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Maria Helena Presado https://orcid.org/0000-0002-6852-7875

Fátima Mendes Marques https://orcid.org/0000-0001-6581-6711

Tiago Nascimento https://orcid.org/0000-0003-3646-9057

Ana Leonor Mineiro https://orcid.org/0000-0003-4505-6262

Mário Cardoso https://orcid.org/0000-0003-4961-9026

Cristina Lavareda Baixinho https://orcid.org/0000-0001-7417-1732

Abstract

The specific activity of obstetrical nurses in childbirth care is prone to the adoption of inappropriate postures and movements, increasing muscle and ligament and joint stress, as well as the state of fatigue and the risk of work-related musculoskeletal injuries (LMELT) by cumulative traumatic disorders, with repercussions on their health and quality of life. This is why we invested in teaching and training in a controlled environment for students of the Master's Course in Maternal and Obstetric Health (CMESMO); Goals: to analyze the perception of students of the Master's Course in Maternal and Obstetric Health, on the contribution of training to the prevention of the risk of LMELT in their clinical practice; To identify the LMELT prevention strategies adopted, as a result of training included in the CMESMO of the Curricular Unit (UC) of Option: Biomechanics in Caring for Nurse Specialists in Maternal Health and Obstetrics (UC-BCEESMO). Methods: The focus group technique was used, carried out online, with the participation of four students, to develop a study with a qualitative approach. The data was organized using the WebQDA® software based on the content analysis of the speeches according to Bardin. Results:  four categories emerged: contributions to awareness of risk factors; difficulties in adopting the principles of biomechanics; Strategies implemented in internship and Challenges/Suggestions. Conclusions: The importance of training given to students, obstetrical nurses, on the need to comply with the principles of biomechanics, taking into account the environment in the context of the Delivery Block, for the prevention of the risk of work-related musculoskeletal injuries, is highlighted. It is necessary to invest in peer training and research.

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Section
Empirical Studies with Methodological Reflection

How to Cite

Maria Helena Presado, Fátima Mendes Marques, Tiago Nascimento, Ana Leonor Mineiro, Mário Cardoso, & Cristina Lavareda Baixinho. (2023). CONTRIBUTIONS OF POSTGRADUATE TRAINING IN THE PREVENTION OF WORK-RELATED MUSCULOSKELETAL INJURIES: A FOCUS GROUP . New Trends in Qualitative Research, 18, e863. https://doi.org/10.36367/ntqr.18.2023.e863
References

Abeldu, JK, & Offei, EB. (2015) Musculoskeletal disorders among first-year Ghanaian students in a nursing college. African Health Sciences, 15(2), 444-449. https://doi.org/10.4314/ahs.v15i2.18 7.

Aysun, K., & Bayram, ?. (2017). Determining the level and cost of sickness presenteeism among hospital staff in Turkey. International Journal of Occupational Safety and Ergonomics, 23(4), 501–509. https://doi.org/10.1080/10803548.2016.1274159

Baixinho C. L., Presado, M. H., Marques, F. M. & Cardoso, M. (2016a). Prevenção de lesões músculo-esqueléticas: relatos dos enfermeiros especialistas em saúde materna e obstetrícia. Investigação Qualitativa em Saúde, 2, 488-497. https://proceedings.ciaiq.org/index.php/ciaiq2016/article/view/786

Baixinho, C. L., Presado, H., Marques, F. M., & Cardoso, M. (2016b) A segurança biomecânica na prática clínica dos enfermeiros especialistas em saúde materna e obstetrícia. Revista Brasileira em Promoção da Saúde, 29, 36-43. http://dx.doi.org/10.5020/18061230.2016.sup.p36

Baixinho, C. L., Presado, M. H., & Ribeiro, J. (2019). Qualitative research and the transformation of public health. Ciência & Saúde Coletiva, 24, 1582-1582. http://dx.doi.org/10.1590/1413-81232018245.05962019

Barbour, R. S. (2018). Doing Focus Groups. (2ª ed.). SAGE.

Bardin, L. (2016). Análise de conteúdo. (5ª ed.). Edições 70.

Becker, A., Angerer, P., & Müller, A. (2017). The prevention of musculoskeletal complaints: a randomized controlled trial on additional effects of a work-related psychosocial coaching intervention compared to physiotherapy alone. International Archives of Occupational and Environmental Health, 90, 357-371. http://dx.doi.org/10.1007/s00420-017-1202-6

Cardoso M. et al. (2020) Análise biomecânica de enfermeiras estudantes de obstetrícia em partos verticais. In: Costa A., Reis L., Moreira A. (eds) Pesquisa Qualitativa Suportada por Computador. WCQR 2019. Advances in Intelligent Systems and Computing, vol. 1068. Springer, Cham

Carr, L. J., Leonhard, C., Tucker, S., Fethke, N., Benzo, R., & Gerr, F. (2016). Total worker health intervention increases activity of sedentary workers. American Journal of Preventive Medicine, 50(1), 9-17. https://doi.org/10.1016/j.amepre.2015.06.022

