Syftet med arbetet är att identifiera arbetsmiljörisker genom att analysera arbetsmomenten och arbetsmiljön vid en separatoröverhalning ombord ett fartyg. För att identifiera arbetsmiljörisker användes Arbetsmiljöverkets föreskrift AFS 2012:02, bedömningsmallen KIM 1 och programmet ALBA. Resultatet av arbetet visar att det finns belastningsrisker och punkter att förbättra. Ett förslag på förbättringar är att ytterligare en arbetsyta på det undersökta fartyget bör utformas för att möjliggöra en bättre arbetsställning och minska antalet lyft. Resultatet visar även att det är viktigt att använda rätt lyftteknik för att minska risken för belastningsskador. Arbetet kan användas för grund till fortsatta studier inom arbetsmiljö till sjöss. / The purpose of the study is to identify work hazards by analyzing the work activities and work environment during a separator overhaul onboard a ship. To identify risks the study used the Swedish Work Environment Authority´s regulation AFS 2012:02, the assessment form KIM 1 and a biomechanical program ALBA. The results show that there are risks for stress load on the body and that there is room for improvements. An example of an improvement is to design an additional workbench to allow proper work postures and decrease the number of lifts. The results also show the importance of using the right technique while lifting to reduce the chance of stress load. The study can be used for further studies on the work environment hazards onboard ships.

The occurrence of work related musculoskeletal disorders (WRMD) has been a focus of much research and the prevalence of upper extremity disorders (UED) has also been explored. Most of the studies addressing WRMD among hairstylists considered the biomechanical demands of the industry, with a few studies acknowledging the psychosocial risk factors as precipitators of the upper extremity pain. This qualitative study contributes to an understanding of the biopsychosocial factors linked to the experience of pain, and how the process of adjustment to pain impacted the performance of roles at work and home of female hairstylists. The PEO model (Law et al., 1996) was used to describe the impact of pain on roles and the adjustment process in the management of roles, and facilitated an understanding of the occupational performance issues face by the stylists experiencing upper extremity pain.

The occurrence of work related musculoskeletal disorders (WRMD) has been a focus of much research and the prevalence of upper extremity disorders (UED) has also been explored. Most of the studies addressing WRMD among hairstylists considered the biomechanical demands of the industry, with a few studies acknowledging the psychosocial risk factors as precipitators of the upper extremity pain. This qualitative study contributes to an understanding of the biopsychosocial factors linked to the experience of pain, and how the process of adjustment to pain impacted the performance of roles at work and home of female hairstylists. The PEO model (Law et al., 1996) was used to describe the impact of pain on roles and the adjustment process in the management of roles, and facilitated an understanding of the occupational performance issues face by the stylists experiencing upper extremity pain.

Objective: To estimate the national prevalence and direct incremental expenditures of musculoskeletal disorders (MSD's) using the 2007 Medical Expenditure Panel Survey data. <br>Methods: A retrospective database analysis was conducted and individuals with MSD's (ICD-9-CM codes 274.00; 710.00-738.00) were identified. Dependent variables were total health care and other service category expenditures. The study utilized descriptive and regression analyses. <br>Results: In 2007, the national prevalence of MSD's was 33 million with incremental costs of $886.49 per person. The inpatient expenditures ($33,461.85) were the highest cost component in MSD's and the predictors of total health care expenditures were age, marital status, and presence of the disease condition. <br>Conclusion: The systematic assessment of MSD's and their associated incremental costs to the society is essential in increasing the awareness of decision makers to implement intervention strategies that are effective in lowering the disease incidence and in reducing the overall cost of disease management. / Mylan School of Pharmacy and the Graduate School of Pharmaceutical Sciences / Pharmacy Administration / MS / Thesis

This diploma thesis deals with the physical burden for teachers in kindergartens in relation to the occurrence of musculoskeletal disorders among teachers. The main objective was to examine the physical demands of the profession of preschools educational staff. The work is divided into theoretical part and practical part.The research was conducted using qualitative method of semi-structured interviews with kindergartens teachers and LIFT / BEND score calculation. Fifteen teachers from three of kindergartens in the South Bohemian region participated in this research. Data from the interviews were evaluated by encoding method according to Švaříček and Šedivová (2007) and divided into schemes with a description. LIFT/BEND score was calculated according to Kovářová (2006) methodology. The calculation was based on the evaluation of the frequency of lifting, bending and handling of children.Reasearch questions were also answerd during the reasearch. The first research question contains "Is there a difference in the frequency of performing physically challenging activities in relation to the length of work experience in preschool facilities?" It was found that there is no difference between teachers in physical performance in relation to the length the practice. The analysis was performed using the LIFT / BEND score calcutation and testimonies of teachers in the interviews. The majority of teachers with the length of service over 20 years stated that avoids positions and activities that are unpleasant to them, such as kneeling, tying childrens shoes, bending over tables and more. Frequency of activities between younger and older teachers are not much different, but differ in subjective way of carrying out physically demanding tasks. The second research question is: "Is age a significant variable in the occurrence of musculoskeletal diseases?" From the primary perspective can be determined that age gains more musculoskeletal trouble, but according to the testimony of teachers and statistical evaluation, this relationship has not been confirmed. Age of teachers is not prerequisite for the development of musculoskeletal problems. According to nonparametric Spearman correlation this relationship is not statistically significant.From the findings of this research as well as international authors who have examined the relationship between physical load of lifting and bending while performing work in the so-called helping profession, age factor and length of service exhibits no significant importance, and vice versa occurrence of musculoskeletal disorders significantly affects the way of carrying out these activities in terms of their proper implementation. Therefore it should be ensured that teachers recieve education in health during preparations for their future careers.

