Musculoskeletal pain affecting undergraduate nursing students: A cross sectional study on the prevalence and the associated factors

J Prof Nurs. 2023 Nov-Dec:49:135-144. doi: 10.1016/j.profnurs.2023.09.012. Epub 2023 Oct 4.

Abstract

Background: Musculoskeletal pain conditions (MSP) affect not only professional nurses but nursing students too. Long standing pain conditions affecting young individuals in their productive years can impact their work efficiency and can have economic impacts. Effective interventions to decrease the effect of MSP conditions are essential for a healthy professional nursing force which form the backbone of the healthcare system.

Purpose: We conducted this study with an aim to estimate the prevalence and patterns of MSP conditions in undergraduate nursing students. Additionally, we attempted to evaluate the associated factors and identify the predictors of MSP conditions in them.

Methods: This cross-sectional study was conducted using a web-based electronic questionnaire on nursing students at a tertiary level teaching hospital. The questionnaire prepared on Kobo Toolbox was circulated among the students of each class by their class representative using WhatsApp and e-mail. Two reminders were sent at 24-hour intervals. The data were analysed to identify the prevalence of MSP and evaluate the probable associated factors.

Results: One hundred and seventy-nine out of 255 (70.2 %) participants responded and 173 consented for participation. Around 53.2 % participants had suffered from MSP in the past year. A total of 43.9 % of the participants had previously suffered from musculoskeletal pain even earlier than the past one-year in question. Those in their 2nd academic year had higher odds of suffering from MSP. Factors related to self-study after the formal teachings at the school/ college of nursing like the place, duration, and posture, and the pattern of usage of electronic devices like smartphones and laptop computers had no significant association with the MSP conditions. Lack of physical exercise, attending clinical placements, and the factors related to such placements like duration and frequency of placements, and the duration of breaks during any placement were noted to have an influence on MSP.

Conclusion: More than 50 % students reported to be affected by MSP over a year. Association with factors like inadequate physical activity, and strenuous clinical placements identified in this study indicate that modifications in the nursing curriculum are required. Encouraging physical activity on one hand, while minimising exhaustive, and taxing clinical placements might be the way forward for improving the musculoskeletal health of aspiring nurses.

Keywords: Clinical postings; Gadgets; Laptop; Musculoskeletal disorders; Musculoskeletal pain; Nordic questionnaire; Smartphone; Undergraduate nursing students.

MeSH terms

  • Cross-Sectional Studies
  • Education, Nursing, Baccalaureate*
  • Humans
  • Musculoskeletal Pain* / epidemiology
  • Prevalence
  • Students, Nursing*
  • Surveys and Questionnaires