Cumulative effects of living conditions and working conditions on the health, well-being, and work ability of nurses in Grahamstown East and West
- Authors: Hodgskiss, Jodi Lyndall
- Date: 2010
- Subjects: Nurses -- South Africa -- Grahamstown , Nurses -- Employment -- South Africa -- Grahamstown , Nurses -- Job stress -- South Africa -- Grahamstown , Nurses -- Job satisfaction -- South Africa -- Grahamstown , Nurses -- Economic conditions -- South Africa -- Grahamstown , Nurses -- Social conditions -- South Africa -- Grahamstown , Quality of life -- South Africa -- Grahamstown , Social indicators -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5108 , http://hdl.handle.net/10962/d1005186 , Nurses -- South Africa -- Grahamstown , Nurses -- Employment -- South Africa -- Grahamstown , Nurses -- Job stress -- South Africa -- Grahamstown , Nurses -- Job satisfaction -- South Africa -- Grahamstown , Nurses -- Economic conditions -- South Africa -- Grahamstown , Nurses -- Social conditions -- South Africa -- Grahamstown , Quality of life -- South Africa -- Grahamstown , Social indicators -- South Africa -- Grahamstown
- Description: Despite the many changes that have occurred in South Africa since the end of apartheid, there are still residual effects of it, as is evidenced in the disparity of living conditions between different racial groups. It is also evident that there are differences in the work tasks and working conditions of nurses working in different work environments. This project looks at how living conditions as well as working conditions interactively affect the health, subjective well-being, and work ability of nurses. Questionnaires were completed by, and interviews were conducted with nurses from Settlers Hospital and seven municipal clinics within Grahamstown (n=152). The participation rate was approximately 71%. The questionnaires included self-report, forced-choice questions regarding basic demographics of the nurses, work conditions, living conditions, subjective satisfaction levels, as well as a simplified version of the Nordic Questionnaire of Musculoskeletal Strain (Kuorinka et al., 1987), and the Work Ability Index (WAI) (Tuomi et al., 2006). The questionnaires were translated into Afrikaans and IsiXhosa. One-on-one interviews were conducted with the participants, in order to obtain a 24-hour dietary recall, an indication of physical activity levels, as well as measurements of stature, mass, waist girth and hip girth. Factor analysis was performed to identify common variance from amongst the variables, while canonical correlations examined the interaction between the sets of factors. It was found that variables relating to demographic factors, living conditions, and working conditions were closely linked to each other. Factors from each of these groups were associated with life, health, and job satisfaction, anthropometric measures, musculoskeletal strain, and WAI scores. Satisfaction levels appeared to be largely determined by socioeconomic status, while anthropometrics, WAI scores, and levels of musculoskeletal strain were associated with levels of smoking and drinking, race, age, stature, position and tenure.
- Full Text:
- Date Issued: 2010
- Authors: Hodgskiss, Jodi Lyndall
- Date: 2010
- Subjects: Nurses -- South Africa -- Grahamstown , Nurses -- Employment -- South Africa -- Grahamstown , Nurses -- Job stress -- South Africa -- Grahamstown , Nurses -- Job satisfaction -- South Africa -- Grahamstown , Nurses -- Economic conditions -- South Africa -- Grahamstown , Nurses -- Social conditions -- South Africa -- Grahamstown , Quality of life -- South Africa -- Grahamstown , Social indicators -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5108 , http://hdl.handle.net/10962/d1005186 , Nurses -- South Africa -- Grahamstown , Nurses -- Employment -- South Africa -- Grahamstown , Nurses -- Job stress -- South Africa -- Grahamstown , Nurses -- Job satisfaction -- South Africa -- Grahamstown , Nurses -- Economic conditions -- South Africa -- Grahamstown , Nurses -- Social conditions -- South Africa -- Grahamstown , Quality of life -- South Africa -- Grahamstown , Social indicators -- South Africa -- Grahamstown
- Description: Despite the many changes that have occurred in South Africa since the end of apartheid, there are still residual effects of it, as is evidenced in the disparity of living conditions between different racial groups. It is also evident that there are differences in the work tasks and working conditions of nurses working in different work environments. This project looks at how living conditions as well as working conditions interactively affect the health, subjective well-being, and work ability of nurses. Questionnaires were completed by, and interviews were conducted with nurses from Settlers Hospital and seven municipal clinics within Grahamstown (n=152). The participation rate was approximately 71%. The questionnaires included self-report, forced-choice questions regarding basic demographics of the nurses, work conditions, living conditions, subjective satisfaction levels, as well as a simplified version of the Nordic Questionnaire of Musculoskeletal Strain (Kuorinka et al., 1987), and the Work Ability Index (WAI) (Tuomi et al., 2006). The questionnaires were translated into Afrikaans and IsiXhosa. One-on-one interviews were conducted with the participants, in order to obtain a 24-hour dietary recall, an indication of physical activity levels, as well as measurements of stature, mass, waist girth and hip girth. Factor analysis was performed to identify common variance from amongst the variables, while canonical correlations examined the interaction between the sets of factors. It was found that variables relating to demographic factors, living conditions, and working conditions were closely linked to each other. Factors from each of these groups were associated with life, health, and job satisfaction, anthropometric measures, musculoskeletal strain, and WAI scores. Satisfaction levels appeared to be largely determined by socioeconomic status, while anthropometrics, WAI scores, and levels of musculoskeletal strain were associated with levels of smoking and drinking, race, age, stature, position and tenure.