xvi, 128 p. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number. / There were two primary goals of this work. The first goal was to investigate humeral and scapular kinematics in a simulated workplace environment. The second goal was to validate a triaxial accelerometer (Virtual Corset) for the collection of humeral elevation exposure data in an occupational setting. To achieve the first goal, healthy subjects were asked to perform constrained and functional humeral elevation motions. Differences were observed in scapular kinematics. In addition, the variability between constrained arm elevation and functional overhead tasks was found to be similar. Therefore, to compare scapular kinematics in an occupational group (dental hygienists) a functional work related task was determined to be more appropriate. The dental hygienists performed teeth instrumentation on simulated patients' with both big and average chest girth in a simulated work environment. Dental hygienist's humeral elevation and scapular upward rotation angles were found to be higher while working on the big chest girth manikin. These differences may increase dental hygienists susceptibility for musculoskeletal disorders. To achieve the second goal, an in-vitro comparison of angles measured with the Virtual Corset and an inclinometer was conducted under static conditions. Under dynamic conditions the Virtual Corset was compared to a potentiometer, in a pendulum setting. It was found that the Virtual Corset can accurately reconstruct elevation angles under static conditions, root mean square error less than 1[white square]. Under dynamic conditions, the error size was related to the angular velocity and acceleration, and the radius of rotation. To further investigate the Virtual Corset's ability to measure exposure parameters in-vivo the Virtual Corset was compare to a magnetic tracking device. To do so dental hygienists performed flossing tasks in a simulated work station. It was found that the Virtual Corset can be used to reconstruct elevation angles, with an acceptable angle error, and to identify exposure parameters in occupational settings similar to the one simulated in the present study. This dissertation includes unpublished co-authored material. / Adviser: Andrew R. Karduna

Andreas Thomas Kull. A Letter in the Mail – A Grounded Theory Based Exploration of the Health of Swedish Postal Carriers. Master thesis in Occupational Health Sciences, 30 credits. University of Gävle. Introduction: Postal Carriers in Sweden is an occupational group with a distinct work environment controlled by third parties. One third of all postal carriers in Sweden experience musculoskeletal issues. Little to no research has looked in to postal carriers experience of how their work is affecting their health. This study aims to explore why and how postal carriers are experiencing their current health states. Method: This Grounded Theory Method based study gathered data from both interviews and observations. Respondents consisted of seven men and two women. Observations were conducted for three days and consisted of gathering step counts and route information of three different postal carrier routes. Analysation of each interview happened before a new interview took place. Transcribed verbatims were line by line coded. Clusters and codes formed were constantly analysed throughout the data gathering process to ensure emerging theoretical model fit data. Results: Attitude was regarded as the main concern on this study. By being able to moderate contextual and situational factors, i.e. leadership, value towards work, intensity, frequency etc, attitude provided a tool for why individuals experienced postal carrier work in a broad spectrum. Conclusion: Attitude could provide important information of why health states are differing between individuals performing the same type of work.

