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Factors Contributing to Muscle Fatigue of Low Back Region in ICU Nurses: A Qualitative Study

Year: 2025

Type: article

Abstract: AIMS: To explore ICU nurses' experiences of back and waist fatigue and establish a basis for developing effective intervention strategies to reduce low back muscle fatigue in the future. DESIGN: Qualitative study using focus group. METHODS: Eighteen ICU nurses participated in focus group interviews. Data were analysed using Nvivo11.0 software with content analysis. RESULTS: ICU nurses frequently suffer from lower back pain due to the severity of patient conditions and the use of numerous tubes and catheters, which often lead tounsafe postures. The absence of proper lifting systems exacerbates high-risk postures, contributing to acute lower back muscle injuries. Additionally, inadequate promotion of correct posture and prevention strategies, along with insufficent training on occupational hazards, futher exacerbates the issue. CONCLUSIONS: Human fator, machinery, environments, as well as their interactions significantly affect ICU nurses' experience of low back and waist muscle fatigue. REPORTING METHOD: Reported according to the SRQR (Standards for Reporting Qualitative Research) guideline. IMPACT: Offersnew insights into applying the human-machine-environment theory toto clinical nursing practice research. Highlightsthat the unconscious or passive adoption of poor postures by ICU nurses as a major factor contributing to muscles fatigue. Emphasizes the need for comprehensive intervention programsto prevent work-related low back muscle fatigue among ICU nurses. PATIENT OR PUBLIC CONTRIBUTION: Based on our findings, we have discussed the result with hospital management highlighting the urgent need for mesures to protect ICU nurses back and waist muscles. We believe this proactive approach is essentialfor ensuring the long-term well-being of healthcare professionals and maintaining the high standards of patient care.

Source: Nursing Open

DOI: 10.1002/nop2.70146

Authors: Yuting Yang, Jing Li, Honghong Wang, Yangyang Liu, Xuxin Wang, Su'e Yuan

Institutions: Central South University, Xiangya Hospital Central South University

Language: English

Topic: Ergonomics and Musculoskeletal Disorders

Subfield: Social Psychology

Field: Psychology

Domain: Social Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: gold

Estimated APC paid: $3,390