Sintomatología musculoesquelética en estudiantes de enfermería: un análisis de concepto

Firmino, Cristiana Furtado; Sousa, Luís Manuel Mota; Marques, Joana Mendes; Antunes, Ana Vanessa; Marques, Fátima Mendes; Simões, Celeste

doi:10.1590/0034-7167-2018-0612

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

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Sumário

REVIEW • Rev. Bras. Enferm. 72 (1) • Jan-Feb 2019 • https://doi.org/10.1590/0034-7167-2018-0612 copiar

Sintomatología musculoesquelética en estudiantes de enfermería: un análisis de concepto

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Analizar el concepto de sintomatología musculoesquelética en los estudiantes de enfermería según el método evolutivo de Rodgers.

Método:

Se incluyeron diez artículos. Hecho una revisión integrativa de la literatura para identificación y selección de los artículos. Análisis de concepto según el método evolutivo de Rodgers. Los artículos fueron recogidos en la plataforma Host EBOSCO, en la Biblioteca Virtual de Salud y en Google Scholar de 2004 a 2018.

Resultados:

Con base en el método de Rodgers, fue posible la identificación: 1) términos substitutos y conceptos relacionados, donde fueron destacados los disturbios musculoesqueléticos y los síntomas musculoesqueléticos; 2) como atributos esenciales del concepto destacamos, dolor e incomodidad, así como la medición por el Cuestionario Nórdico-Musculoesquelético; 3) los factores de riesgo se identificaron como antecedentes y el impacto en la vida de los estudiantes como consecuencia.

Conclusión:

Este estudio contribuye al conocimiento y clarificación del concepto de sintomatología musculoesquelética en estudiantes de enfermería.

Descriptores:
Estudiantes de Enfermería; Fenómenos Fisiológicos Musculoesqueléticos; Formación de Concepto; Educación en Salud; Métodos

Stages of Rodgers' Evolutionary Model
Definition of the concept of interest and associated expressions (related concepts and substitute terms)
Selection of the field for data collection
Analysis of the essential attributes (characteristics of the concept)
Contextual basis of the concept (antecedents and consequents)
Identification of an example of the concept to be investigated
Determination of the implications and hypotheses for the concept

Authors	article title	journal (vol, nº, pag, year)
LÖvgren, M., Gustavsson, P., Melin, B., & Rudman, A.⁽¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ⁾	Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis.	International journal of nursing studies, 51(4), 625-639.2014
Backåberg, S., Rask, M., Brunt, D., & Gummesson, C.⁽¹⁵15 Backåberg S, Rask M, Brunt D, Gummesson C. Impact of musculoskeletal symptoms on general physical activity during nursing education. Nurse Educ Pract [Internet]. 2014 [cited 2018 Dec 27];14(4):385-90. Available from: https://doi.org/10.1016/j.nepr.2014.02.003 https://doi.org/10.1016/j.nepr.2014.02.0... ⁾	Impact of musculoskeletal symptoms on general physical activity during nursing education.	Nurse Education in Practice, 14(4), 385-390.2014
Menzel, N., Feng, D., & Doolen, J.⁽¹⁶16 Menzel N, Feng D, Doolen J. Low back pain in student nurses: literature review and prospective cohort study. Int J Nurs Educ Scholarsh [Internet]. 2016 [cited 2018 Dec 27];13(1):19-25. Available from: https://doi.org/10.1515/ijnes-2015-0057 https://doi.org/10.1515/ijnes-2015-0057... ⁾	Low back pain in student nurses: literature review and prospective cohort study.	International journal of nursing education scholarship, 13(1), 19-25. 2016
Kneafsey, R., & Smallwood, J.⁽¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ⁾	Musculoskeletal injury-Are Universities doing enough to protect students?	Nurse education today, 30(5), 383-385. 2010
Oliveira, M. A., Greco, P. B. T., Prestes, F. C., Machado, L. M., Magnago, T. S. B. S, & Santos, R. R.⁽¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ⁾	Trastornos/dolor musculoesquelético en estudiantes de enfermería de una universidad comunitaria del sur del Brasil.	Enfermería Global, 16(3), 128-174. 2017
Smith, D. R., & Leggat, P. A.⁽¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ⁾	Musculoskeletal disorders among rural Australian nursing students.	Australian Journal of Rural Health, 12(6), 241-245. 2004
Abledu, J. K., & Offei, E. B.⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ⁾	Musculoskeletal disorders among first-year Ghanaian students in a nursing college.	African health sciences, 15(2), 444-449. 2015
Dawson, A. P., Steele, E. J., Hodges, P. W., & Stewart, S⁽¹⁹19 Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain [Internet]. 2009 [cited 2018 Dec 27];10(5):517-26. Available from: https://doi.org/10.1016/j.jpain.2008.11.008 https://doi.org/10.1016/j.jpain.2008.11.... ⁾.	Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain	The Journal of Pain, 10(5), 517-526.2009
Singh, A., Devi, Y. S., & John, S.⁽²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾	Epidemiology of musculoskeletal pain in Indian nursing students.	International Journal of Nursing Education, 2(2), 6-8. 2010
Nunes, H., Cruz, A., & Queirós, P.⁽²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾	Dor músculo esquelética a nível da coluna vertebral em estudantes de enfermagem: prevalência e fatores de risco.	Revista de Investigação Enfermagem, S2 (14), 28-37.2016

