description: Background: Musculoskeletal Disorders (MSDs) are multi-causal soft tissue disorders that result in disability, discomfort, and pain. MSDs are prevalent in 21.5% of the world’s population and carry a great financial and personal burden to individuals, businesses and countries alike. The multi-casual nature of MSDs has resulted in a vast amount of literature being published on how to prevent and manage the disorders, to the extent that navigating through the literature to find effective and context-specific interventions has become time-consuming and difficult. This is the case in South Africa, where ergonomists have no guide or framework to navigate MSD literature, and context-specific literature is limited. Aims: This study aimed to assist ergonomists in South Africa navigate the MSD literature to identify and select appropriate MSD prevention and management interventions. To do so, three objectives of the study were identified: 1. Review MSD literature to identify effective MSD prevention and management interventions. 2. Create a framework to act as a guide for ergonomists to navigate MSD prevention and management studies. 3. To verify the suitability of the framework in the South African context. To achieve these objectives, the study took a two-phased approach. Phase 1: A scoping review of MSD literature was conducted to identify effective MSD prevention and management approaches. Sixteen (n=16) prevention strategies and fourteen (n=14) management strategies were identified. The information from the review was analysed and grouped into five hierarchical levels of interventions (“Law”, “Organisational Policies”, “Management Systems”, Workplace Interventions”, and “Individual”). This information, along with a conceptual model created for the navigation of the literature, was used to create a draft framework for musculoskeletal disorder prevention and management. It was concluded that although there were many effective MSD interventions, there was a lack of South African-specific literature. Phase 2: Interviews with five certified ergonomists working in the South African context were conducted to verify the framework’s suitability for a South African working environment. The interviews identified two MSD prevention and three MSD management themes as effective in South Africa. Both prevention themes (“training and education” and “workplace interventions”) were also mentioned to be part of the stakeholders’ ideal MSD prevention programme, further reinforcing their usefulness. The use of “workplace interventions” was also identified to be effective in MSD management, alongside interventions at the management level and the use of alternative tools and equipment. However, the lack of managerial buy-in was identified as a barrier to MSD prevention. Stakeholders also highlighted that job specification and work hardening was an MSD strategy missing from the framework that was effective in South Africa's MSD management. The use of surveillance practices was found to be ineffective in South Africa, with lots of resistance towards it from workers. Conclusion: The framework presented in Phase 1 identified many effective MSD interventions; however, only a few were found to be applicable to the South African working context during Phase 2. Future research should focus on identifying the success of different MSD interventions in South Africa with participation from the ergonomists involved in the implementation to create an even more suitable guide that matches the South African ergonomist’s needs. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Authors: De Bruyn, Elrico
- Date: 2023-10-13
- Subjects: Uncatalogued
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424232 , vital:72135
- Description: Background: Musculoskeletal Disorders (MSDs) are multi-causal soft tissue disorders that result in disability, discomfort, and pain. MSDs are prevalent in 21.5% of the world’s population and carry a great financial and personal burden to individuals, businesses and countries alike. The multi-casual nature of MSDs has resulted in a vast amount of literature being published on how to prevent and manage the disorders, to the extent that navigating through the literature to find effective and context-specific interventions has become time-consuming and difficult. This is the case in South Africa, where ergonomists have no guide or framework to navigate MSD literature, and context-specific literature is limited. Aims: This study aimed to assist ergonomists in South Africa navigate the MSD literature to identify and select appropriate MSD prevention and management interventions. To do so, three objectives of the study were identified: 1. Review MSD literature to identify effective MSD prevention and management interventions. 2. Create a framework to act as a guide for ergonomists to navigate MSD prevention and management studies. 3. To verify the suitability of the framework in the South African context. To achieve these objectives, the study took a two-phased approach. Phase 1: A scoping review of MSD literature was conducted to identify effective MSD prevention and management approaches. Sixteen (n=16) prevention strategies and fourteen (n=14) management strategies were identified. The information from the review was analysed and grouped into five hierarchical levels of interventions (“Law”, “Organisational Policies”, “Management Systems”, Workplace Interventions”, and “Individual”). This information, along with a conceptual model created for the navigation of the literature, was used to create a draft framework for musculoskeletal disorder prevention and management. It was concluded that although there were many effective MSD interventions, there was a lack of South African-specific literature. Phase 2: Interviews with five certified ergonomists working in the South African context were conducted to verify the framework’s suitability for a South African working environment. The interviews identified two MSD prevention and three MSD management themes as effective in South Africa. Both prevention themes (“training and education” and “workplace interventions”) were also mentioned to be part of the stakeholders’ ideal MSD prevention programme, further reinforcing their usefulness. The use of “workplace interventions” was also identified to be effective in MSD management, alongside interventions at the management level and the use of alternative tools and equipment. However, the lack of managerial buy-in was identified as a barrier to MSD prevention. Stakeholders also highlighted that job specification and work hardening was an MSD strategy missing from the framework that was effective in South Africa's MSD management. The use of surveillance practices was found to be ineffective in South Africa, with lots of resistance towards it from workers. Conclusion: The framework presented in Phase 1 identified many effective MSD interventions; however, only a few were found to be applicable to the South African working context during Phase 2. Future research should focus on identifying the success of different MSD interventions in South Africa with participation from the ergonomists involved in the implementation to create an even more suitable guide that matches the South African ergonomist’s needs. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
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