Low back pain among nurses in Slovenian
hospitals: cross-sectional study
B. Skela-Savi c
1
RN, BSc, MSc, PhD, K. Pesjak
2
BSc (Social Sciences), PhD &
S. Hvali c-Touzery
3
BSc (Social Sciences), PhD
1 Associate Professor, Dean, 2 Researcher, 3 Assistant Professor, Vice-Dean, Fakulteta za zdravstvo Angele Bo skin/Angela
Bo skin Faculty of Health Care, Jesenice, Slovenia
SKELA-SAVI
C B., PESJAK K., HVALI
C-TOUZERY S. (2017) Low back pain among nurses in
Slovenian hospitals: cross-sectional study. International Nursing Review 00, 000–000
Aim: The study investigated the prevalence and factors predicting low back pain among nurses in Slovenian
hospitals.
Background: The risk factors for low back pain are physical and psychosocial. Implementation of
interventions for reducing low back pain calls for management support, accessible equipment, education,
knowledge and risk assessment.
Introduction: Low back pain prevalence and incidence among healthcare workers is very high compared to
the general population and is a strong risk factor for long-term sickness absence.
Methods: A cross-sectional study design was utilized. We used validated instruments: Nordic
Musculoskeletal Disorder Questionnaire, Stanford Presenteeism Scale and Perceived Stress Scale. The sample
included 1744 nursing employees from 16 Slovenian hospitals, ranging from practical nurses, registered
nurses, nurses with a bachelor’s degree and those with a master’s degree.
Findings: Results revealed a prevalence of low back pain among 85.9% of respondents. Relevant risk factors
included female gender, age, length of employment, years in current position, shift work and the number of
nurses per shift. In the regression model, factors predicting low back pain included presenteeism with a
negative effect on work, presenteeism and maintaining work productivity, inability to control daily life,
number of nurses per shift and respondents’ age.
Conclusions: Future activities should be oriented towards eliminating or reducing risks for low back pain
incidents and towards different strategies, guidelines and actions which empower individuals and provide
knowledge to manage and prevent low back pain.
Implications for management and health policy: Slovenian healthcare system planning needs a national
strategy to successfully promote LBP preventive and controlling strategies. Management can plan preventive
and curative measures to reduce low back pain prevalence among nursing personnel. Management should
also implement policies reflecting research findings.
Keywords: Low Back Pain, Musculoskeletal Disorders, Nurses, Presenteeism, Slovenia, Stress
Correspondence address: Dr Katja Pesjak, Fakulteta za zdravstvo Angele Bo skin/Angela Bo skin Faculty of Health Care, Spodnji Plav z 3, 4270 Jesenice, Slovenia;
Tel: 00386-4-5869-364; Fax: 0038645869369; E-mail: kpesjak@fzab.si.
Funding
The research was financed by the Health Insurance Institute of Slovenia (Project No. 0142-3/2014-DI/477) in the period 2015–2016.
Conflict of interest
The authors report no conflict of interests.
1 © 2017 International Council of Nurses
Original Article