Concept characteristics (related and substitutive)	Essential attributes of the concept (express their nature)	Contextual basis of the concept (background and consequences)
Musculoskeletal Disorders⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ^-¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ⁾ Musculoskeletal symptoms related to work⁽⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ⁾ Musculoskeletal symptoms⁽⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁶16 Menzel N, Feng D, Doolen J. Low back pain in student nurses: literature review and prospective cohort study. Int J Nurs Educ Scholarsh [Internet]. 2016 [cited 2018 Dec 27];13(1):19-25. Available from: https://doi.org/10.1515/ijnes-2015-0057 https://doi.org/10.1515/ijnes-2015-0057... ^,²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ^-²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾ Musculoskeletal injury⁽¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ⁾	Musculoskeletal pain and discomfort or numbness⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ^,²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾ Location: neck, shoulders, lumbar and cervical, knees, wrists and hands⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ^-¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ^,²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾ Limitation of normal activities such as work, domestic service or hobbies⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁹19 Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain [Internet]. 2009 [cited 2018 Dec 27];10(5):517-26. Available from: https://doi.org/10.1016/j.jpain.2008.11.008 https://doi.org/10.1016/j.jpain.2008.11.... ^,²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾ Slow and insidious multicausal symptomatology⁽⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ⁾ Nordic Questionnaire for Musculoskeletal Injuries⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁹19 Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain [Internet]. 2009 [cited 2018 Dec 27];10(5):517-26. Available from: https://doi.org/10.1016/j.jpain.2008.11.008 https://doi.org/10.1016/j.jpain.2008.11.... ^,²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾	Antecedents Physical factors (inadequate postures, excessive load and positioning, repetition of movements, physical activity)⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ^-¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ^,²¹21 Nunes H, Cruz A, Queirós P. [Musculoskeletal pain at the level of spine in nursing students: prevalence and risk factors]. Rev Inv Enferm [Internet]. 2016 [cited 2018 Dec 27];S2(14):28-37. Available from: https://www.researchgate.net/publication/298408087_Dor_musculo_esqueletica_a_nivel_da_coluna_vertebral_em_estudantes_de_enfermagem_Prevalencia_e_fatores_de_risco Portuguese. https://www.researchgate.net/publication... ⁾ Individual factors (age, female gender, previous clinical history, ethnicity)⁽⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ^,²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾ Organizational and psychosocial factors (repetitive work, high work rhythm, stress, anxiety, excessive use of the computer, nursing students, attendance of the last year of the course)⁽⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁷17 Kneafsey R, Smallwood J. Musculo-skeletal injury-Are Universities doing enough to protect students? Nurse Educ Today [Internet]. 2010 [cited 2018 Dec 27];30(5):383-5. Available from: https://doi.org/10.1016/j.nedt.2009.10.010 https://doi.org/10.1016/j.nedt.2009.10.0... ^-¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ^,²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾ Family history and having an accident⁽²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾ Consequences altered quality of life⁽¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁶16 Menzel N, Feng D, Doolen J. Low back pain in student nurses: literature review and prospective cohort study. Int J Nurs Educ Scholarsh [Internet]. 2016 [cited 2018 Dec 27];13(1):19-25. Available from: https://doi.org/10.1515/ijnes-2015-0057 https://doi.org/10.1515/ijnes-2015-0057... ^,¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ^,²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾ sleep problems⁽⁵5 Oliveira MA, Greco PB, Prestes FC, Machado LM, de Souza Magnago TS, dos Santos RR. Musculoskeletal disorders/pain in undergraduate nursing students in a community university in southern Brazil. Enferm Global [Internet]. 2017 [cited 2018 Dec 27];16(3):128-74. Available from: http://dx.doi.org/10.6018/eglobal.16.3.248551 http://dx.doi.org/10.6018/eglobal.16.3.2... ^,¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁶16 Menzel N, Feng D, Doolen J. Low back pain in student nurses: literature review and prospective cohort study. Int J Nurs Educ Scholarsh [Internet]. 2016 [cited 2018 Dec 27];13(1):19-25. Available from: https://doi.org/10.1515/ijnes-2015-0057 https://doi.org/10.1515/ijnes-2015-0057... ⁾ academic stress⁽¹1 Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci [Internet]. 2015 [cited 2018 Dec 27];15(2):444-9. Available from: https://doi.org/10.4314/ahs.v15i2.18 https://doi.org/10.4314/ahs.v15i2.18... ^,²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾ change in life activities⁽¹⁴14 Lövgren M, Gustavsson P, Melin B, Rudman A. Neck/shoulder and back pain in new graduate nurses: A growth mixture modeling analysis. Int J Nurs Stud [Internet]. 2014 [cited 2018 Dec 27];51(4):625-39. Available from: https://doi.org/10.1016/j.ijnurstu.2013.08.009 https://doi.org/10.1016/j.ijnurstu.2013.... ^,¹⁶16 Menzel N, Feng D, Doolen J. Low back pain in student nurses: literature review and prospective cohort study. Int J Nurs Educ Scholarsh [Internet]. 2016 [cited 2018 Dec 27];13(1):19-25. Available from: https://doi.org/10.1515/ijnes-2015-0057 https://doi.org/10.1515/ijnes-2015-0057... ^,¹⁸18 Smith DR, Leggat PA. Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health [Internet]. 2004 [cited 2018 Dec 27];12(6):241-5. Available from: https://doi.org/10.1111/j.1440-1854.2004.00620.x https://doi.org/10.1111/j.1440-1854.2004... ^,²⁰20 Singh A, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ [Internet]. 2010 [cited 2018 Dec 27];2(2):6-8. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijone&volume=2&issue=2&article=002 http://www.indianjournals.com/ijor.aspx?... ⁾ change in wellbeing(

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[1] Corresponding Author: Cristiana Furtado Firmino E-mail: furtado.cristy@gmail.com