International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

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     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Prevalence of Wrist and Hand Repetitive Strain Symptoms Among Nurses Performing Intravenous Cannulation and Clinical Documentation: A Cross-Sectional Study

Article Information

Volume / Issue7 / 3 (July-August 2026)
Pages294-299
AccessOpen Access

Publication Timeline

  • Received03 July 2026
  • Accepted02 August 2026
  • Published

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Abstract

Background: Nurses routinely perform repetitive and precision-based occupational activities, including intravenous cannulation and clinical documentation. These activities involve repetitive wrist and hand movements, gripping, pinch force, sustained postures and fine motor control, which may contribute to work-related wrist and hand musculoskeletal symptoms. Although work-related musculoskeletal disorders among nurses have been widely studied, comparatively less attention has been given to wrist and hand symptoms associated with repetitive nursing tasks.
Objective: To determine the prevalence and severity of wrist and hand repetitive strain symptoms among nurses performing intravenous cannulation and clinical documentation using the Patient-Rated Wrist and Hand Evaluation (PRWHE).
Methods: A cross-sectional observational study was conducted among nurses aged 21–50 years at Dr. Ulhas Patil Medical College and Hospital, Jalgaon, over a period of six months. A total of 165 nurses meeting the predefined eligibility criteria participated in the study. Demographic and occupational information including age, gender, hand dominance, clinical experience, weekly working hours and documentation duration was collected. Wrist and hand symptoms and functional limitations were assessed using the Patient-Rated Wrist and Hand Evaluation. Data were entered into Microsoft Excel and analysed descriptively.
Results: A total of 165 nurses participated in the study. The mean age was 24.98 ± 3.71 years and the mean clinical experience was 3.66 ± 2.57 years. Participants worked an average of 48.24 ± 1.21 hours per week and spent an average of 17.23 ± 4.59 hours per week performing clinical documentation. Most participants were aged 21–35 years (161; 97.57%), female (130; 78.78%) and right-hand dominant (152; 92.12%). Regarding PRWHE severity, 98 participants (59.39%) had mild symptoms, 58 (35.15%) had moderate symptoms, 7 (4.24%) had minimal symptoms and 2 (1.21%) had severe symptoms.
Conclusion: Wrist and hand repetitive strain symptoms were common among nurses performing intravenous cannulation and clinical documentation, with mild and moderate symptom severity predominating. The findings highlight the importance of early occupational screening, ergonomic education, adequate recovery periods and preventive physiotherapy strategies to reduce the occupational burden of wrist and hand symptoms among nurses.
 

