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Investigation of psychosocial factors on upper limb musculoskeletal disorders and the prevalence of its musculoskeletal disorders among nurses: a systematic review and meta-analysis

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Abstract

Objective

Musculoskeletal disorders are one of the most important occupational problems especially among nurses. The aim of this study was to investigate the prevalence of musculoskeletal disorders in upper limbs and its associated psychosocial factors in the workplace.

Methods

A systematic review was conducted by searching the Medline/PubMed, EMBASE, Scopus, ISI/web of knowledge and Google Scholar databases. The authors classified studies into categories of psychological work stressors and musculoskeletal problems. The statistical analysis was performed using Stata software.

Results

We found 1742 articles in our initial search. After reviewing the titles, abstracts and full texts, 66 articles were finally analyzed. Psychosocial factors affecting the prevalence of upper limb musculoskeletal disorders among nurses were identified which included boring work, inadequate staffing, job demands, insufficient support, time pressure, decision latitude, job dissatisfaction, and job stress. There was a significant relationship between these factors and prevalence of musculoskeletal disorders in the wrists, shoulders, neck and shoulders, and wrists and hands.

Conclusion

Collectively, the results of this study provide strong evidence of some psychosocial factors affecting the prevalence of upper limb musculoskeletal disorders among nurses. Thus, organizational interventions to minimize these stressors may be promising in reducing one risk factor for the development of nurses’ musculoskeletal disorders. These interventions should not only consider the factors of physical ergonomics but also seek to improve the organizational aspects of the workplace.

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Abbreviations

MSDs:

Musculoskeletal disorders

PRISMA:

Preferred reporting items for systematic reviews and meta-analysis

HDI:

Human development index

USA:

United States of America

CI:

Confidence interval

References

  • Abdul Rahman H, Abdul-Mumin K, Naing L (2017) Psychosocial work stressors work fatigue, and musculoskeletal disorders: comparison between emergency and critical care nurses in Brunei Public Hospitals. Asian Nurs Res 11:13–18. https://doi.org/10.1016/j.anr.2017.01.003

    Article  Google Scholar 

  • Abedini R, Choobineh A, Hasanzadeh J (2015) Patient manual handling risk assessment among hospital nurses. Work 50:669–675

    Article  CAS  Google Scholar 

  • Alexopoulos EC, Burdorf A, Kalokerinou A (2003) Risk factors for musculoskeletal disorders among nursing personnel in Greek hospitals. Int Arch Occup Environ Health 76:289–294

    Article  Google Scholar 

  • Amin NA, Nordin R, Fatt QK, Noah RM, Oxley J (2014) Relationship between psychosocial risk factors and work-related musculoskeletal disorders among public hospital nurses in Malaysia. Ann Occup Environ Med 26:23

    Article  Google Scholar 

  • Amin NA, Quek KF, Oxley JA, Noah R, Nordin R (2018) Emotional distress as a predictor of work-related musculoskeletal disorders in malaysian nursing professionals. Int J Occup Environ Med 9:69–78. https://doi.org/10.15171/ijoem.2018.1158

    Article  Google Scholar 

  • Ando S, Ono Y, Shimaoka M, Hiruta S, Hattori Y, Hori F, Takeuchi Y (2000) Associations of self estimated workloads with musculoskeletal symptoms among hospital nurses. J Occup Environ Med 57:211–211

    Article  CAS  Google Scholar 

  • Arsalani N, Fallahi-Khoshknab M, Josephson M, Lagerstrom M (2014) Musculoskeletal disorders and working conditions among Iranian nursing personnel. Int J Occup Saf Ergon 20:671–680. https://doi.org/10.1080/10803548.2014.11077073

    Article  Google Scholar 

  • Arvidsson I, Gremark Simonsen J, Dahlqvist C, Axmon A, Karlson B, Bjork J, Nordander C (2016) Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers. BMC Musculoskelet Disord 17:35. https://doi.org/10.1186/s12891-016-0883-4

