Date of Degree

Summer 7-30-2025

Document Type

DNP Scholarly Project

Academic Department

School of Nursing

Degree Type

Doctoral

Degree Name

Doctor of Nursing Practice

First Advisor

Brandee Temmis

Second Advisor

Melanie Brewer

Third Advisor

Amanda Graham

Abstract

Problem: Work-related musculoskeletal disorders (WRMSDs) are a leading cause of occupational injury and discomfort in industrial workplaces. Although an ergonomic program existed at the project site, a formalized process to detect postural misalignments early had not been established. Relying on employee self-reporting, delayed intervention, and limited opportunities to prevent injuries before they progress.

Aim of the Project: A proactive posture screening program using PostureScreen® was implemented to identify postural deviations that could contribute to WRMSDs. Emphasis was placed on supporting employees through early awareness of posture-related issues and evaluation of alignment improvements following individualized intervention.

Review of the Evidence: Evidence supported the use of early posture screening and ergonomic interventions to reduce the risk of WRMSDs. Digital tools have been shown to accurately detect postural misalignments and provide timely feedback and correction. Literature supported proactive posture assessments as a means to improve employee well-being, reduce chronic injury risk, and strengthen workplace safety and efficiency.

Project Design: Structured implementation and long-term sustainability were supported by applying the Plan-Do-Study-Act cycle in conjunction with OhioHealth’s organizational change framework. Strategies included shift-based screening schedules, peer liaisons to increase participation, and consistent engagement through communication efforts and visual materials. Staff were trained using standardized vendor tutorials to ensure consistent execution of screening protocols.

Intervention: Twelve full-time employees completed PostureScreen® assessments at baseline, mid-project, and at the eight-week mark. Each employee received posture education and personalized web-based exercises generated by the PostureScreen® tool to support alignment. Consistent screening protocols were followed to ensure the accuracy and reliability of results.

Significant Findings/Outcome: Ten of the 12 participants demonstrated a reduction in effective head weight of 11 pounds or more, with the most significant improvement reaching 29 pounds. The average reduction across the group was 12.75 pounds, indicating notable improvements in posture and a reduced load on the neck and shoulders. One slight increase was attributed to clothing interference during the final assessment.

Implications for Nursing: Early posture screening was shown to be effective in supporting musculoskeletal health. A preventive workplace culture was reinforced, contributing to improved employee outcomes, sustained engagement, and increased productivity across the workforce.

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