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Hemler SL, Sommerich CM, Correia JC, Pataky Z. User perceptions of intelligent offloading diabetic footwear. Front Endocrinol (Lausanne) 2024; 15:1380525. [PMID: 39170738 PMCID: PMC11335636 DOI: 10.3389/fendo.2024.1380525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 07/15/2024] [Indexed: 08/23/2024] Open
Abstract
Aims Adherence to therapeutic footwear is vital for effective diabetic foot ulcer prevention and treatment. Understanding the key adherence factors and potential barriers is important for footwear design and implementation. Our team is creating intelligent offloading footwear to prevent lower extremity amputations in people living with diabetes (PLwD). This exploratory study assessed the ability of the established Unified Theory of Acceptance and Use of Technology (UTAUT) model to predict behavioral intention to use or recommend this intelligent offloading footwear by PLwD, caregivers of PLwD, or medical professionals treating PLwD. Methods Online and paper questionnaires were implemented to assess the impact of the UTAUT model factors (performance expectancy, effort expectancy, social influence, facilitating conditions) and psychosocial factors (attitude, anxiety, self-efficacy) on the overall behavioral intention to use the footwear. Furthermore, factors influencing potential acceptance and rejection of the footwear were explored. Results Patients (4.0/5) and medical professionals (4.1/5) showed a behavioral intention to "agree" to use or recommend the footwear when it becomes available. Structural equation modeling showed that the UTAUT constructed model may not be the best indicator for behavioral intention here based on a lack of statistical significance. However, the logistic regression modeling showed that the social influence for PLwD (p=0.004) and the attitude toward the footwear for medical professionals (p=0.001) may be the most important when designing and implementing the footwear, though several other factors (performance expectancy, effort expectancy, facilitating conditions, and self-efficacy) were also important for one or both of these populations. Additionally, cost and clinician support were shown to be important factors influencing potential acceptance of the footwear. Conclusions The study found promising intention to use the intelligent footwear in the future. This highlights the need to continue future development and implementation of the footwear to incorporate these results, thus improving the likelihood of high adherence of the footwear.
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Affiliation(s)
- Sarah L. Hemler
- Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Unit of Therapeutic Patient Education, WHO Collaborating Centre, Geneva University Hospitals, Geneva, Switzerland
| | - Carolyn M. Sommerich
- Department of Integrated Systems Engineering, The Ohio State University, Columbus, OH, United States
| | - Jorge C. Correia
- Unit of Therapeutic Patient Education, WHO Collaborating Centre, Geneva University Hospitals, Geneva, Switzerland
- Faculty Diabetes Centre, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Zoltan Pataky
- Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Unit of Therapeutic Patient Education, WHO Collaborating Centre, Geneva University Hospitals, Geneva, Switzerland
- Faculty Diabetes Centre, Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Zhang T, Tian Y, Yin Y, Sun W, Tang L, Tang R, Tian Y, Gong S, Tian S. Efficacy of an Omaha system-based remote ergonomic intervention program on self-reported work-related musculoskeletal disorders (WMSDs) - A randomized controlled study. Heliyon 2024; 10:e24514. [PMID: 38312613 PMCID: PMC10835166 DOI: 10.1016/j.heliyon.2024.e24514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 01/05/2024] [Accepted: 01/10/2024] [Indexed: 02/06/2024] Open
Abstract
Purpose Heavy biomechanical loadings at workplaces may lead to high risks of work-related musculoskeletal disorders. This study aimed to explore the efficacy of an Omaha System-based remote ergonomic intervention program on self-reported work-related musculoskeletal disorders among frontline nurses. Materials and methods From July to October 2020, 94 nurses with self-reported pain in one of the three body parts, i.e., neck, shoulder, and low back, were selected and were randomly divided into two groups. The intervention group received a newly developed remote program, where the control group received general information and guidance on health and life. Program outcome was evaluated by a quick exposure check approach. Results After 6 weeks, the intervention group exhibited significantly less stress in the low back, neck, and shoulder/forearms, compared to the control group (p < 0.05). In addition, the occurrence of awkward postures, such as extreme trunk flexion or twisting, was also significantly reduced (p < 0.05). Conclusions The newly developed Omaha System-based remote intervention program may be a valid alternative to traditional programs for frontline nurses during the COVID-19 pandemic, reducing biomechanical loadings and awkward postures during daily nursing operations.
