Professional Documents
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Form no:
Date of interview:
Often
Always
13. Does your task require following activities: Activities Standing for longer period Sitting for longer period Squatting/kneeling for longer period Pushing and pulling heavy loads Working in awkward posture Working in same position for longer period Lifting with twisted and bent trunk Making sudden movements Never Sometime Often Always
14. In a shift how much times do you spent for following activities:Activities Prolonged standing Prolonged sitting Squatting/kneeling Pushing pulling heavy load Working in awkward posture Working in same position Lifting with twisted and bend trunk Making sudden movements Time spend
15. Do you ask for help when attempting to lift, transfer or reposition patient? a) Yes b) No
15.1 Who does usually help you? a) b) c) d) Colleagues Seniors Patient party Others (specify)
16. Are mechanical lifts available and easy to find for moving patient in your hospital? a) Yes b) No
17. Have you been trained on how and when to use a mechanical lift by your supervisor? a) Yes b) No 18. Have you been trained in safe lifting techniques or good body mechanics in the past?
19. Are you satisfied with colleagues supervisor your work place your work 1 2 3 4
20.1How often have you had separate spells of low back pain in last 6 months? a) b) c) d) e) 20.2 Always Once a week Once a month More than once a month Others (specify) For how long did you suffered from low back pain? ..............in days
21. Is your low back pain associated with your nursing job? a) Yes b) No 22. When did you last suffered from low back pain?...............days ago 23. Is your back pain associated with any injury or medical/surgical problems? a) Yes b) No
23.1. If yes what was it? Specify the type of injury or medical condition ..
23.2. Is your injury occurred during your shift duty? If yes, please specify 24. What factors are responsible for increasing your low back pain? a) Prolonged standing b) Lifting patient c) Awkward posture d) Frequent bending and twisting e) Others (specify)
25. What factors are responsible for relieving your low back pain? a) Taking rest b) Doing exercise c) Taking medicines d) Others (specify).. 26. In your opinion, what are the main causes of low back pain among nurses? a) Heavy physical workload b) Awkward posture c) Frequent bending and twisting d) Prolonged standing lifting heavy load e) Others (specify).
29. In what way your low back pain has affected your work? a) I could not perform my job properly b) It has decreased my organizational commitment c) Ive become less productive and creative d) Has decrease the quality of care to patients e) Increased work restriction f) Poor interpersonal relation with patient g) Others (specify)..
30. Would you like to suggest some measures to reduce low back pain among nurses? Suggestions.