As lombalgias têm influenciado no absenteísmo e no presenteísmo de trabalhadores de enfermagem. O objetivo geral deste estudo foi identificar os fatores do trabalho associados à lombalgia não específica, caracterizada no âmbito da resistência da musculatura extensora lombar, em trabalhadoras de enfermagem de Unidades de Terapia Intensiva. Trata2se de um estudo exploratório do tipo transversal com abordagem quantitativa dos dados, realizado em Unidades de Terapia Intensiva. A amostra foi composta por 48 trabalhadoras (enfermeiras, técnicas e auxiliares de enfermagem) atuantes há mais de seis meses na Unidade de Terapia Intensiva de um hospital público (HA) (n=32) e um hospital privado (HB) (n=16) da cidade de Ribeirão Preto2SP. Os instrumentos utilizados para coleta dos dados foram: Questionário de caracterização dos sujeitos (características sociodemográficas e ocupacionais), Questionário Nórdico de Sintomas Osteomusculares - adaptado (caracterização dos sintomas osteomusculares, segundo as regiões do corpo), Fatores do trabalho que podem contribuir para os sintomas osteomusculares 2 adaptado, Teste de Sorensen (identificação da resistência da musculatura extensora lombar) e Escala RPE de Borg (identificação do esforço percebido). Os dados foram coletados em 2011, nos hospitais, pelo pesquisador, após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa (Processo 122/2011) e permissão dos chefes dos serviços. Resultados: as participantes do estudo eram mulheres, na faixa etária entre 20 e 56 anos, a maioria se declarava branca, solteira (58,3%), com filhos (52,1%), sedentária (64,6%), com acúmulo de trabalho profissional e doméstico (89,6%). As enfermeiras executam tarefas gerenciais e assistenciais, com predomínio das gerenciais, e os técnicos e auxiliares de enfermagem executam o cuidado direto aos pacientes, tarefas que são consideradas desgastantes. O sintoma lombar foi a principal queixa osteomuscular (66,7%), seguido dos segmentos ombros (54,2%), pescoço (47,9%) tornozelos (41,7%) e região dorsal (41,7%). As trabalhadoras com sintoma lombar atingiram um tempo menor (93,06 s.) de resistência da musculatura extensora da coluna no teste de Sorensen, em comparação às trabalhadoras assintomáticas (116,30 s), e o esforço percebido após o teste foi intenso (15) para todos os sujeitos. Os principais fatores do trabalho que contribuem para os sintomas lombares identificados pelas trabalhadoras de enfermagem foram relacionados a aspectos posturais (torção e flexão de coluna, curvar as costas, postura estática) e organizacionais (repetitividade, horas extras, falta de descanso e velocidade do trabalho). Concluímos que os sintomas lombares são frequentes entre as trabalhadoras de enfermagem das unidades estudadas, embora a resistência da musculatura extensora da coluna não tenha apresentado diferenças estatisticamente significativas entre os grupos de sujeitos sintomáticos e assintomáticos. Os resultados obtidos e os fatores identificados pelas trabalhadoras como contribuintes aos sintomas lombares são indicadores da inadequação das condições de trabalho e de que ações de intervenção no ambiente e na organização do trabalho são necessárias. O estudo contribuiu para o avanço do conhecimento das áreas de Saúde do Trabalhador, Fisioterapia e Enfermagem. / Low back pain is a condition that has influenced absenteeism and presenteeism of nursing workers. The overall goal of the present study was to identify the work2related factors associated to nonspecific low back pain characterized by the resistance of lumbar extensor muscles among female nursing workers of Intensive Care Units. This is an exploratory cross2 sectional study under a quantitative approach held in Intensive Care Units. The sample consisted of 48 workers 2 nurses, nursing technicians and assistants2 who had been active for over six months in the Intensive Care Unit of a public hospital (HA) (n=32) and a private hospital (HB) (n=16) in the city of Ribeirão Preto, São Paulo, Brazil. The tools used for data collection were; Subject characterization questionnaire (sociodemographic and occupational), Nordic Musculoskeletal Questionnaire - adapted (characterization of musculoskeletal symptoms according to body regions), Job risk factors that may contribute to musculoskeletal symptoms - adapted, Sorensen test (identification of resistance of lumbar extensor muscles) RPE on Borg scale (perceived exertion rating).The data were collected in 2011 in hospitals, by the researcher, thereafter the Research Ethics Committee had approved the project (petition 122/2011) and Chief Service Officials had granted their permission. Results: The participants in the study were females aged between 20 to 56 years old, self reported as Caucasian, single (58.3%), with children (52.1%), sedentary (64.6%), both professionally and housework overloaded (89.6%). Tasks Performed: Nurses perform both care and, predominately, managerial activities. Nursing technicians and assistants perform direct care of patients. These latter tasks are considered more overwhelming. The major musculoskeletal complaints relied on the Lower back system (66.7%), followed by shoulder segments (54.2%), neck (47.9%) and dorsal region (41.7%).The workers presenting low back symptoms reached a shorter resistance time on the spinal extensor muscles when compared to asymptomatic workers using the Sorensen test (93.06 s. versus 116.30 s). All subjects (15) perceived intense exertion after the test. The main job factors that contribute to low back symptoms identified by the subjects were related to both postural (spine torsion and bending, back bending, static posture) and organizational (repetitiveness, excessive work hours, lack of rest, and work pace) aspects. Conclusion: We conclude that lumbar symptoms are frequent among the female nursing workers of the studied units. In addition, although spinal extensor muscles resistance has not shown significant statistical differences between the symptomatic and asymptomatic groups, the obtained results and factors identified by the workers as contributing to low back symptoms are indicators of inadequate labor conditions. Therefore, interventions on the work organization and environment are needed. Finally, the present study contributes to the progress of knowledge in the areas of Occupational Health, Physiotherapy and Nursing.

