Rehabilitation Strategies and Footwear Recommendations for Nurses in Standing Environments: A Narrative Review
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Keywords

rehabilitation nursing
standing position
Nurses
ergonomics
foot injuries

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1.
Alves Bernardes R, Caldeira S, Stolt M, Santos-Costa P, Cruz A. Rehabilitation Strategies and Footwear Recommendations for Nurses in Standing Environments: A Narrative Review. Rev Port Enf Reab [Internet]. 2024 May 30 [cited 2024 Oct. 6];7(1):e387. Available from: https://rper.aper.pt/index.php/rper/article/view/387

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Abstract

Introduction: Prolonged standing can lead to tendon and ligament damage, particularly in the feet and ankles, if preventive measures are not taken. Ill-fitting shoes are associated with increased foot pain and disorders, especially among nurses. This narrative review aims to comprehensively synthesize existing literature on footwear recommendations for nurses in prolonged standing positions, emphasizing healthcare strategies and rehabilitation benefits. It seeks to provide a comprehensive overview while identifying gaps for future research.

Methodology: A narrative literature review was conducted using databases such as MEDLINE, CINAHL, Web of Science, and ScienceDirect. Studies were included if they described footwear characteristics and therapeutic indications for workers in prolonged standing contexts, following the PRISMA guideline.

Results: Twenty-three studies published between 1998 and 2021 were reviewed, revealing recommendations to reduce gastrocnemius fatigue levels with viscoelastic insoles and arch support. Personalized footwear with cushioning is recommended to decrease peak pressure and alleviate issues like calluses and blisters. Soft shoes help reduce edema formation, while optimizing shoe climate is crucial. The combination of antifatigue mats and sports shoes enhances comfort.

Discussion: Current research primarily focuses on insole impact, leaving areas like psychological comfort and footwear design acceptance largely unexplored. Future research should investigate the influence of standing environments and footwear, considering variations in foot health among worker cohorts.

Conclusion: Few studies address nurses' footwear needs. Future research should provide detailed information on footwear characteristics and their podiatric benefits for nurses.

https://doi.org/10.33194/rper.2024.387
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References

Anderson J, Williams AE, Nester C. Musculoskeletal disorders, foot health, and footwear choice in occupations involving prolonged standing. Int J Ind Ergon. 2020;80:103079. doi:10.1016/j.ergon.2020.103079

Blazer MM, Jamrog LB, Schnack LL. Does the Shoe Fit? Considerations for Proper Shoe Fitting. Orthop Nurs. 2018 May/Jun;37(3):169-174. doi: 10.1097/NOR.0000000000000447.

Campos MS, Oliveira BA, Perroca MG. Workload of nurses: observational study of indirect care activities/interventions. Rev Bras Enferm. 2018 Mar-Apr;71(2):297-305. doi: 10.1590/0034-7167-2016-0561.

Bernardes RA, Caldeira S, Parreira P, Sousa LB, Apóstolo J, Almeida IF, Santos-Costa P, Stolt M, Guardado Cruz A. Foot and Ankle Disorders in Nurses Exposed to Prolonged Standing Environments: A Scoping Review. Workplace Health Saf. 2023 Mar;71(3):101-116. doi: 10.1177/21650799221137646.

Stolt M, Suhonen R, Virolainen P, Leino-Kilpi H. Lower extremity musculoskeletal disorders in nurses: A narrative literature review. Scand J Public Health. 2016 Feb;44(1):106-15. doi: 10.1177/1403494815602989.

Jo H, Lim OB, Ahn YS, Chang SJ, Koh SB. Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey. Yonsei Med J. 2021 Jun;62(6):510-519. doi: 10.3349/ymj.2021.62.6.510

Tamata AT, Mohammadnezhad M. A systematic review study on the factors affecting shortage of nursing workforce in the hospitals. Nurs Open. 2023 Mar;10(3):1247-1257. doi: 10.1002/nop2.1434

Young JL, Rhon DI, de Zoete RMJ, Cleland JA, Snodgrass SJ. The influence of dosing on effect size of exercise therapy for musculoskeletal foot and ankle disorders: a systematic review. Braz J Phys Ther. 2018 Jan-Feb;22(1):20-32. doi: 10.1016/j.bjpt.2017.10.001