    Article  CAS  Google Scholar 

  • Azma K, Hosseini A, Safarian MH, Abedi M (2015) Evaluation of the relationship between musculoskeletal discomforts and occupational stressors among nurses. N Am J Med Sci 7:322–327. https://doi.org/10.4103/1947-2714.161250

    Article  Google Scholar 

  • Barzideh M, Choobineh A, Tabatabaee H (2014) Job stress dimensions and their relationship to musculoskeletal disorders in Iranian nurses. Work 47:423–429

    Article  CAS  Google Scholar 

  • Bazazan A, Dianat I, Bahrampour S, Talebian A, Zandi H, Sharafkhaneh A, Maleki-Ghahfarokhi A (2019) Association of musculoskeletal disorders and workload with work schedule and job satisfaction among emergency nurses. Int Emerg Nurs 44:8–13. https://doi.org/10.1016/j.ienj.2019.02.004

    Article  Google Scholar 

  • Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C (2015) Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud 52:635–648

    Article  Google Scholar 

  • Bonzini M, Bertu L, Veronesi G, Conti M, Coggon D, Ferrario MM (2015) Is musculoskeletal pain a consequence or a cause of occupational stress? A longitudinal study. Int Arch Occup Environ Health 88:607–612. https://doi.org/10.1007/s00420-014-0982-1

    Article  Google Scholar 

  • Bos E, Krol B, van der Star L, Groothoff J (2007) Risk factors and musculoskeletal complaints in non-specialized nurses, IC nurses, operation room nurses, and X-ray technologists. Int Arch Occup Environ Health 80:198–206. https://doi.org/10.1007/s00420-006-0121-8

    Article  Google Scholar 

  • Carugno M et al (2012) Physical and psychosocial risk factors for musculoskeletal disorders in Brazilian and Italian nurses. Cadernos de Saude Publica 28:1632–1642

    Article  Google Scholar 

  • Chang KC et al (2020) Musculoskeletal disorders, psychosocial stress and associated factors among home-based migrant care workers. Work J Prev Assess Rehab 65:647–659. https://doi.org/10.3233/wor-203119

    Article  Google Scholar 

  • Choobineh A, Movahed M, Tabatabaie SH, Kumashiro M (2010) Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals. J Ind Health 48:74–84

    Article  Google Scholar 

  • Choobineh A, Rajaeefard A, Neghab M (2006) Association between perceived demands and musculoskeletal disorders among hospital nurses of shiraz university of medical sciences: a questionnaire survey. Int J Occup Saf Ergon 12:409–416. https://doi.org/10.1080/10803548.2006.11076699

    Article  Google Scholar 

  • Chung Y-C et al (2013) Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study. BMC Musculoskelet Disord 14:144

    Article  Google Scholar 

  • Darby B, Gallo A-M, Fields W (2013) Physical attributes of endoscopy nurses related to musculoskeletal problems. Gastroenterol Nurs 36:202–208

    Article  Google Scholar 

  • Dehghani F et al (2016) Ergonomic interventions for improving working postures associated with manual materials handling (A case study of a mineral processing plant) 6:85–94

    Google Scholar 

  • Dianat I, Kord M, Yahyazade P, Karimi MA, Stedmon AW (2015) Association of individual and work-related risk factors with musculoskeletal symptoms among Iranian sewing machine operators. Appl Ergon 51:180–188

    Article  Google Scholar 

  • Doda DV et al (2020) Work related low back pain, psychosocial, physical and individual risk factors among nurses in emergency care unit. Enfermería Clínica 30:31–35

  • Drysdale SA (2013) The incidence of upper extremity injuries in endoscopy nurses working in the United States. Gastroenterol Nurs 36:329–338. https://doi.org/10.1097/SGA.0b013e3182a6e05d

    Article  Google Scholar 

  • Elsayed AA (2019) Work-related musculoskeletal disorders among nursing students during clinical training. Am J Nurs 7:952–957

