Answers:
Introduction

Currently, the health status in Saudi Arabia is assessed on the scale of WMSD, maternal ratio, and HIV/AIDS. Moreover, as of the year 2016, the health sector of Saudi Arabia indicated improved health status in combating HIV/AIDS and maternal mortality rate, but less attention paid to the cases of WMSD (CherneyMedically, K. Musculoskeletal disorders, 2017). As such, arguments in this paper seek to illustrate the need for assessment of the WMSD in the health industry in Saudi Arabia with the focus based on the PNU faculty of nursing. Notably, the paper will have several sections aimed at improving the readability of the article as shown below.

 Background

According to a report by the World Health Organization, Nursing Health System in Saudi Arabia records an increased case of Work-related Musculoskeletal Disorder (WMSD) (Trinkoff et al., 2006). Progressively, studies by WHO indicate that during service delivery, nurses are exposed to physical exercises that in turn affect their skeletal makeup. That said, WMSD is also high in the nursing-based institution such as the PNU: where students engage in practical sessions as a means to certify their class needs. The most common symptom related to musculoskeletal disorder is back discomfort and the causal agent being prolonged working hours and high demands within the nursing sector (Trinkoff et al., 2003).

Literature Review

According to Long et al., 2012 the scholars argue that increased cases of WSMD of upper quadrant are recorded amongst midwives and health professionals due to prolonged working hours and poor education awareness on WMSD related injuries

According to Frontera and Ferrinho, 2011, 2404-2424 in their book  the authors assert that most health professionals are prone to other serious infections such as tuberculosis: apart from WMSD, during their interaction with patients.

Tinubu et al., 2010: the authors provide a platform for the analysis of the Nigerian health sector and conclude that WMSD is associated with long working hours serving a large population.

Choobineh et al., 2010: argues that nursing operation rooms record the highest number of WSMD due to the growing need and time required to attend to patients.

Purpose

The study is aimed at Exploring the Impact of Clinical Setting at Musculoskeletal System on Nursing Students at Princess NorahBint Abdurrahman.

Statement Of The Problem
What is the Musculoskeletal Problem/s For Nursing Students during Clinical Setting at PNU?
What are the impacts of Clinical Setting at Musculoskeletal System on nursing students at PNU?
Determine the specific areas in musculoskeletal system that most affected in the nursing student?
The Significance Of The Study

This study will be beneficial for the nursing students in future as it provides guidelines when lifting, pushing and bending in a clinical setting to prevent WMSD.

Research Design

The detailed design will be used in this study to explore the Impact of Clinical Setting at Musculoskeletal System on Nursing Students at PNU.

Sample/ Study Subject

Randomized Methods study by having 10% from total nursing students from 5th level to 8th level (3rd and 4th year). Inclusion criteria: nursing student started from 5th level to 8th level (3rd and 4th year) will be included. Exclusion criteria: 1st and 2nd-year students are excluded because their courses are theoretical.

Data Collection Tools

In this study, data will be gathered using questionnaire from nursing students who are studying at Nursing College and met the criteria for inclusion. The questionnaire used is from a comparative cross-sectional study (Attar, 2014). Additionally, rate of recurrence of WMSD in Jeddah, at King Abdul-Aziz University Hospital will be assessed. This section is  from recent accredited and improvised SNQ  invented by Kuorinka. The questionnaire is often applied in screening of MSDs (Smith &Leggat, 2004) (Kuorinka, et al., 1987). Moreover, the model will assess different body arts namely upper limb, lower limb, and trunk sections of the body.

Data Collection Method

Once permission is taken from the authorized person, and the subject agrees to the terms of study the researcher will start to collect data through the electronic method by sending the questionnaire via social media and paper. The average time to fill all tools will be 30 days.

Ethical Consideration

Ethical approval for the research to proceed was successfully obtained with permission gained from the authorized personal. Also, Participants signed written clued-up consent at the beginning of the study: informing them results will be published anonymously.

Statistical Design

Data analysis will be conducted with the use of IBM computer and SPSS as follows: percentage, for the difference between frequencies chi-square test, will be utilized as per Castro, 2004 work. Cramer’s V analysis integrated to calculate the possible correlation. Significance was adopted at p<0.05 for interpretation of tested results. Reference Attar, S. (2014). Frequency and risk factors of musculoskeletal pain in nurses at a tertiary center in Jeddah, Saudi Arabia: a cross sectional study. BMC Research Notes, 7. Trinkoff, A. M., Le, R., Geiger-Brown, J., Lipscomb, J., & Lang, G. (2006). Longitudinal relationship of work hours, mandatory overtime, and on-call to musculoskeletal problems in nurses. American Journal of Industrial Medicine, 49. Castro, A. B. (2004). Handle With Care: The American Nurses Association's Campaign to Address Work-Related Musculoskeletal Disorders. Clinical Reviews in Bone and Mineral Metabolism, 4. Trinkoff, A. M., Lipscomb, J. A., Geiger-Brown, J., Storr, C. L., & Brady, B. A. (2003). Perceived physical demands and reported musculoskeletal problems in registered nurses. American Journal of Preventive Medicine, 24. Smith, D. R., &Leggat, P. A. (2004). Musculoskeletal disorders among rural Australian nursing students. Australian Journal of Rural Health, 12. Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., &Jorgensen, K. (1987). Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 18. Tinubu BM, Mbada CE, Oyeyemi AL, and Fabunmi AA: Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskeletal Disorder 2010, 20:12. Long MH, Johnston V, Bogossian F: Work-related upper quadrant musculoskeletal disorders in midwives, nurses, and physicians: a systematic review of risk factors and functional consequences. ApplErgon 2012, 43:455–467. Fronteira I, Ferrinho P: Do nurses have a different physical health profile? A systematic review of experimental and observational studies on nurses' physical health. J Clin Nurs 2011, 20:2404–2424.   Tinubu BMS, Mbada CE, Oyeyemi AL, Fabunmi A: Work-related musculoskeletal disorders among nurses in Ibadan. South-west Nigeria: a cross-sectional survey. Musculoskeletal Disorder 2010, 11:12.  Choobineh A, Movahed M, and Tabatabaie SH, Kumashirom M: Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz city hospitals. Ind Health 2010, 48:74–84.