Skip to main navigation menu Skip to main content Skip to site footer

Original Article

Vol. 4 No. 2 (2025): May 2025

Footwear preferences among emergency and outpatient nurses: Implications for preventing work-related musculoskeletal disorders

DOI
https://doi.org/10.55048/jpns158
Published
2025-05-15

Abstract

Background: Nurses engage in physically demanding activities that increase the risk of work-related musculoskeletal disorders (WRMSDs). Appropriate footwear selection is an important preventive strategy.

Objective: This study aimed to identify and compare footwear preferences between nurses working in the emergency installation (EI) and outpatient installation (OI).

Methods: A descriptive quantitative study was conducted with a population of 158 nurses from a public hospital in Indonesia, comprising 93 EI nurses and 65 OI nurses. Using purposive sampling, 125 nurses participated. Data were collected through a structured questionnaire and analyzed descriptively.

Results:The most frequently selected footwear characteristics were comfort and cushioning (108 nurses, 44.4%), appropriate size (106 nurses, 41.6%), and durability for daily activities (104 nurses, 35.3%). Notable differences emerged between groups. Outpatient installation (OI) nurses placed greater emphasis on design (43.3%), cushioning (87.9%), weather resistance (65.2%), and foot protection (65.2%) compared with emergency installation (EI) nurses (33.3%, 84.7%, 59.3%, and 62.7%, respectively). Conversely, EI nurses demonstrated a stronger preference for high-quality, higher-priced footwear (72.4%) than OI nurses (47.2%).

Conclusion: Nurses prioritize footwear that fits well, is comfortable, cushioned, safe, durable, and reasonably priced. While cushioning and comfort emerged as the most important factors overall, differences in preferences between EI and OI nurses highlight the need for occupational health policies that consider unit-specific requirements. Promoting appropriate footwear may help reduce WRMSD risk and improve nurse well-being.