Cheon, J., & You, S. Y. (2022). Nursing students' witnessed experience of patient death during clinical practice: A qualitative study using focus groups. Nurse Education Today, 111, 105304. https://doi.org/10.1016/j.nedt.2022.105304

Daniels, N., Gillen, P., Wilson, I., & Casson, K. (2019). STEER: Factors to consider when designing online focus groups using audio-visual technology in health research. International Journal of Qualitative Methods, 18, 1. https://doi.org/10.1177/1609406919885786

Fernandes, C. N., Couto, G., Carvalho, R., Fernandes, D. G., Brito, L., Carvalho, P., & Ferreira, P. F. (2018). Risk observation in the handling of dependent patients in health professionals of a hospital unit. Nursing Practice Today, 5 (4), 385-394. http://dx.doi.org/10.18502/npt.v5i4.117

Fornari, L. F., & Fonseca, R. M. G. S. (2020). Critical-emancipatory workshop analysis through qualitative analysis software. Qualitative Report, 25(13), 90-103. https://doi.org/10.46743/2160-3715/2020.4758

Garcez, A., Duarte, R., & Eisenberg, Z. (2011). Produção e análise de vídeogravações em pesquisas qualitativas. Educação e Pesquisa, 37(2), 249-261. http://educa.fcc.org.br/pdf/ep/v37n02/v37n02a03.pdf

Ghadyani, L., Tavafian, S. S., Kazemnejad, A., & Wagner, J. (2017). Effectiveness of multidisciplinary group-based intervention versus individual physiotherapy for improving chronic low back pain in nursing staff: A clinical trial with 3- and 6-month follow-up visits from Tehran, Iran. Asian Spine Journal, 11, 396-404. https://doi.org/10.4184/asj.2017.11.3.396

Gonçalves, J. P., Marques, C. G., & Gonçalves, S. P. (2021). Manual de investigação qualitativa - conceção, análise e aplicações. Pactor.

Kanaskie, M. L., & Snyder, C. (2018). Nurses and nursing assistants decision-making regarding use of safe patient handling and mobility technology: A qualitative study. Applied Nursing Research, 39, 141-147. https://doi.org/10.1016/j.apnr.2017.11.006

Krueger, R.A. & Casey, M.A. (2014). Focus Groups: A Practical Guide for Applied Research (5th ed.). Sage.

Luan, H. D., Hai, N. T., Xanh, P. T., Giang, H. T., Van Thuc, P., Hong, N. M., & Khue, P. M. (2018). Musculoskeletal disorders: prevalence and associated factors among district hospital nurses in Haiphong, Vietnam. BioMed Research International, 2018. https://doi.org/10.1155/2018/3162564

Marshall, L., Villeneuve, J., & Grenier, S. (2018). Effectiveness of a multifactorial ergonomic intervention and exercise conditioning kinesiology program for subsequent work related musculoskeletal disorder prevention. Work, 61(1), 81-89. https://doi.org/10.3233/WOR-182782

Minayo, M.C.S (2014). O desafio do conhecimento: pesquisa qualitativa em saúde. (14a ed.). Hucitec.

Mineiro, A. L., Presado, M. H., & Cardoso, M. (2019). Posturas do enfermeiro obstetra na assistência ao parto em posições verticais. Investigação Qualitativa em Saúde, 2, 807-816. https://proceedings.ciaiq.org/index.php/CIAIQ2019/article/view/2153

Nunes, H., Cruz, A., & Queirós P. (2016) Dor músculo esquelética a nível da coluna vertebral em estudantes de enfermagem: prevalência e fatores de risco, Revista Investigação em Enfermagem, 14, 28-37. https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco

Okuyucu, K., Gyi, D., Hignett, S., & Doshani, A. (2019). Midwives are getting hurt: UK survey of the prevalence and risk factors for developing musculoskeletal symptoms, Midwifery, 79, 102546. https://doi.org/10.1016/j.midw.2019.102546

Okuyucu, K., Hignett, S., Gyi, D., & Doshani, A. (2021). Midwives’ thoughts about musculoskeletal disorders with an evaluation of working tasks, Applied Ergonomics, 90, 103263. https://doi.org/10.1016/j.apergo.2020.103263

Oliveira, J. C. D., Penido, C. M. F., Franco, A. C. R., Santos, T. L. A. D., & Silva, B. A. W. (2022). Especificidades do grupo focal on-line: uma revisão integrativa. Ciência & Saúde Coletiva, 27, 1813-1826. https://doi.org/10.1590/1413-81232022275.11682021

Presado, M. H. C. V., Colaço, S., Rafael, H., Baixinho, C. L., Félix, I., Saraiva, C., & Rebelo, I. (2018). Learning with high fidelity simulation, Ciência & Saúde Coletiva, 23(1), 51-59. https://doi.org/10.1590/1413-81232018231.23072017