    Google Scholar 

  • Engels JA, Van Der Gulden J, Senden TF (1996) Work related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey. J Occup Environ Med 53:636–641

    Article  CAS  Google Scholar 

  • Falahati M, Dehghani F, Malakoutikhah M, Karimi A, Zare A, Yazdani Rad S (2019) Using fuzzy logic approach to predict work-related musculoskeletal disorders among automotive assembly workers. Med J Islam Republic Iran 33:136–136. https://doi.org/10.34171/mjiri.33.136

    Article  Google Scholar 

  • Farrokhi E, Habibi E, Mansourian M (2016) Risk assessment of musculoskeletal disorders related to patient transfer tasks using the direct nurse observation instrument method Jundishapur. J Helath Sci 8:E35936

    Google Scholar 

  • Gunnarsdottir HK, Rafnsdottir GL, Helgadottir B, Tomasson K (2003) Psychosocial risk factors for musculoskeletal symptoms among women working in geriatric care. Am J Ind Med 44:679–684. https://doi.org/10.1002/ajim.10279

    Article  Google Scholar 

  • Harcombe H, McBride D, Derrett S, Gray A (2009) Prevalence and impact of musculoskeletal disorders in New Zealand nurses, postal workers and office workers. Aust N Z J Public Health 33:437–441. doi:https://doi.org/10.1111/j.1753-6405.2009.00425.x

  • Heidari M, Borujeni MG, Khosravizad M (2018) Health-promoting lifestyles of nurses and its association with musculoskeletal disorders: a cross-sectional study. J Lifestyle Med 8:72–78. https://doi.org/10.15280/jlm.2018.8.2.72

    Article  Google Scholar 

  • Heiden B, Weigl M, Angerer P, Muller A (2013) Association of age and physical job demands with musculoskeletal disorders in nurses. Appl Ergon 44:652–658. https://doi.org/10.1016/j.apergo.2013.01.001

    Article  Google Scholar 

  • Hoe VC, Kelsall HL, Urquhart DM, Sim MR (2012) Risk factors for musculoskeletal symptoms of the neck or shoulder alone or neck and shoulder among hospital nurses. Occup Environ Med 69:198–204. https://doi.org/10.1136/oemed-2011-100302

    Article  Google Scholar 

  • Holte KA, Westgaard RH (2002) Daytime trapezius muscle activity and shoulder-neck pain of service workers with work stress and low biomechanical exposure. Am J Ind Med 41:393–405. https://doi.org/10.1002/ajim.10039

    Article  Google Scholar 

  • Hosseini A, Choobineh A, Razeghi M, Pakshir HR, Ghaem H, Vojud M (2019) Ergonomic assessment of exposure to musculoskeletal disorders risk factors among dentists of Shiraz Iran. J Dent 20:53

    Google Scholar 

  • Institute JB (2017) The Joanna Briggs institute critical appraisal tools for use in JBI systematic reviews: checklist for prevalence studies. Retreived November 15:2018

  • Jaworek M, Marek T, Karwowski W, Andrzejczak C, Genaidy AM (2010) Burnout syndrome as a mediator for the effect of work-related factors on musculoskeletal complaints among hospital nurses. Int J Ind Ergon 40:368–375. https://doi.org/10.1016/j.ergon.2010.01.006

    Article  Google Scholar 

  • Jiskani IM, Silva JMND, Chalgri SR, Behrani P, Lu X, Manda E (2020) Mine health and safety: influence of psychosocial factors on musculoskeletal disorders among miners in Pakistan. Int J Min Miner Eng 11:152–167

    Article  Google Scholar 

  • Josephson M, Lagerström M, Hagberg M, Hjelm EW (1997) Musculoskeletal symptoms and job strain among nursing personnel: a study over a three year period. J Occup Environ Med 54:681–685