References

  1. Aleid, A. A., Elshnawie, H. A. E., & Ammar, A. (2021). Assessing the work activities related to musculoskeletal disorder among critical care nurses. Critical Care Research and Practice, 2021. https://doi.org/10.1155/2021/8896806 DOI: https://doi.org/10.1155/2021/8896806
  2. Anderson, J., Williams, A. E., & Nester, C. (2017). An explorative qualitative study to determine the footwear needs of workers in standing environments. Journal of Foot and Ankle Research, 10(1), 1–10. https://doi.org/10.1186/s13047-017-0223-4 DOI: https://doi.org/10.1186/s13047-017-0223-4
  3. Anderson, J., Williams, A. E., & Nester, C. (2021). Musculoskeletal disorders, foot health and footwear choice in occupations involving prolonged standing. International Journal of Industrial Ergonomics, 81(January), 103079. https://doi.org/10.1016/j.ergon.2020.103079 DOI: https://doi.org/10.1016/j.ergon.2020.103079
  4. Anwar, A., & Anzward, B. (2021). Legal liability to nurses in fulfilling obligations based on nursing code of ethics. Jurnal de Facto, 8(1), 1–16. http://jurnal.pascasarjana.uniba-bpn.ac.id/index.php/jurnaldefacto/article/view/94
  5. Blanchard, S., Bellaïche, L., Kuliberda, Z., & Behr, M. (2022). Influence of footwear on posture and comfort in elite rugby players. International Journal of Sports Medicine, 43(3), 269–277. https://doi.org/10.1055/a-1255-2803 DOI: https://doi.org/10.1055/a-1255-2803
  6. Centers for Disease Control and Prevention. (2023). Work-related musculoskeletal disorders & ergonomics. https://www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html
  7. Chappel, S. E., Verswijveren, S. J. J. M., Aisbett, B., Considine, J., & Ridgers, N. D. (2017). Nurses’ occupational physical activity levels: A systematic review. International Journal of Nursing Studies, 73(January), 52–62. https://doi.org/10.1016/j.ijnurstu.2017.05.006 DOI: https://doi.org/10.1016/j.ijnurstu.2017.05.006
  8. Chappel, S. E., Aisbett, B., Considine, J., & Ridgers, N. D. (2020). Emergency nurses’ activity levels across rotating shifts. Australasian Emergency Care, 23(3), 203–210. https://doi.org/10.1016/j.auec.2020.03.001 DOI: https://doi.org/10.1016/j.auec.2020.03.001
  9. Fitria, N., Ibrahim, K., Setiawan, S., Prabowo, T., Salya, A. M., Komala, K., Karisa, P., Sumarni, T., & Ardianti, A. A. (2023). Description of nurse perceptions regarding anthropometric shoes based on characteristics of shoe selection. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(1), 427–432. https://doi.org/10.30604/jika.v8i1.1671 DOI: https://doi.org/10.30604/jika.v8i1.1671
  10. Fitria, N., Karisa, P., Prabowo, T., Ramadhan, A. K., Fajar, M. G. Al, Setiawan, Ibrahim, K., Salya, A., & Susanti, R. D. (2023). The effect of anthropometric shoes on lactic acid reduction in nurses: A mixed-methods study from Indonesia. Journal of Multidisciplinary Healthcare, 16, 4227–4238. https://doi.org/10.2147/JMDH.S437177 DOI: https://doi.org/10.2147/JMDH.S437177
  11. Getie, K., Kahsay, G., Kassaw, A., Gomera, G., Alamer, A., & Hailu, T. (2021). Ankle and foot pain and associated factors among nurses at ayder comprehensive specialized hospital, Mekelle, Ethiopia: Cross-sectional study. Journal of Pain Research, 14, 83–92. https://doi.org/10.2147/JPR.S283580 DOI: https://doi.org/10.2147/JPR.S283580
  12. Jacquier-Bret, J., & Gorce, P. (2023). Prevalence of body area work-related musculoskeletal disorders among healthcare professionals: A systematic review. International Journal of Environmental Research and Public Health, 20(1), 841. https://doi.org/10.3390/ijerph20010841 DOI: https://doi.org/10.3390/ijerph20010841
  13. Jellema, A. H., Huysmans, T., Hartholt, K., & van der Cammen, T. J. M. (2019). Shoe design for older adults: Evidence from a systematic review on the elements of optimal footwear. Maturitas, 127, 64–81. https://doi.org/10.1016/j.maturitas.2019.06.002 DOI: https://doi.org/10.1016/j.maturitas.2019.06.002
  14. Katuuk, M. E., & Karundeng, M. (2019). The relationship between physical activity with low back pain in nurses at Luwuk Banggai Regional General Hospital. Jurnal Keperawatan, 7(1). https://doi.org/10.35790/jkp.v7i1.25208 DOI: https://doi.org/10.35790/jkp.v7i1.25208
  15. Krishnan, K. S., Raju, G., & Shawkataly, O. (2021). Prevalence of work-related musculoskeletal disorders: Psychological and physical risk factors. International Journal of Environmental Research and Public Health, 18(17). https://doi.org/10.3390/ijerph18179361 DOI: https://doi.org/10.3390/ijerph18179361
  16. Maulina, P. R., Darnoto, S., Astuti, D., & Porusia, M. (2023). The relationship between work posture and the incidence of musculoskeletal complaints in nurses in hospitals. Environmental Occupational Health and Safety Journal, 3(2), 161. https://doi.org/10.24853/eohjs.3.2.161-172 DOI: https://doi.org/10.24853/eohjs.3.2.161-172