- Full Text:
- Date Issued: 2010
The effects of glove fit on task performance and on the human operator
- Authors: Stack, Jessica Danielle
- Date: 2010
- Subjects: Hand -- Anatomy , Hand -- Wounds and injuries , Hand -- Care and hygiene , Gloves , Safety education, Industrial , Human-machine systems , Industrial safety , Industrial accidents
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5119 , http://hdl.handle.net/10962/d1005197 , Hand -- Anatomy , Hand -- Wounds and injuries , Hand -- Care and hygiene , Gloves , Safety education, Industrial , Human-machine systems , Industrial safety , Industrial accidents
- Description: The hand is one of the most complex of all of the anatomical structures in the human body. It has been found that hand injuries are among the most frequent injuries that occur to the body, predominantly during industrial activities. It has therefore been concluded that more research is needed into protective factors, such as glove use. The design features of a glove emphasise either protection or performance. There is often a trade-off between increased safety and performance capability when donning gloves. It has been determined that gloves which are fitted and comfortable for the worker may provide the best compromise between protective functions and decreased performance. This investigation aimed to assess the influence of glove fit on the performance attributes of industrial tasks, as well as on the responses of the human operator. Glove fit was analysed as 35 male participants donned three different glove sizes during each test, including a best-fitting glove, a glove one size smaller than best-fitting, and a glove one size larger than best-fitting. For each glove size, gloves of two differing materials were tested, namely nitrile and neoprene. A barehanded condition was also tested, totalling seven gloved/barehanded conditions for each test. The seven conditions were assessed in a laboratory setting in a battery of tests. This consisted of components of task performance, including maximum pulling and pushing force, maximum torque, precision of force, tactility, speed and accuracy and dexterity. The performance responses were recorded, as well as participants’ perceptual responses using the Rating of Perceived Exertion scale, and muscle activity. Six muscles were selected: Flexor Digitorum Superficialis, Flexor Pollicus Longus, Extensor Carpi Ulnaris, Extensor Carpi Radialis, Flexor Carpi Ulnaris and Flexor Carpi Radialis. The results revealed that glove fit does affect certain spects of performance, and influences human operator responses for selected task components. Furthermore, discrepancies were distinguished between orking barehanded and working with an optimally fitted glove. There was also a glove material effect established. Overall, it was found that muscle activity when exerting maximum force in a pushing and pulling direction was optimal with the nitrile glove material. Maximum torque performance was enhanced with the use of a best-fitting glove, as compared with an ill-fitting glove or barehanded work. Force precision was preferable when barehanded, as opposed to the tactility task which rendered optimal results with a best-fitting glove. The same was found for speed and accuracy results, as glove fit appeared to have no effect on performance, but performance was improved when participants were barehanded. Dexterity performance was the most conclusively influenced by the conditions, resulting in barehanded performance being optimal. However, should a glove be necessary for a given task, an optimally-fitted glove which is of a thinner material would be recommended. It is necessary to distinguish the performance components of a task within industry and select the most appropriate glove for optimal performance and the least risk of overexertion.