References

  1. O'Neil BA, Forsythe ME, Stanish WD. Chronic occupational repetitive strain injury. Can Fam Physician. 2001;47(2):311-6. [Google Scholar][Crossref]
  2. Van Tulder M, Malmivaara A, Koes B. Repetitive strain injury. Lancet. 2007;369(9575):1815-22. [Google Scholar][Crossref]
  3. Helliwell PS, Taylor WJ. Repetitive strain injury. Postgrad Med J. 2004;80(946):438-43. [Google Scholar][Crossref]
  4. Amin NA, Norn RB, Noah R, Oxley JA, Fatt QK. Work related musculoskeletal disorders in female nursing personnel: prevalence and impact. Int J Collab Res Intern Med Public Health. 2016;8(3):294-315. [Google Scholar][Crossref]
  5. Boden LI, Sembajwe G, Tveito TH, Hashimoto D, Hopcia K, Kenwood C, et al. Occupational injuries among nurses and aides in a hospital setting. Am J Ind Med. 2012;55(2):117-26. [Google Scholar][Crossref]
  6. Alzahrani FA, Allam HH, Abdelfattah MS, Ibrahim AA, Fouda KZ, Hussein HM, et al. Risk factors associated with work-related musculoskeletal disorders among nurses in Taif region hospitals. Fizjoterapia Polska. 2025;25(1). [Google Scholar][Crossref]
  7. Azma N, Rusli BN, Noah RM, Oxley JA, Quek KF. Work related musculoskeletal disorders in female nursing personnel: prevalence and impact. Int J Collab Res Intern Med Public Health. 2016;8(3):23-44. [Google Scholar][Crossref]
  8. Mellstrand Navarro C, Ponzer S, Törnkvist H, Ahrengart L, Bergström G. Measuring outcome after wrist injury: translation and validation of the Swedish version of the patient-rated wrist evaluation (PRWE-Swe). BMC Musculoskelet Disord. 2011;12:171. [Google Scholar][Crossref]
  9. Teh KH, Arumugam M, Rosli MR. Validation of a Malay version of the Patient-Rated Wrist Hand Evaluation (PRWHE-MV). IIUM Med J Malays. 2021;20(2). [Google Scholar][Crossref]
  10. Finsen V, Hillesund S, Fromreide I. The reliability of remembered pre-operative patient-rated wrist and hand evaluation (PRWHE) scores. Orthop Rev (Pavia). 2018;10(4):7682. [Google Scholar][Crossref]
  11. Sun W, Yin L, Zhang T, Zhang H, Zhang R, Cai W. Prevalence of work-related musculoskeletal disorders among nurses: a meta-analysis. Iran J Public Health. 2023;52(3):463. [Google Scholar][Crossref]
  12. Trinkoff AM, Brady B, Nielsen K. Workplace prevention and musculoskeletal injuries in nurses. J Nurs Adm. 2003;33(3):153-8. [Google Scholar][Crossref]
  13. Freimann T, Coggon D, Merisalu E, Animägi L, Pääsuke M. Risk factors for musculoskeletal pain amongst nurses in Estonia: a cross-sectional study. BMC Musculoskelet Disord. 2013;14:334. [Google Scholar][Crossref]
  14. O'Neil BA, Forsythe ME, Stanish WD. Chronic occupational repetitive strain injury. Can Fam Physician. 2001;47(2):311-6. [Google Scholar][Crossref]
  15. Soroush A, Shamsi M, Izadi N, Heydarpour B, Samadzadeh S, Shahmohammadi A. Musculoskeletal disorders as common problems among Iranian nurses: a systematic review and meta-analysis study. Int J Prev Med. 2018;9:27. [Google Scholar][Crossref]
  16. Ayub I, Habiba N, Majeed F. Prevalence of hand or wrist-related pain and its functional limitation among healthcare practitioners. Insights J Health Rehabil. 2024;2(2):310-7. doi:10.71000/ijhr153. [Google Scholar][Crossref]
  17. Taylor J, Kersten P. The patient-rated wrist and hand evaluation: a systematic review. N Z J Physiother. 2014;42(2):141-7. [Google Scholar][Crossref]
  18. MacDermid JC. Measurement properties of the Patient-Rated Wrist and Hand Evaluation: Rasch analysis of responses from a traumatic hand injury population. J Hand Ther. 2013;26(2):224-6. [Google Scholar][Crossref]
  19. Fatima SN, Hanif A, Noureen A, Ijaz F, Ghafoor S. Correlation between work-related musculoskeletal wrist pain and level of disability among health practitioners: a cross-sectional survey. [Google Scholar][Crossref]
  20. Silverstein BA, Fine LJ, Armstrong TJ. Occupational factors and carpal tunnel syndrome. Am J Ind Med. 1987;11(3):343-58. [Google Scholar][Crossref]
  21. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004;14(1):13-23. [Google Scholar][Crossref]

How to Cite

Bhakre, V., Kukreja, S., & Nagulkar, J. (2026). Prevalence of Wrist and Hand Repetitive Strain Symptoms Among Nurses Performing Intravenous Cannulation and Clinical Documentation: A Cross-Sectional Study. International Journal of Medical and All Body Health Research, 7(3), 294-299. https://doi.org/10.54660/IJMBHR.2026.7.3.294-299

Bhakre, Varsha, et al. "Prevalence of Wrist and Hand Repetitive Strain Symptoms Among Nurses Performing Intravenous Cannulation and Clinical Documentation: A Cross-Sectional Study." International Journal of Medical and All Body Health Research, vol. 7, no. 3, 2026, pp. 294-299. https://doi.org/10.54660/IJMBHR.2026.7.3.294-299.

Bhakre, V., Kukreja, S. and Nagulkar, J. (2026) 'Prevalence of Wrist and Hand Repetitive Strain Symptoms Among Nurses Performing Intravenous Cannulation and Clinical Documentation: A Cross-Sectional Study', International Journal of Medical and All Body Health Research, 7(3), pp. 294-299. doi: 10.54660/IJMBHR.2026.7.3.294-299.

Bhakre V, Kukreja S, Nagulkar J. Prevalence of Wrist and Hand Repetitive Strain Symptoms Among Nurses Performing Intravenous Cannulation and Clinical Documentation: A Cross-Sectional Study. International Journal of Medical and All Body Health Research. 2026;7(3):294-299. doi:10.54660/IJMBHR.2026.7.3.294-299

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