  17. Melvin, J. M. A., Price, C., Preece, S., Nester, C., & Howard, D. (2019). An investigation into the effects of, and interaction between, heel height and shoe upper stiffness on plantar pressure and comfort. Footwear Science, 11(1), 25–34. https://doi.org/10.1080/19424280.2018.1555862 DOI: https://doi.org/10.1080/19424280.2018.1555862
  18. Menz, H. B., & Bonanno, D. R. (2021). Footwear comfort: A systematic search and narrative synthesis of the literature. Journal of Foot and Ankle Research, 14(1), 1–11. https://doi.org/10.1186/s13047-021-00500-9 DOI: https://doi.org/10.1186/s13047-021-00500-9
  19. Muin, M., Hartati, E., Rofi’i, M., Wijaya, A., Mudrikah, M., Apriyanto, N., Wicaksono, U. W., Yuwanti, Y., & Arifin, Z. (2020). Gambaran lokasi dan tingkat nyeri muskuloskeletal pada perawat rawat inap rumah sakit. Jurnal Penelitian Dan Pengabdian Kepada Masyarakat UNSIQ, 7(2), 179–183. https://doi.org/10.32699/ppkm.v7i2.1061 DOI: https://doi.org/10.32699/ppkm.v7i2.1061
  20. Naoum, S., Mitseas, P., Koutserimpas, C., Spinthouri, M., Kalomikerakis, I., Raptis, K., Sarafis, P., Govina, O., & Konstantinidis, T. (2022). Musculoskeletal disorders and caring behaviors among nursing staff in Greek hospitals: A prospective multicenter study. Maedica, 17(1), 52–63. https://doi.org/10.26574/maedica.2022.17.1.52 DOI: https://doi.org/10.26574/maedica.2022.17.1.52
  21. Ou, Y.-K., Liu, Y., Chang, Y.-P., & Lee, B.-O. (2021). Relationship between musculoskeletal disorders and work performance of nursing staff: A comparison of hospital nursing departments. International Journal of Environmental Research and Public Health, 18(13). https://doi.org/10.3390/ijerph18137085 DOI: https://doi.org/10.3390/ijerph18137085
  22. Peng, P., Ding, S., Wang, Z., Zhang, Y., & Pan, J. (2020). Acute effect of engineered thermoplastic polyurethane elastomer knockoff running footwear on foot loading and comfort during heel-to-toe running. Gait and Posture, 79, 111–116. https://doi.org/10.1016/j.gaitpost.2020.03.010 DOI: https://doi.org/10.1016/j.gaitpost.2020.03.010
  23. Putri, Z. M., & Maisa, E. A. (2019). Impact of work-related musculoskeletal disorders in nurses at RSI Siti Rahmah Padang in 2019. Prosiding Seminar Kesehatan Perintis, 2(1), 133–137. https://jurnal.upertis.ac.id/index.php/PSKP/article/download/330/217/
  24. Ribeiro, T., Serranheira, F., & Loureiro, H. (2017). Work related musculoskeletal disorders in primary health care nurses. Applied Nursing Research, 33, 72–77. https://doi.org/10.1016/j.apnr.2016.09.003 DOI: https://doi.org/10.1016/j.apnr.2016.09.003
  25. Sánchez-Sáez, J. M., Palomo-López, P., Becerro-De-bengoa-vallejo, R., Calvo-Lobo, C., Losa-Iglesias, M. E., López-Del-amo-lorente, A., & López-López, D. (2019). Stability of three different sanitary shoes on healthcare workers: A cross-sectional study. International Journal of Environmental Research and Public Health, 16(12), 1–15. https://doi.org/10.3390/ijerph16122126 DOI: https://doi.org/10.3390/ijerph16122126
  26. Stolt, M., Miikkola, M., Suhonen, R., & Leino-Kilpi, H. (2018). Nurses’ perceptions of their foot health: Implications for occupational health care. Workplace Health and Safety, 66(3), 136–143. https://doi.org/10.1177/2165079917727011 DOI: https://doi.org/10.1177/2165079917727011
  27. Stolt, M., Suhonen, R., Kielo, E., Katajisto, J., & Leino-Kilpi, H. (2017). Foot health of nurses—a cross-sectional study. International Journal of Nursing Practice, 23(4). https://doi.org/10.1111/ijn.12560 DOI: https://doi.org/10.1111/ijn.12560
  28. Tojo, M., Yamaguchi, S., Amano, N., Ito, A., Futono, M., Sato, Y., Naka, T., Kimura, S., Sadamasu, A., Akagi, R., & Ohtori, S. (2018). Prevalence and associated factors of foot and ankle pain among nurses at a university hospital in Japan: A cross-sectional study. Journal of Occupational Health, 60(2), 132–139. https://doi.org/10.1539/joh.17-0174-OA DOI: https://doi.org/10.1539/joh.17-0174-OA
  29. Yang, C. M., & Deng, W. (2022). User-satisfaction framework for the development of shoes for the elderly in fuzzy environment. Alexandria Engineering Journal, 63, 427–440. https://doi.org/10.1016/j.aej.2022.07.058 DOI: https://doi.org/10.1016/j.aej.2022.07.058
  30. Zifchock, R. A., & Davis, I. (2008). A comparison of semi-custom and custom foot orthotic devices in high- and low-arched individuals during walking. Clinical Biomechanics, 23(10), 1287–1293. https://doi.org/10.1016/j.clinbiomech.2008.07.008 DOI: https://doi.org/10.1016/j.clinbiomech.2008.07.008

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...