Using the INRS QECPT method for ergonomic assessment and prevention strategies in an Algerian maternity ward

Introduction: Physical workload is a significant challenge in maternity wards, where healthcare workers face intense demands such as patient handling, prolonged postures, and repetitive efforts. This study, conducted in an Algerian maternity ward, uses the INRS (National Institute for Research and Safety) method to evaluate physical workload, identify biomechanical, organizational, and environmental risks, and propose improvement strategies. Methods: This study followed a structured three-step approach. First, risks were identified and prioritized using ergonomic indicators to highlight critical situations. Second, a detailed evaluation of physical workload was conducted based on five dimensions: physical effort, staffing levels, temporal constraints, organizational factors, and environmental conditions. Risks were stratified into moderate and high levels to focus on key areas for intervention. Finally, preventive strategies were proposed to reduce constraints and improve working conditions for healthcare workers. Results: Out of 31 work situations analyzed, 47.2% exhibited moderate to high-risk levels. The gynecology, high-risk pregnancy, and neonatology units concentrated critical constraints, including prolonged postures and intense physical efforts. Conclusion: The study highlights key priorities such as improving ergonomic equipment and reorganizing workflows to reduce physical strain and preserve healthcare workers’ health while ensuring quality patient care. This provides a foundation for targeted preventive strategies.