Dissertação(mestrado) - Universidade Federal do Rio Grande, Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, 2007. / Submitted by eloisa silva (eloisa1_silva@yahoo.com.br) on 2012-11-22T14:25:34Z No. of bitstreams: 1 joaofreitas.pdf: 307287 bytes, checksum: 74a8e85d7bf551e9ffa8819933a11ec9 (MD5) / Approved for entry into archive by Bruna Vieira(bruninha_vieira@ibest.com.br) on 2012-12-01T00:24:57Z (GMT) No. of bitstreams: 1 joaofreitas.pdf: 307287 bytes, checksum: 74a8e85d7bf551e9ffa8819933a11ec9 (MD5) / Made available in DSpace on 2012-12-01T00:24:57Z (GMT). No. of bitstreams: 1 joaofreitas.pdf: 307287 bytes, checksum: 74a8e85d7bf551e9ffa8819933a11ec9 (MD5) Previous issue date: 2007 / O objetivo geral deste estudo foi verificar a ocorrência de Distúrbios Osteomusculares Relacionados ao Trabalho em membros da equipe de enfermagem do Hospital Universitário Dr. Miguel Riet Corrêa Júnior. Teve como objetivos específicos: estimar a prevalência de DORT entre os membros da equipe de enfermagem; identificar os sintomas de DORT mais freqüentes entre esses profissionais e as regiões do corpo que mais freqüentemente afetadas; verificar o índice de absenteísmo, em decorrência dos DORT no período de janeiro de 2005 a outubro de 2006; identificar as características (sexo, idade, categoria profissional, e setor de trabalho) dos adoecidos. Tratou-se de uma pesquisa qualitativa, exploratória e descritiva, cujos dados foram coletados por meio de um questionário com perguntas abertas e fechadas. A equipe de enfermagem do HU é formada por profissionais que exercem as funções de enfermeiro, auxiliar e técnico de enfermagem, onde temos 61 enfermeiros, 46 técnicos de enfermagem, e 204 auxiliares. A amostra foi composta por 21 trabalhadores com queixas osteomusculares, no período compreendido entre 1º de janeiro de 2005 a outubro de 2006, selecionados com base em dados fornecidos pela chefia do serviço de enfermagem. Deste total, 6 não quiseram participar do estudo, não tendo apresentado o motivo. Os resultados evidenciaram que as categorias de auxiliar e técnicos foram as mais acometidas por DORT, sendo todos os adoecidos do sexo feminino, 8 da categoria de auxiliar e 7 de técnico de enfermagem, com maior índice de acometimento na idade entre 40 e 49 anos. Nas falas dos adoecidos conseguese perceber o sofrimento destes, pois os DORTs ainda hoje apresentam-se como um problema pouco conhecido pelos adoecidos e muitas vezes sem a correta abordagem por parte dos profissionais da saúde. / The general objective of this study was to verify the Work-Related Musculoskeletal Disorders(WMSD) in members of the team of nursing of the Academical Hospital Dr. Miguel Riet Corrêa Júnior. It had as specific objectives: to esteem the rate of WMSD among the members of the nursing team; to identify the symptoms of more frequent WMSD between those professionals and the areas of the body that more frequently affected; to verify the absenteeism index, due to WMSD in the period of January of 2005 to October of 2006; to identify the characteristics (sex, age, professional category, and work section) of those gotten sick. It was treated of a research qualitative, exploratory and descriptive, whose data were collected through a questionnaire with open and closed questions. The team of nursing of HU is formed by professionals that exercise functions of nurse, auxiliaries and technician, where we have 61 nurses, 46 technicians, and 204 auxiliary. The sample was composed by 21 workers with complaints osteomusculares, in the period understood among January 1, 2005 to October of 2006, selected with base in data supplied by the leadership of the nursing service. Of this total one, 6 didn't want to participate in the study, not having presented the reason. The results evidenced that the categories of auxiliaries and technicians were the more attacked by WMSD, being all gotten sick them of the feminine sex, 8 of the category of auxiliaries and 7 of technicians, with larger index in the age between 40 and 49 years. In the speeches of those gotten sick it is gotten to notice the suffering of these, because WMSD still today come as a problem little known by the gotten sick and a lot of times without the correct approach on the part of the professionals of the health. / El objetivo general de este estudio fue verificar los Distúrbios Músculo-esqueléticos