- Full Text:
- Date Issued: 2010
- Authors: Stack, Jessica Danielle
- Date: 2010
- Subjects: Hand -- Anatomy , Hand -- Wounds and injuries , Hand -- Care and hygiene , Gloves , Safety education, Industrial , Human-machine systems , Industrial safety , Industrial accidents
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5119 , http://hdl.handle.net/10962/d1005197 , Hand -- Anatomy , Hand -- Wounds and injuries , Hand -- Care and hygiene , Gloves , Safety education, Industrial , Human-machine systems , Industrial safety , Industrial accidents
- Description: The hand is one of the most complex of all of the anatomical structures in the human body. It has been found that hand injuries are among the most frequent injuries that occur to the body, predominantly during industrial activities. It has therefore been concluded that more research is needed into protective factors, such as glove use. The design features of a glove emphasise either protection or performance. There is often a trade-off between increased safety and performance capability when donning gloves. It has been determined that gloves which are fitted and comfortable for the worker may provide the best compromise between protective functions and decreased performance. This investigation aimed to assess the influence of glove fit on the performance attributes of industrial tasks, as well as on the responses of the human operator. Glove fit was analysed as 35 male participants donned three different glove sizes during each test, including a best-fitting glove, a glove one size smaller than best-fitting, and a glove one size larger than best-fitting. For each glove size, gloves of two differing materials were tested, namely nitrile and neoprene. A barehanded condition was also tested, totalling seven gloved/barehanded conditions for each test. The seven conditions were assessed in a laboratory setting in a battery of tests. This consisted of components of task performance, including maximum pulling and pushing force, maximum torque, precision of force, tactility, speed and accuracy and dexterity. The performance responses were recorded, as well as participants’ perceptual responses using the Rating of Perceived Exertion scale, and muscle activity. Six muscles were selected: Flexor Digitorum Superficialis, Flexor Pollicus Longus, Extensor Carpi Ulnaris, Extensor Carpi Radialis, Flexor Carpi Ulnaris and Flexor Carpi Radialis. The results revealed that glove fit does affect certain spects of performance, and influences human operator responses for selected task components. Furthermore, discrepancies were distinguished between orking barehanded and working with an optimally fitted glove. There was also a glove material effect established. Overall, it was found that muscle activity when exerting maximum force in a pushing and pulling direction was optimal with the nitrile glove material. Maximum torque performance was enhanced with the use of a best-fitting glove, as compared with an ill-fitting glove or barehanded work. Force precision was preferable when barehanded, as opposed to the tactility task which rendered optimal results with a best-fitting glove. The same was found for speed and accuracy results, as glove fit appeared to have no effect on performance, but performance was improved when participants were barehanded. Dexterity performance was the most conclusively influenced by the conditions, resulting in barehanded performance being optimal. However, should a glove be necessary for a given task, an optimally-fitted glove which is of a thinner material would be recommended. It is necessary to distinguish the performance components of a task within industry and select the most appropriate glove for optimal performance and the least risk of overexertion.
- Full Text:
- Date Issued: 2010
The isolation of muscle activity and ground reaction force patterns associated with postural control in four load manipulation tasks
- Authors: Pettengell, Clare Louise
- Date: 2010
- Subjects: Physical fitness , Exercise , Materials handling , Manual work , Lifting and carrying
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5125 , http://hdl.handle.net/10962/d1005203 , Physical fitness , Exercise , Materials handling , Manual work , Lifting and carrying
- Description: Although much effort has been placed into the reduction of risks associated with manual materials handling, risk of musculoskeletal disorder development remains high. This may be due to the additional muscle activity necessary for the maintenance of postural equilibrium during work tasks. This research proposes that postural control and subsequent additional muscle activity is influenced by the magnitude of the external load and the degree of body movement. The objective of this research was to identify whether performing tasks with increased external load and with a greater degree of trunk motion places additional strain on the musculoskeletal system in excess of that imposed by task demands. Twenty-four male and twenty-four female subjects performed four load manipulation tasks under three loading conditions (0.8kg, 1.6kg, and 4kg). Each task comprised of a static and dynamic condition. For the static condition, subjects maintained a stipulated posture for ten seconds. The dynamic condition required subjects to move and replace a box once every three seconds, such that a complete lift and lower cycle was performed in six seconds. Throughout task completion, muscle activity of six pairs of trunk muscles were analysed using surface electromyography. This was accompanied by data regarding ground reaction forces obtained through the use of a force platform. After the completion of each condition subjects were required to identify and rate body discomfort. Differential analysis was used to isolate the muscle activity and ground reaction forces attributed to increased external load and increased trunk movement. It was found that the heaviest loading conditions (4kg) resulted in significantly greater (p<0.05) muscle activation in the majority of muscles during all tasks investigated. The trend of muscle activity attributed to load was similar in all significantly altered muscles and activation was greatest in the heaviest loading condition. A degree of movement efficiency occurred in some muscles when manipulating loads of 0.8kg and 1.6kg. At greater loads, this did not occur suggesting that heavier loading conditions result in additional strain on the body in excess of that imposed by task demands. In manipulated data, trend of vertical ground reaction forces increased with increased load in all tasks. Sagittal movement of the centre of pressure attributed to load was significantly affected in manipulated data in the second movement phase of the “hip shoulder” task and the second movement phase of the “hip twist” task. The “hip reach” task was most affected by increased load magnitude as muscle activity attributed to load was significantly different (p<0.05) under increased loading conditions in both movement phases in all muscles. Further, a significant interactional effect (p<0.05) between condition and data point was found in all muscles with the exception of the right and left lumbar erector spinae during the second movement phase of the “hip reach” task. Muscle activity associated with increased trunk motion resulted in additional strain on the trunk muscles in the “hip shoulder” and “hip reach” tasks as muscle activity associated with the static component of each of the above tasks was greater than that of the dynamic tasks. Trend of ground reaction forces attributed to increased trunk motion generally increased under increased loading conditions. Additionally, a significant interactional effect (p<0.05) between load and muscle activity pattern was found in all muscles during all tasks, with the exception of the right rectus abdominis in the first movement phase of the “hip shoulder’ task, the left rectus abdominis in the second movement phase of the “hip knee” task and the right latissimus dorsi during the first movement phase of the “hip twist” task. This was accompanied by a significant interactional effect (p<0.05) between load and sagittal centre of pressure movement attributed to load, in both movement phases of all tasks investigated. From this research it can be proposed that guidelines may underestimate risk and subsequently under predict the strain in tasks performed with greater external loads as well as tasks which require a greater degree of trunk motion. Therefore, this study illustrates the importance of the consideration of the muscle activity necessary to maintain postural equilibrium in overall load analyses.