Stolt M, Miikkola M, Suhonen R, Leino-Kilpi H. Nurses' Perceptions of Their Foot Health: Implications for Occupational Health Care. Workplace Health Saf. 2018 Mar;66(3):136-143. doi: 10.1177/2165079917727011

Munro CL, Hope AA. Improving Nurse Well-being: The Need Is Urgent and the Time Is Now. Am J Crit Care. 2022 Jan 1;31(1):4-6. doi: 10.4037/ajcc2022603

Anderson J, Nester C, Williams A. Prolonged occupational standing: the impact of time and footwear. Footwear Sci. 2018;10(3):189-201. doi: 10.1080/19424280.2018.1538262

Sukhera J. Narrative Reviews: Flexible, Rigorous, and Practical. J Grad Med Educ. 2022 Aug;14(4):414-417. doi: 10.4300/JGME-D-22-00480.1

Ferrari R. Writing narrative style literature reviews. Medical Writing. 2015;24(4):230-235. doi: 10.1179/2047480615Z.000000000329.

Soares L, Rodrigues IDC V, Martins LN, Silveira FDR, Figueiredo MLF. Literature review: particularities of each type of study. Rev Enferm UFPI. 2013;2(5). doi: 10.26694/reufpi.v2i5.1200.

Hatton AL, Rome K. Falls, Footwear, and Podiatric Interventions in Older Adults. Clin Geriatr Med. 2019 May;35(2):161-171. doi: 10.1016/j.cger.2018.12.001

Bernardes RA, Caldeira S, Parreira P, Sousa LB, Almeida IF, Santos-Costa P, Paiva-Santos F, Guardado Cruz A. Baropodometric Assessment of the Podiatric Profile of Nursing Students in Clinical Settings: A Study Protocol. Front Public Health. 2022 May 12;10:862048. doi: 10.3389/fpubh.2022.862048

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71

Baethge C, Goldbeck-Wood S, Mertens S. SANRA-a scale for the quality assessment of narrative review articles. Res Integr Peer Rev. 2019 Mar 26;4:5. doi: 10.1186/s41073-019-0064-8

Chiu MC, Wang MJ. Professional footwear evaluation for clinical nurses. Appl Ergon. 2007 Mar;38(2):133-41. doi: 10.1016/j.apergo.2006.03.012

ockayne S, Fairhurst C, Zand M, Frost G, Liddle M, Cunningham-Burley R, Hewitt C, Iles-Smith H, Green L, Bain E, Mogradia M, Torgerson DJ. Slip-resistant footwear to reduce slips among health-care workers: the SSHeW RCT. Public Health Res. 2021;9(3). doi: 10.3310/phr09030.

Getie K, Kahsay G, Kassaw A, Gomera G, Alamer A, Hailu T. Ankle and Foot Pain and Associated Factors Among Nurses at Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia: Cross-Sectional Study. J Pain Res. 2021 Jan 19;14:83-92. doi: 10.2147/JPR.S283580

Hansen L, Winkel J, Jørgensen K. Significance of mat and shoe softness during prolonged work in upright position: based on measurements of low back muscle EMG, foot volume changes, discomfort and ground force reactions. Appl Ergon. 1998;29(3):217-24. doi: 10.1016/s0003-6870(97)00062-8

Goonetilleke R., Luximon, A. Designing for Comfort: A Footwear Application. Computer Aided Ergonomics and Safety. 2001. https://www.semanticscholar.org/paper/Designing-for-Comfort%3A-A-Footwear-Application-Goonetilleke-Luximon/cc4bbecc59ee899ce8779d7c6aa61edef3d39703

King PM. A comparison of the effects of floor mats and shoe in-soles on standing fatigue. Appl Ergon. 2002 Sep;33(5):477-84. doi: 10.1016/s0003-6870(02)00027-3

Orlando AR, King PM. Relationship of demographic variables on perception of fatigue and discomfort following prolonged standing under various flooring conditions. J Occup Rehabil. 2004 Mar;14(1):63-76. doi: 10.1023/b:joor.0000015011.39875.75

Kersting UG, Janshen L, Böhm H, Morey-Klapsing GM, Brüggemann GP. Modulation of mechanical and muscular load by footwear during catering. Ergonomics. 2005 Mar 15;48(4):380-98. doi: 10.1080/00140130512331332882.