    Article  CAS  Google Scholar 

  • Khandan M, Ataeimanesh L, Eyni Z, Khosravi Z, Biglari H (2016) Relationship between job content and demographic variables with musculoskeletal disorders among nurses in a university hospital, Qom Province. Res J Appl Sci 11:547–553

    Google Scholar 

  • Kim IH, Geiger-Brown J, Trinkoff A, Muntaner C (2010) Physically demanding workloads and the risks of musculoskeletal disorders in homecare workers in the USA. Health Soc Care Community 18:445–455. https://doi.org/10.1111/j.1365-2524.2010.00916.x

    Article  Google Scholar 

  • Kim KM, Lee SJ (2019) Work-related perceptions, injuries, and musculoskeletal symptoms: comparison between U.S.-educated and foreign-educated nurses. Workplace Health Saf 67:326–337. doi:https://doi.org/10.1177/2165079918821699

  • Koch P, Kersten JF, Stranzinger J, Nienhaus A (2017) The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study. J Occup Med Toxicol 12:16. https://doi.org/10.1186/s12995-017-0163-8

    Article  Google Scholar 

  • Lang J, Ochsmann E, Kraus T, Lang JW (2012) Psychosocial work stressors as antecedents of musculoskeletal problems: a systematic review and meta-analysis of stability-adjusted longitudinal studies. Soc Sci Med 75:1163–1174

    Article  Google Scholar 

  • Lee SJ, Faucett J, Gillen M, Krause N, Landry L (2010) Factors associated with safe patient handling behaviors among critical care nurses. Am J Ind Med 53:886–897. https://doi.org/10.1002/ajim.20843

    Article  Google Scholar 

  • Lin L, Chu HJB (2018) Quantifying publication bias in meta-analysis 74:785–794

    Google Scholar 

  • Lin SC, Lin LL, Liu CJ, Fang CK, Lin MH (2020) Exploring the factors affecting musculoskeletal disorders risk among hospital nurses. PLoS ONE 15:e0231319

    Article  CAS  Google Scholar 

  • Lovgren M, Gustavsson P, Melin B, Rudman A (2014) Neck/shoulder and back pain in new graduate nurses: a growth mixture modeling analysis. Int J Nurs Stud 51:625–639. https://doi.org/10.1016/j.ijnurstu.2013.08.009

    Article  Google Scholar 

  • Luan HD, Hai NT, Xanh PT, Giang HT, Thuc PV, Hong NM, Khue PM (2018) Musculoskeletal disorders: prevalence and associated factors among district hospital nurses in Haiphong Vietnam. Biomed Res Int. https://doi.org/10.1155/2018/3162564

    Article  Google Scholar 

  • McEwen BS (1998) Protective and damaging effects of stress mediators. N Engl J Med 338:171–179

    Article  CAS  Google Scholar 

  • Mehrdad R, Dennerlein JT, Haghighat M, Aminian O (2010) Association between psychosocial factors and musculoskeletal symptoms among Iranian nurses. Am J Ind Med 53:1032–1039. https://doi.org/10.1002/ajim.20869

    Article  Google Scholar 

  • Melin B, Lundberg U (1997) A biopsychosocial approach to work-stress and musculosketal disorders. J Psychophysiol

  • Mirmohammadi S, Yazdani J, Etemadinejad S, Asgarinejad H (2015) A cross-sectional study on work-related musculoskeletal disorders and associated risk factors among hospital health cares. Proc Manuf 3:4528–4534. https://doi.org/10.1016/j.promfg.2015.07.468

    Article  Google Scholar 

  • Munabi IG, Buwembo W, Kitara DL, Ochieng J, Mwaka ESJBn (2014) Musculoskeletal disorder risk factors among nursing professionals in low resource settings: a cross-sectional study in Uganda 13:7

  • Nodooshan S, Rastipisheh P, Yadegarfar G, Daneshmandi H, Alighanbari N, Taheri S (2020) The effect of work-related psychosocial stressors on musculoskeletal disorder symptoms in hospital attendants. Work (Reading, Mass):1–10