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Affiliation(s)
- Tianqiao Zhang
- The Second Hospital of Hebei Medical University, Shijiazhuang, Zip code: 050000, Hebei, PR China
| | - Ye Tian
- The Second Hospital of Hebei Medical University, Shijiazhuang, Zip code: 050000, Hebei, PR China
| | - Yanliang Yin
- The Second Hospital of Hebei Medical University, Shijiazhuang, Zip code: 050000, Hebei, PR China
| | - Weige Sun
- Nursing Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China
| | - Limei Tang
- The Second Hospital of Hebei Medical University, Shijiazhuang, Zip code: 050000, Hebei, PR China
| | - Ruoliang Tang
- Sichuan University-Pittsburgh Institute (SCUPI), Sichuan University, Chengdu, Zip code: 610000, Sichuan, PR China
- Nursing Key Laboratory of Sichuan Province, Chengdu, Zip code: 610000, Sichuan, PR China
| | - Yichao Tian
- Hebei Provincial People's Hospital, Shijiazhuang, Zip code: 050000, Hebei, PR China
| | - Shuhui Gong
- Hebei Provincial People's Hospital, Shijiazhuang, Zip code: 050000, Hebei, PR China
| | - Suzhai Tian
- The Second Hospital of Hebei Medical University, Shijiazhuang, Zip code: 050000, Hebei, PR China
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Tamir Tsehay Y, Lamesgin Endalew H, Dessalegn Bogale A, Walle TA. Prevalence and Associated Factors of Ankle-Foot Pain Among Nurses Working in Surgical Units of Comprehensive Specialized Hospitals in Amhara Regional State, Northwest Ethiopia, 2022. J Pain Res 2023; 16:2685-2696. [PMID: 37551272 PMCID: PMC10404431 DOI: 10.2147/jpr.s405417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 07/27/2023] [Indexed: 08/09/2023] Open
Abstract
Background Ankle-foot pain is a serious public health concern among nurses and has a significant impact on the quality of the health care service delivery system. However, little is known about the prevalence and factors associated with ankle-foot pain among nurses working in surgical units in Ethiopia. Purpose The study aimed to assess the prevalence and associated factors of ankle-foot pain among nurses working in surgical units of comprehensive specialized hospitals in Amhara regional state, Northwest Ethiopia, 2022. Participants and Methods An institution-based cross-sectional study was conducted among 409 nurses working in surgical units of comprehensive specialized hospitals, from May 15 to June 7, 2022. A simple random sampling technique was employed. Data were collected by five BSc nurses using a structured self-administered questionnaire. The collected data were entered into Epi-data version 4.6 and exported to SPSS version 23 for analysis. The descriptive statistics and bivariable and multivariable logistic regression analyses were computed. Finally, variables were declared as statistically significant at P < 0.05 using the odds ratio and 95% CI. Results The prevalence of ankle-foot pain among nurses working in surgical units was 51.8% (95% CI = 46.9-57.5). More than 10 years of working experience [AOR = 3.48, 95% CI = 1.35-8.92], working 48 or more hours per week [AOR = 2.69, 95% CI = 1.27-6.00], prolonged standing [AOR = 5.72, 95% CI = 3.20-10.25], high physical job demand [AOR = 2.41, 95% CI = 1.53-3.80], and low job control [AOR = 2.34, 95% CI = 1.47-3.71] had statistically significant association with ankle-foot pain. Conclusion This study found that ankle-foot pain was common among nurses working in surgical units. Having more years of work experience, working more hours per week, prolonged standing, high physical job demand, and low job control were statistically associated with ankle-foot pain.