Witana CP, Goonetilleke RS, Au EY, Xiong S, Lu X. Footbed shapes for enhanced footwear comfort. Ergonomics. 2009 May;52(5):617-28. doi: 10.1080/00140130802419503.

Gell N, Werner RA, Hartigan A, Wiggermann N, Keyserling WM. Risk factors for lower extremity fatigue among assembly plant workers. Am J Ind Med. 2011 Mar;54(3):216-23. doi: 10.1002/ajim.20918.

Lin YH, Chen CY, Cho MH. Influence of shoe/floor conditions on lower leg circumference and subjective discomfort during prolonged standing. Appl Ergon. 2012 Sep;43(5):965-70. doi: 10.1016/j.apergo.2012.01.006.

Jefferson JR. The effect of cushioning insoles on back and lower extremity pain in an industrial setting. Workplace Health Saf. 2013 Oct;61(10):451-7. doi: 10.1177/216507991306101005.

Menz HB, Bonanno DR. Footwear comfort: a systematic search and narrative synthesis of the literature. J Foot Ankle Res. 2021 Dec 7;14(1):63. doi: 10.1186/s13047-021-00500-9.

Waters TR, Dick RB. Evidence of health risks associated with prolonged standing at work and intervention effectiveness. Rehabil Nurs. 2015 May-Jun;40(3):148-65. doi: 10.1002/rnj.166.

García-Hernández C, Huertas-Talón JL, Sánchez-Álvarez EJ, Marín-Zurdo J. Effects of customized foot orthoses on manufacturing workers in the metal industry. Int J Occup Saf Ergon. 2016;22(1):116-24. doi: 10.1080/10803548.2015.1100949.

Speed G, Harris K, Keegel T. The effect of cushioning materials on musculoskeletal discomfort and fatigue during prolonged standing at work: A systematic review. Appl Ergon. 2018 Jul;70:300-314. doi: 10.1016/j.apergo.2018.02.021

Grau S, Barisch-Fritz B. Improvement of safety shoe fit – evaluation of dynamic foot structure. Footwear Science. 2018;10(3):179-187. doi:10.1080/19424280.2018.1529062.

Buldt AK, Allan JJ, Landorf KB, Menz HB. The relationship between foot posture and plantar pressure during walking in adults: A systematic review. Gait Posture. 2018 May;62:56-67. doi: 10.1016/j.gaitpost.2018.02.026.

Tarrade T, Doucet F, Saint-Lô N, Llari M, Behr M. Are custom-made foot orthoses of any interest on the treatment of foot pain for prolonged standing workers? Appl Ergon. 2019 Oct;80:130-135. doi: 10.1016/j.apergo.2019.05.013

Anderson J, Williams AE, Nester C. Development and evaluation of a dual density insole for people standing for long periods of time at work. J Foot Ankle Res. 2020 Jul 8;13(1):42. doi: 10.1186/s13047-020-00402-2

Böhm H, Hösl M. Effect of boot shaft stiffness on stability joint energy and muscular co-contraction during walking on uneven surface. J Biomech. 2010 Sep 17;43(13):2467-72. doi: 10.1016/j.jbiomech.2010.05.029

Anderson J, Williams AE, Nester C. An explorative qualitative study to determine the footwear needs of workers in standing environments. J Foot Ankle Res. 2017 Aug 30;10:41. doi: 10.1186/s13047-017-0223-4

Hughes NL, Nelson A, Matz MW, Lloyd J. AORN Ergonomic Tool 4: Solutions for Prolonged Standing in Perioperative Settings. AORN J. 2011 Jun;93(6):767-74. doi: 10.1016/j.aorn.2010.08.029

Wiggermann N, Keyserling WM. Effects of anti-fatigue mats on perceived discomfort and weight-shifting during prolonged standing. Hum Factors. 2013 Aug;55(4):764-75. doi: 10.1177/0018720812466672

Akhoon N. Precision Medicine: A New Paradigm in Therapeutics. Int J Prev Med. 2021 Feb 24;12:12. doi: 10.4103/ijpvm.IJPVM

Naithani N, Sinha S, Misra P, Vasudevan B, Sahu R. Precision medicine: Concept and tools. Med J Armed Forces India. 2021 Jul;77(3):249-257. doi: 10.1016/j.mjafi.2021.06.021

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