- Full Text:
- Date Issued: 2010
- Authors: Pettengell, Clare Louise
- Date: 2010
- Subjects: Physical fitness , Exercise , Materials handling , Manual work , Lifting and carrying
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5125 , http://hdl.handle.net/10962/d1005203 , Physical fitness , Exercise , Materials handling , Manual work , Lifting and carrying
- Description: Although much effort has been placed into the reduction of risks associated with manual materials handling, risk of musculoskeletal disorder development remains high. This may be due to the additional muscle activity necessary for the maintenance of postural equilibrium during work tasks. This research proposes that postural control and subsequent additional muscle activity is influenced by the magnitude of the external load and the degree of body movement. The objective of this research was to identify whether performing tasks with increased external load and with a greater degree of trunk motion places additional strain on the musculoskeletal system in excess of that imposed by task demands. Twenty-four male and twenty-four female subjects performed four load manipulation tasks under three loading conditions (0.8kg, 1.6kg, and 4kg). Each task comprised of a static and dynamic condition. For the static condition, subjects maintained a stipulated posture for ten seconds. The dynamic condition required subjects to move and replace a box once every three seconds, such that a complete lift and lower cycle was performed in six seconds. Throughout task completion, muscle activity of six pairs of trunk muscles were analysed using surface electromyography. This was accompanied by data regarding ground reaction forces obtained through the use of a force platform. After the completion of each condition subjects were required to identify and rate body discomfort. Differential analysis was used to isolate the muscle activity and ground reaction forces attributed to increased external load and increased trunk movement. It was found that the heaviest loading conditions (4kg) resulted in significantly greater (p<0.05) muscle activation in the majority of muscles during all tasks investigated. The trend of muscle activity attributed to load was similar in all significantly altered muscles and activation was greatest in the heaviest loading condition. A degree of movement efficiency occurred in some muscles when manipulating loads of 0.8kg and 1.6kg. At greater loads, this did not occur suggesting that heavier loading conditions result in additional strain on the body in excess of that imposed by task demands. In manipulated data, trend of vertical ground reaction forces increased with increased load in all tasks. Sagittal movement of the centre of pressure attributed to load was significantly affected in manipulated data in the second movement phase of the “hip shoulder” task and the second movement phase of the “hip twist” task. The “hip reach” task was most affected by increased load magnitude as muscle activity attributed to load was significantly different (p<0.05) under increased loading conditions in both movement phases in all muscles. Further, a significant interactional effect (p<0.05) between condition and data point was found in all muscles with the exception of the right and left lumbar erector spinae during the second movement phase of the “hip reach” task. Muscle activity associated with increased trunk motion resulted in additional strain on the trunk muscles in the “hip shoulder” and “hip reach” tasks as muscle activity associated with the static component of each of the above tasks was greater than that of the dynamic tasks. Trend of ground reaction forces attributed to increased trunk motion generally increased under increased loading conditions. Additionally, a significant interactional effect (p<0.05) between load and muscle activity pattern was found in all muscles during all tasks, with the exception of the right rectus abdominis in the first movement phase of the “hip shoulder’ task, the left rectus abdominis in the second movement phase of the “hip knee” task and the right latissimus dorsi during the first movement phase of the “hip twist” task. This was accompanied by a significant interactional effect (p<0.05) between load and sagittal centre of pressure movement attributed to load, in both movement phases of all tasks investigated. From this research it can be proposed that guidelines may underestimate risk and subsequently under predict the strain in tasks performed with greater external loads as well as tasks which require a greater degree of trunk motion. Therefore, this study illustrates the importance of the consideration of the muscle activity necessary to maintain postural equilibrium in overall load analyses.
- Full Text:
- Date Issued: 2010
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