  • Nur Azma B, Rusli B, Oxley J, Quek K (2016) Work related musculoskeletal disorders in female nursing personnel: prevalence and impact International. J Collab Res Int Med Public Health 8:294–298

    Google Scholar 

  • Pelissier C et al (2014) Occupational risk factors for upper-limb and neck musculoskeletal disorder among health-care staff in nursing homes for the elderly in France. J Ind Health 2013–0223

  • Ryu E, Ye B, Yi Y, Kim J (2014) Risk factors of musculoskeletal symptoms in university hospital nurses. Ann Occup Environ Med 26:47

    Article  Google Scholar 

  • Sadeghian F, Raei M, Ntani G, Coggon D (2013) Predictors of incident and persistent neck/shoulder pain in Iranian workers: a cohort study. PLoS ONE 8:e57544. https://doi.org/10.1371/journal.pone.0057544

    Article  CAS  Google Scholar 

  • Sembajwe G et al (2013) Psychosocial stress and multi-site musculoskeletal pain: a cross-sectional survey of patient care workers. Workplace Health Saf 61:117–125

    Google Scholar 

  • Senthilkumar S, Kiran Gokul S (2019) Rapid upper limb analysis in musculoskeletal disorders among intensive care unit nurses. Res J Pharm Technol 12:3839–3842. https://doi.org/10.5958/0974-360X.2019.00658.9

    Article  Google Scholar 

  • Silva B, Maduro P, Silva T, Trombini-Souza F (2019) Are body posture and self-reported musculoskeletal symptoms different between employees in the healthcare and administrative sectors? Work 64:283–290. https://doi.org/10.3233/WOR-192980

    Article  Google Scholar 

  • Smedley J, Inskip H, Trevelyan F, Buckle P, Cooper C, Coggon D (2003) Risk factors for incident neck and shoulder pain in hospital nurses. J Occup Environ Med 60:864–869

    Article  CAS  Google Scholar 

  • Smith DR, Mihashi M, Adachi Y, Koga H, Ishitake T (2006) A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. J Saf Res 37:195–200. https://doi.org/10.1016/j.jsr.2006.01.004

    Article  Google Scholar 

  • Smith DR, Wei N, Zhao L, Wang RS (2004) Musculoskeletal complaints and psychosocial risk factors among Chinese hospital nurses. Occup Med (Lond) 54:579–582. https://doi.org/10.1093/occmed/kqh117

    Article  Google Scholar 

  • Tariah HA, Nafai S, Alajmi M, Almutairi F, Alanazi B (2020) Work-related musculoskeletal disorders in nurses working in the Kingdom of Saudi Arabia. Work 65:421–428. https://doi.org/10.3233/WOR-203094

    Article  Google Scholar 

  • Tezel A (2005) Musculoskeletal complaints among a group of Turkish nurses. The International journal of neuroscience 115:871–880. https://doi.org/10.1080/00207450590897941

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Trinkoff AM, Lipscomb JA, Geiger-Brown J, Brady B (2002) Musculoskeletal problems of the neck, shoulder, and back and functional consequences in nurses. Am J Ind Med 41:170–178. https://doi.org/10.1002/ajim.10048

    Article  Google Scholar 

  • van Enst WA, Ochodo E, Scholten RJ, Hooft L, Leeflang MM (2014) Investigation of publication bias in meta-analyses of diagnostic test accuracy: a meta-epidemiological study. BMC Med Res Methodol 14:70

    Article  Google Scholar 

  • Veisi H, Choobineh A, Ghaem H, Faraji Kujerdi M, Barazandeh R, Barazandeh H (2020) Upper extremity musculoskeletal symptoms among Iranian hand-woven shoe workers. Work 67:129–139. https://doi.org/10.3233/WOR-203258