Relacionados al Trabajo en los miembros del equipo de enfermería del Hospital Academico Dr. Miguel Riet Corrêa Júnior. Tenía como los objetivos específicos: estimar la proporción de Distúrbios Músculo esqueléticos Relacionados al Trabajo entre los miembros del equipo lactante; identificar los síntomas de Distúrbios Músculo-esqueléticos Relacionados al Trabajo más frecuente entre esos profesionales y las áreas del cuerpo que más frecuentemente son afectadas; verificar el índice de absentismo debido a esos distúrbios en el periodo de enero de 2005 a octubre de 2006; para identificar las características (el sexo, la idad, la categoría profesional, y sección de trabajo) de aquéllos enfermados. Se trató de una investigación cualitativo, exploratorio y descriptivo cuyos datos eran reunidos a través de un cuestionario conteniendo preguntas abiertas y cerradas. El equipo de enfermería del HU se forma por profesionales que ejercen funciones de enfermera, auxiliar y técnico, dónde nosotros tenemos 61 enfermeras, 46 técnicos y 204 auxiliares. La muestra estaba compuesta por 21 trabajadores con quejas músculoesqueléticas en el periodo entendido entre el 1 de enero de 2005 a octubre de 2006, seleccionado con base en datos proporcionados por la dirección del servicio de enfermería. De este total, 6 no quisieron participar en el estudio, e no presentaro la razón. Los resultados evidenciaron que las categorías de auxiliares y técnicos eran las más atacadas por esos distúrbios, siendo todos ellos del sexo femenino, 8 de la categoría de auxiliares y 7 de técnicos, con el índice más grande en la edad entre 40 y 49 años. En los discursos de aquéllos enfermados se podió notar su sufrimiento, porque los Distúrbios Músculo-esqueléticos Relacionados al Trabajo todavía hoy, viene como un problema poco conocido por los enfermos y muchas veces sin el acercamiento correcto por parte de los profesionales de la salud.

Os trabalhadores de enfermagem submetem-se constantemente às condições de trabalho inadequadas, o que os sujeita às lesões musculoesqueléticas, principalmente nas unidades de cuidado a pacientes críticos e com alto grau de dependência. Assim, este estudo tem por objetivo apreender os sintomas de Distúrbios Osteomusculares Relacionados ao Trabalho (DORT) entre os trabalhadores de enfermagem, seus determinantes e possibilidades de prevenção. O estudo caracteriza-se como de caso, descritivo, de abordagem quanti-qualitativa, fundamentado na determinação social do processo saúde-doença. A população de estudo foi de 61 trabalhadores de enfermagem de uma unidade de terapia intensiva geral, em um hospital público e universitário do estado de São Paulo. Os dados foram coletados por meio de um formulário composto por três partes: Dados de Identificação, Questionário Nórdico de Sintomas Musculoesqueléticos e Relação Trabalho x DORT. A análise dos dados quantitativos foi realizada segundo a estatística descritiva e os dados qualitativos foram submetidos à análise temática. Foram realizadas 27 entrevistas (44,26%), optando-se por complementar a parte quantitativa da pesquisa com mais 17 trabalhadores que responderam apenas as duas primeiras partes do formulário, totalizando 44 participantes (72,13%). Como resultados, obtivemos que 32 participantes (72,72%) são do sexo feminino, 19 (43,18%) trabalham no período noturno e 23 (52,28%) são técnicos de enfermagem. A média de idade foi de aproximadamente 37 anos, o IMC médio foi de 26,33 kg/m², e a média de tempo de serviço na instituição foi de 8,94 anos, sendo que 10 trabalhadores (22,73%) possuem mais de um vínculo empregatício. O Questionário Nórdico evidenciou que todos os trabalhadores entrevistados apresentaram algum sintoma musculoesquelético nos últimos 12 meses, sendo a região superior das costas (65,90%), a região inferior das costas (63,63%) e os ombros (61,36%) os locais mais afetados. Apesar dessa freqüência, poucas pessoas foram impedidas de realizarem suas atividades diárias (38,63%), e essa mesma porcentagem de trabalhadores procurou algum profissional de saúde por causa desses sintomas. Os dados evidenciam que a população, apesar de sintomática, continua trabalhando e convivendo com os sintomas musculoesqueléticos, referindo fazer uso de analgésicos sem prescrição médica, para conseguir trabalhar ou descansar após a jornada. A análise dos discursos permite verificar