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Pain management in eldercare employees - the role of managers in addressing musculoskeletal pain and pain-related sickness absence.
BMC Public Health. 2022 03 04; 22(1):432.BP

Abstract

PURPOSE

Managers' knowledge and behaviors in addressing musculoskeletal pain and sickness absence is not well understood. We investigated the association between managers' knowledge and behaviours in relation to employees' pain and their future risk of musculoskeletal pain and associated sickness absence.

METHODS

The prospective study included 535 eldercare employees, and 42 managers from 20 nursing homes. Managers' self-reported knowledge and behaviors in relation to employees' pain were grouped using Principal Components Analysis. Eldercare employees reported pain-related sickness absence, and number of days with musculoskeletal pain repeatedly over 1 year. We investigated associations using mixed-effects regression models.

RESULTS

We identified four types of managers' knowledge and behaviors: 1) Pain-prevention (actions for prevention of employee pain), 2) Pain-management (actions to assist employees manage pain), 3) Pain-entitlements (communicating entitlements to employees with pain), and 4) Pain-accommodations (ability to facilitate workplace accommodations for employees with pain). The employees of managers with higher scores on knowledge of pain-entitlements reported fewer days of pain-related sickness absence (β = -0.62; 95%CI [-1.14; -0.10]). The employees of managers with higher scores on pain-management were more likely to report low back pain (β = 0.57; 95%CI [0.02; 1.11]). We found several key associations between the knowledge and behaviors measures and pain-related sickness absence (interactions).

CONCLUSION

Managers' knowledge and behaviors in relation to employees' pain were associated with employees' future musculoskeletal pain and sickness absence. The relationships are complex, suggesting that a multifaceted approach is needed to ensure that managers are adequately informed on how to manage and accommodate employees with musculoskeletal pain to reduce sickness absence.

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Authors+Show Affiliations

Rasmussen CDN
National Research Centre for the Working Environment, Copenhagen, Denmark. cnr@nfa.dk.
Oakman J
Centre for Ergonomics and Human Factors, School of Psychology and Public Health, LaTrobe University, Melbourne, Australia.
Karstad K
National Research Centre for the Working Environment, Copenhagen, Denmark.
Rugulies R
National Research Centre for the Working Environment, Copenhagen, Denmark. Department of Public Health, University of Copenhagen, Copenhagen, Denmark. Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Holtermann A
National Research Centre for the Working Environment, Copenhagen, Denmark.
Stevens ML
National Research Centre for the Working Environment, Copenhagen, Denmark.

MeSH

HumansMusculoskeletal PainNursing HomesPain ManagementProspective StudiesSick LeaveWorkplace

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

35246080

Citation

Rasmussen, Charlotte Diana Nørregaard, et al. "Pain Management in Eldercare Employees - the Role of Managers in Addressing Musculoskeletal Pain and Pain-related Sickness Absence." BMC Public Health, vol. 22, no. 1, 2022, p. 432.
Rasmussen CDN, Oakman J, Karstad K, et al. Pain management in eldercare employees - the role of managers in addressing musculoskeletal pain and pain-related sickness absence. BMC Public Health. 2022;22(1):432.
Rasmussen, C. D. N., Oakman, J., Karstad, K., Rugulies, R., Holtermann, A., & Stevens, M. L. (2022). Pain management in eldercare employees - the role of managers in addressing musculoskeletal pain and pain-related sickness absence. BMC Public Health, 22(1), 432. https://doi.org/10.1186/s12889-022-12785-x
Rasmussen CDN, et al. Pain Management in Eldercare Employees - the Role of Managers in Addressing Musculoskeletal Pain and Pain-related Sickness Absence. BMC Public Health. 2022 03 4;22(1):432. PubMed PMID: 35246080.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain management in eldercare employees - the role of managers in addressing musculoskeletal pain and pain-related sickness absence. AU - Rasmussen,Charlotte Diana Nørregaard, AU - Oakman,Jodi, AU - Karstad,Kristina, AU - Rugulies,Reiner, AU - Holtermann,Andreas, AU - Stevens,Matthew Leigh, Y1 - 2022/03/04/ PY - 2021/04/25/received PY - 2022/02/16/accepted PY - 2022/3/5/entrez PY - 2022/3/6/pubmed PY - 2022/4/20/medline SP - 432 EP - 432 JF - BMC public health JO - BMC Public Health VL - 22 IS - 1 N2 - PURPOSE: Managers' knowledge and behaviors in addressing musculoskeletal pain and sickness absence is not well understood. We investigated the association between managers' knowledge and behaviours in relation to employees' pain and their future risk of musculoskeletal pain and associated sickness absence. METHODS: The prospective study included 535 eldercare employees, and 42 managers from 20 nursing homes. Managers' self-reported knowledge and behaviors in relation to employees' pain were grouped using Principal Components Analysis. Eldercare employees reported pain-related sickness absence, and number of days with musculoskeletal pain repeatedly over 1 year. We investigated associations using mixed-effects regression models. RESULTS: We identified four types of managers' knowledge and behaviors: 1) Pain-prevention (actions for prevention of employee pain), 2) Pain-management (actions to assist employees manage pain), 3) Pain-entitlements (communicating entitlements to employees with pain), and 4) Pain-accommodations (ability to facilitate workplace accommodations for employees with pain). The employees of managers with higher scores on knowledge of pain-entitlements reported fewer days of pain-related sickness absence (β = -0.62; 95%CI [-1.14; -0.10]). The employees of managers with higher scores on pain-management were more likely to report low back pain (β = 0.57; 95%CI [0.02; 1.11]). We found several key associations between the knowledge and behaviors measures and pain-related sickness absence (interactions). CONCLUSION: Managers' knowledge and behaviors in relation to employees' pain were associated with employees' future musculoskeletal pain and sickness absence. The relationships are complex, suggesting that a multifaceted approach is needed to ensure that managers are adequately informed on how to manage and accommodate employees with musculoskeletal pain to reduce sickness absence. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/35246080/Pain_management_in_eldercare_employees___the_role_of_managers_in_addressing_musculoskeletal_pain_and_pain_related_sickness_absence_ DB - PRIME DP - Unbound Medicine ER -