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Affiliation(s)
- Yeshimebet Tamir Tsehay
- Department of Surgical Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Helen Lamesgin Endalew
- Department of Surgical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Alemwork Dessalegn Bogale
- Department of Surgical Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Tarkie Abebe Walle
- Department of Surgical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
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Bernardes RA, Caldeira S, Parreira P, Sousa LB, Apóstolo J, Almeida IF, Santos-Costa P, Stolt M, Guardado Cruz A. Foot and Ankle Disorders in Nurses Exposed to Prolonged Standing Environments: A Scoping Review. Workplace Health Saf 2023; 71:101-116. [PMID: 36637114 PMCID: PMC9989230 DOI: 10.1177/21650799221137646] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
BACKGROUND Prolonged standing environments constitute an occupational risk factor for nurses, particularly for developing foot and ankle disorders. The definitions and potential relationship to hours spent walking or standing are poorly understood. This scoping review aimed to synthesize the main disorders found on nurses' ankles and feet, their prevalence, the influence of hours spent walking or standing, and gender differences. METHODS This review followed a previously published protocol. Primary and secondary studies were retrieved from relevant databases from December 2020 to March 2021. Potential articles were collated to Mendeley, and two independent reviewers assessed the title and abstracts. Studies meeting inclusion criteria were included. Two researchers retrieved and reviewed the full text of these studies independently. A predetermined extraction tool was used to retrieve relevant data, summarized in a tabular and narrative format. FINDINGS The most common disorder was pain, followed by numbness, burning feet, bunions, structural deformities, and calluses. Prevalence differed among studies, depending on settings and specific local policies. Discussion: Various foot and ankle disorders and related variables have been found, with clear gaps that may be addressed in the future. CONCLUSION/APPLICATIONS TO PRACTICE: Few studies have focused on nurses' foot and ankle disorders. Mapping signs and symptoms may contribute to the future development of preventive interventions for nurses' workplaces.
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Affiliation(s)
- Rafael A. Bernardes
- Nursing School of Coimbra (ESEnfC), Coimbra
- Rafael A. Bernardes, MSc, RN, PhD, Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Rua Dr. José Alberto Reis, 3000-232 Coimbra, Portugal;
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Mbue ND, Wang W. Nurses’ experience with chronic foot pain and their job-the national science foundation foot health survey. Heliyon 2023; 9:e14485. [PMID: 36967960 PMCID: PMC10036639 DOI: 10.1016/j.heliyon.2023.e14485] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 02/09/2023] [Accepted: 03/08/2023] [Indexed: 03/13/2023] Open
Abstract
Background Chronic foot pain (CFP) impacts nurses' ability to provide care at the bedside. Treatment options for CFP were insufficient to address foot pain for nurses who stand or walk for prolonged periods while providing care to patients. Aims This study aimed to explore nurses' experience with CFP, current treatment options for foot pain, and the impact of foot pain on nurses' job performance. Methods This is secondary data from Individual interviews (n = 122) involving open-ended questions. Data were collected between April 2019-September 2020 while attending the National Science Foundation (NSF) I-Corps program comprising faculty and students among others in the United States. Multiple linear regression and multinomial/binary logistic regressions were conducted to assess what factors were associated with the pain and pain relief solutions. Results Nurses who worked at the bedside predominantly switched jobs and reported higher levels of foot pain than those who did not switch jobs (β = 0.19, p = .044). Longer working hours (β = 0.35, p < .001) were associated with higher levels of pain. Nurses who worked longer time were more likely to purchase new work shoes and socks (OR = 1.177, p = .025) to alleviate foot pain than changing shoes only. Conclusions Most nurses expressed interest in new products to relieve their CFP. Innovations are urgently needed to address CFP. Future longitudinal studies are required to further elucidate appropriate preventative strategies to prevent and treat CFP in nurses.
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Affiliation(s)
- Ngozi D. Mbue
- Nelda C. Stark College of Nursing, Texas Woman’s University, Texas, USA
- Center for Research Design and Analysis, Texas Woman’s University, Texas, USA
- Corresponding author. Nelda C. Stark College of Nursing, Texas Woman’s University, Texas, USA.
| | - Wanyi Wang
- Nelda C. Stark College of Nursing, Texas Woman’s University, Texas, USA
- Center for Research Design and Analysis, Texas Woman’s University, Texas, USA
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