Medical work assessment in German hospitals: a study protocol of a movement sequence analysis (MAGRO-MSA)

BackgroundMedical doctors are essential for the German public and occupational health system. They ensure the productivity of German society by enabling people to regain and recover their health. That is why the physicians’ health and hence their productivity require special attention. Musculoskeletal disorders have a high prevalence in this work area. As a consequence, movement sequences, range of motions, and body postures of physicians in the course of the working day are in focus of this research project.MethodsFor this investigation 21 male or female junior physicians of various conservative medical disciplines will be covered. Data will be collected over one working day (approx. 9 hours). The CUELA system attached to the test person’s body detects body posture and/or movements. This biomechanical measurement system ensures a locomotor and posture analysis that includes movement sequences, movement intensity, and range of motions to qualify the work tasks. For data analysis intra- and inter-professional comparisons are chosen.ConclusionsWorking movement sequence analysis of physicians by means of the CUELA system is exclusive and novel in its focus. Up to now, knowledge of the working tasks of medical doctors has only been acquired by real-time observation approaches to work activity. In addition to this method of analysis, the CUELA system is able to record quantified biomechanical data about musculoskeletal loads of ordinary working tasks. Workloads and activities of physicians can be improved by ergonomic work design to reduce musculoskeletal disorders by utilizing the data collected. The healthcare system in Germany will thus be optimized by improving medical doctors’ health. Consequently, MAGRO-MSA will also be used for other healthcare professions such as nurses and physicians assistants.

[1]  B. Klapp,et al.  Does type of hospital ownership influence physicians' daily work schedules? An observational real-time study in German hospital departments. , 2009, Human resources for health.

[2]  Witold Alda,et al.  An improved kinematic model of the spine for three-dimensional motion analysis in the Vicon system. , 2012, Studies in health technology and informatics.

[3]  Y. Roquelaure,et al.  The effect of introducing IGRA to screen French healthcare workers for tuberculosis and potential conclusions for the work organisation , 2013, Journal of Occupational Medicine and Toxicology.

[4]  Tore J Larsson,et al.  Frequent bending--an underestimated burden in nursing professions. , 2012, The Annals of occupational hygiene.

[5]  Monika A. Rieger,et al.  Occupational kneeling and squatting: development and validation of an assessment method combining measurements and diaries , 2014, International Archives of Occupational and Environmental Health.

[6]  D. Groneberg,et al.  Perception of stress-related working conditions in hospitals (iCept-study): a comparison between physicians and medical students , 2013, Journal of Occupational Medicine and Toxicology.

[7]  A. Nienhaus,et al.  Validation of the German version of the Nurse-Work Instability Scale: baseline survey findings of a prospective study of a cohort of geriatric care workers , 2013, Journal of Occupational Medicine and Toxicology.

[8]  T. Larsson,et al.  The Effect of Working Position on Trunk Posture and Exertion for Routine Nursing Tasks: An Experimental Study , 2013, The Annals of occupational hygiene.

[9]  R. Ellegast,et al.  Validity of self-reports of knee-straining activities at work: a field study with 6-month follow-up , 2012, International Archives of Occupational and Environmental Health.

[10]  A. Nienhaus,et al.  Instrument for stress-related job analysis for hospital physicians: validation of a short version , 2013, Journal of Occupational Medicine and Toxicology.

[11]  G Wickström,et al.  The "Hawthorne effect"--what did the original Hawthorne studies actually show? , 2000, Scandinavian journal of work, environment & health.

[12]  S. Mache,et al.  [Always out of breath? An analysis of a doctor's tasks in pneumology]. , 2009, Pneumologie.

[13]  A. Seidler,et al.  Work-related complaints and diseases of physical therapists – protocol for the establishment of a “Physical Therapist Cohort” (PTC) in Germany , 2013, Journal of Occupational Medicine and Toxicology.

[14]  Tobias Welte,et al.  Development and evaluation of a computer-based medical work assessment programme , 2008, Journal of occupational medicine and toxicology.

[15]  M. Brielmeier,et al.  Musculoskeletal load in and highly repetitive actions of animal facility washroom employees. , 2011, Journal of the American Association for Laboratory Animal Science : JAALAS.

[16]  B. Klapp,et al.  Pediatricians’ working conditions in German hospitals: a real-time task analysis , 2010, European Journal of Pediatrics.

[17]  David A. Groneberg,et al.  General and visceral surgery practice in German hospitals: a real-time work analysis on surgeons’ work flow , 2009, Langenbeck's Archives of Surgery.

[18]  J. Sterling Livingston,et al.  Pygmalion in Management , 2009 .

[19]  A. Zeggwagh,et al.  Self-perceived sleepiness in emergency training physicians: prevalence and relationship with quality of life , 2013, Journal of Occupational Medicine and Toxicology.

[20]  Josef Wiemeyer,et al.  Assessment of Everyday Physical Activity: Development and Evaluation of an Accelerometry-Based Measuring System , 2007, Int. J. Comput. Sci. Sport.

[21]  Rolf Ellegast,et al.  Assessing combined exposures of whole-body vibration and awkward posture--further results from application of a simultaneous field measurement methodology. , 2010, Industrial health.

[22]  B. Klapp,et al.  Observation and analysis of junior OB/GYNs’ workflow in German hospitals , 2010, Archives of Gynecology and Obstetrics.

[23]  B. Klapp,et al.  An observational real-time study to analyze junior physicians' working hours in the field of gastroenterology. , 2009, Zeitschrift fur Gastroenterologie.

[24]  B. Klapp,et al.  Physicians' working conditions and job satisfaction: does hospital ownership in Germany make a difference? , 2009, BMC health services research.

[25]  P. Schnitzler,et al.  Reduction of needlestick injuries in healthcare personnel at a university hospital using safety devices , 2013, Journal of Occupational Medicine and Toxicology.

[26]  M Honl,et al.  Determination of the in vivo loading of the lumbar spine with a new approach directly at the workplace--first results for nurses. , 2000, Clinical biomechanics.

[27]  Karlheinz Schaub,et al.  Physical workload of flight attendants when pushing and pulling trolleys aboard aircraft , 2007 .

[28]  P. Torán Monserrat,et al.  Exposure of health workers in primary health care to glutaraldehyde , 2013, Journal of Occupational Medicine and Toxicology.

[29]  S. Mache,et al.  Medical work Assessment in German hospitals: a Real-time Observation study (MAGRO) – the study protocol , 2009, Journal of occupational medicine and toxicology.