Presado, M. H., Cardoso, M., Marques, F. M., & Baixinho, C. L. (2017). Posturas dos estudantes durante o trabalho de parto: análise de filmes de prática simulada. Investigação Qualitativa em Saúde, 2, 513-522. https://proceedings.ciaiq.org/index.php/ciaiq2017/article/view/1244

Presado, M. H., Cardoso, M., Marques, M. D. F. M., & Baixinho, C. L. (2019). Analysis of student biomechanics in videos of delivery simulation practice, Revista da Escola de Enfermagem da USP, 53, e03507. https://doi.org/10.1590/S1980-220X2018028203507

Presado, M. H., Marques, F. M., Baixinho, C. L., & Cardoso, M. (2015). Lesões músculo-esqueléticas nos enfermeiros especialistas em sáude materna. Investigação Qualitativa em Saúde, 1, 193–198. https://proceedings.ciaiq.org/index.php/ciaiq2015/article/view/46

Presado, M. H., Sousa, A. D., Baixinho, C. L., Mineiro, A. L., Marques, F. M., Cardoso, M., & Nascimento, T. (2021). Risco de lesões músculo esqueléticas nos enfermeiros: contributos do photovoice, New Trends in Qualitative Research, 8, 192-201. https://doi.org/10.36367/ntqr.8.2021.192-201

Rainbow, J. G., & Steege, L. M. (2017). Presenteeism in nursing: An evolutionary concept analysis, Nursing Outlook, 65(5), 615-623. https://doi.org/10.1016/j.outlook.2017.03.005

Richard, B., Sivo, S. A., Ford, R. C., Murphy, J., Boote, D. N., Witta, E., & Orlowski, M. (2021). A guide to conducting online focus groups via Reddit. International Journal of Qualitative Methods, 20, 16094069211012217

Serranheira, F. & Uva, A.S. (2015). Frequência de lesões músculo-esqueléticas relacionadas com o trabalho e das lombalgias em enfermeiro(a)s: estudo. Autoridade para as condições de Trabalho. https://www.act.gov.pt/(pt-PT)/Publicacoes/ProjetosApoiados/2009/Documents/Estudo%20Frequ%C3%AAncia%20de%20Les%C3%B5es%20M%C3%BAsculo-Esquel%C3%A9ticas%20relacionadas%20com%20o%20Trabalho%20e%20das%20Lombalgias%20em%20Enfermeiros.pdf

Sousa, A. D., & Presado, M. H. (2018). Lesões músculo-esqueléticas relacionadas com o trabalho do enfermeiro obstetra no decorrer do parto: scoping review, Investigação Qualitativa em Saúde, 2, 771-778. https://proceedings.ciaiq.org/index.php/ciaiq2018/article/view/1847

Sousa, A. D., Baixinho, C. L., Marques, F. M., Cardoso, M., & Presado, M. H. (2018). Biomechanics of nurse midwives in the delivery: contribution of qualitative research. In A. Costa, L., Reis, & A. Moreira (eds). Computer Supported Qualitative Research: New Trends on Qualitative Research (pp. 146-155). Springer International Publishing. https://doi.org/10.1007/978-3-030-01406-3_13

Sousa, A. D., Baixinho, C. L., Presado, M. H., & Henriques, M. A. (2023). The effect of interventions on preventing musculoskeletal injuries related to nurses work: Systematic review. Journal of Personalized Medicine, 13(2), 185. https://doi.org/10.3390/jpm13020185

Sousa, A., & Presado, M. H. (2020). O Parto horizontal e o risco de lesões músculo-esqueléticas nos enfermeiros obstetras. New Trends in Qualitative Research, 3, 882-894. https://doi.org/10.36367/ntqr.3.2020.882-894

Thinkhamrop, W., Sawaengdee, K., Tangcharoensathien, V., Theerawit, T., Laohasiriwong, W., Saengsuwan, J., & Hurst, C. P. (2017). Burden of musculoskeletal disorders among registered nurses: evidence from the Thai nurse cohort study. BMC Nursing, 16(1), 68. https://doi.org/10.1186/s12912-017-0263-x

Tran, B., Rafinejad-Farahani, B., Moodie, S., O’Hagan, R., & Glista, D. (2021). A Scoping review of virtual focus group methods used in rehabilitation sciences. International Journal of Qualitative Methods, 20, 1-18. https://doi.org/10.1177/16094069211042227

Vaismoradi, M., Tella, S., A Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses' adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028

Yang, S., Li, L., Wang, L., Zeng, J., Yan, B., & Li, Y. (2021). Effectiveness of a multidimensional intervention program in improving occupational musculoskeletal disorders among intensive care unit nurses: a cluster-controlled trial with follow-up at 3 and 6?months. BMC Nursing, 20(1), 46. https://doi.org/10.1186/s12912-021-00561-y