    Article  Google Scholar 

  • Warming S, Precht DH, Suadicani P, Ebbehoj NE (2009) Musculoskeletal complaints among nurses related to patient handling tasks and psychosocial factors—based on logbook registrations. Appl Ergon 40:569–576. https://doi.org/10.1016/j.apergo.2008.04.021

    Article  CAS  Google Scholar 

  • Warnakulasuriya SS, Peiris-John RJ, Coggon D, Ntani G, Sathiakumar N, Wickremasinghe AR (2012) Musculoskeletal pain in four occupational populations in Sri Lanka. Occup Med 62:269–272. https://doi.org/10.1093/occmed/kqs057

    Article  CAS  Google Scholar 

  • Westergren E, Ludvigsen MS, Lindberg M (2019) Prevalence of musculoskeletal complaints among haemodialysis nurses: a comparison between Danish and Swedish samples. Int J Occup Saf Ergon. https://doi.org/10.1080/10803548.2019.1688018

    Article  Google Scholar 

  • Yang S, Lu J, Zeng J, Wang L, Li Y (2019) Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in China. Workplace Health Saf 67:275–287. https://doi.org/10.1177/2165079918809107

    Article  Google Scholar 

  • Yao Y, Zhao S, An Z, Wang S, Li H, Lu L, Yao S (2019) the associations of work style and physical exercise with the risk of work-related musculoskeletal disorders in nurses. Int J Occup Med Environ Health 32:15–24. https://doi.org/10.13075/ijomeh.1896.01331

    Article  Google Scholar 

  • Yazdanirad S, Khoshakhlagh AH, Habibi E, Zare A, Zeinodini M, F D (2018) Comparing the effectiveness of three ergonomic risk assessment methods—RULA, LUBA, and NERPA—to predict the upper extremity musculoskeletal disorders. Indian J Occup Environ Med 22:17–21

  • Yeung SS, Genaidy A, Deddens J, Sauter S (2005) The relationship between protective and risk characteristics of acting and experienced workload, and musculoskeletal disorder cases among nurses. J Saf Res 36:85–95. https://doi.org/10.1016/j.jsr.2004.12.002

    Article  Google Scholar 

  • Zhang Y, ElGhaziri M, Nasuti S, Duffy JF (2020) The comorbidity of musculoskeletal disorders and depression: associations with working conditions among hospital nurses workplace health and safety. 2165079919897285

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Acknowledgements

This study was financially supported by Shiraz University of Medical Sciences (project no. 97-01-42-18191). The authors would like to thank the Research Improvement Center of Shiraz University of Medical Sciences for improving the use of English in the manuscript.

Funding

This study was financially supported by Shiraz University of Medical Sciences (project no. 97-01-42-18191).

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Authors and Affiliations

  1. Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

    Asma Zare

  2. Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

    Alireza Choobineh

  3. Gastrointestinal and Liver Diseases Research Centre (GLDRC), Guilan University of Medical Sciences, Rasht, Iran

    Soheil Hassanipour

  4. Department of Occupational Health Engineering, Student Research Committee, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran

    Mahdi Malakoutikhah

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  1. Asma Zare
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  2. Alireza Choobineh
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  3. Soheil Hassanipour
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  4. Mahdi Malakoutikhah
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Contributions

AC was the leader of study and edited the final manuscript. AZ gathered data for systematic review and extracted data for meta-analysis and was a major contributor in writing the manuscript. MM gathered data for systematic review and extracted data for meta-analysis and was a major contributor in writing the manuscript. SH analyzed meta-analysis data and was a major contributor in writing the manuscript. All authors read and approved the final manuscript.

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Correspondence to Mahdi Malakoutikhah.

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Zare, A., Choobineh, A., Hassanipour, S. et al. Investigation of psychosocial factors on upper limb musculoskeletal disorders and the prevalence of its musculoskeletal disorders among nurses: a systematic review and meta-analysis. Int Arch Occup Environ Health 94, 1113–1136 (2021). https://doi.org/10.1007/s00420-021-01654-6

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