que a maioria dos trabalhadores entende que as condições de trabalho são os fatores determinantes para o surgimento desses sintomas osteomusculares, como a manipulação de peso excessivo, as posturas inadequadas, o trabalho repetitivo, dentre outros. Dentre as propostas de intervenção citadas pelos trabalhadores, estão a melhora da postura através de treinamentos, trabalho em equipe, ginástica laboral e técnicas de relaxamento, mudanças de equipamentos, entre outras. A análise dessas propostas subsidiou a criação do manual Prevenindo Sintomas Musculoesqueléticos no ambiente hospitalar, para ser utilizado no treinamento da equipe sobre as posturas corretas durante o trabalho. Outras medidas são sugeridas, dentre elas, o re-estudo do dimensionamento do pessoal de enfermagem e a sua adequação, a criação de um programa de ginástica laboral e de um local de descanso para os trabalhadores. Após a implementação dessas mudanças, sugerimos um estudo comparativo sobre a ocorrência de sintomas musculoesqueléticos na população de estudo, para avaliar a efetividade da intervenção. / Nursing professionals are constantly subject to inadequate working conditions, mostly in units with critically ill patients with a high degree of dependence, making them more inclined to develop musculoskeletal injuries. The present study aims to understand the symptoms of Work Related Musculoskeletal Disorders (WRMD) among nursing workers, their determinants and possible prevention. This study is a descriptive case, with a quantitative and qualitative approach, based on the social determinants of the health-disease process. The studied population included 61 nurses working at an intensive care unit in a public university hospital in Sao Paulo state. Data were collected based on a three-part form: Personal Data, Nordic Musculoskeletal Questionnaire, and Work x WRMD Relation. The quantitative analysis was performed using descriptive statistics, and the qualitative data were subjected to thematic analysis. 27 interviews were performed (44.26%), and to complement the quantitative analysis 17 additional workers were chosen to answer only the two first parts of the form, concluding with a total of 44 participants (72.13%). The data analysis indicates that 32 participants are female (72.72%), 19 works at night (43.18%), and that 23 are nursing technicians (52.28%). Mean age was approximately 37 years, the Body Mass Index (BMI) mean was 26.33 kg/m², and the average length of service at the institution was 8.94 years. 10 workers (22.73%) declared that they have more than one job. The analysis of the Nordic Questionnaire revealed that all interviewed nurses presented some musculoskeletal symptoms in the past 12 months, and that the most affected body regions were the upper back (65.90%), the lower back (63.63%) and shoulders (61.36%). Despite the fact that all workers presented symptoms, only a few of them were not able to carry on with their daily activities (38.63%). The same percentage of workers looked for a professional of health due to these symptoms. The data showed that the population continues to work and to live with the musculoskeletal symptoms, in spite of the pain. They prefer to make use of pain killers without medical prescription to be able to work or to rest after the work journey. The interviews revealed that the majority of workers know that working conditions such as handling of overweight, poor posture, repetitive work, and others, are the determining factors for the emergence of musculoskeletal symptoms. Nursing workers proposed several interventions to improve their working conditions. For example, the development of a training to improve their posture, team work, gymnastics and relaxation techniques, replacement of equipments, among others. The analysis of these proposals supported the creation of a Preventing Musculoskeletal Symptoms in the hospital environment manual, to be used when training the nurses team to have a good posture during work. Additional proposals were suggested, such as the re-study of nurses dimensioning and appropriateness, and the generation of a gymnastic program and a resting place for workers. After the adoption of these proposals, we suggest that a study is performed to compare the occurrence of musculoskeletal symptoms within the studied population, to evaluate the outcome of the intervention.