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This study aimed to investigate the factors associated with nurses' reporting of work\u2010related low back pain to their managers and explored the reasons why nurses with patient handling injuries did not report them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study is a concurrent mixed\u2010method analysis of data from two statewide cross\u2010sectional surveys of California registered nurses conducted in 2013 and 2016. The reporting of work\u2010related low back pain to management (<jats:italic>n<\/jats:italic>\u2009=\u2009288) was examined for associations with individual, occupational, and organizational factors. For qualitative analysis, the reasons for not reporting patient handling injuries were explored using open\u2010ended responses (<jats:italic>n<\/jats:italic>\u2009=\u200942).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Reporting was associated with BIPOC (Black, Indigenous, and People of Color) men (adjusted odds ratio [AOR]: 1.31, 95% confidence interval [CI]: 1.07\u22121.59) compared to non\u2010Hispanic White women; being a non\u2010US educated nurse (AOR: 0.90, 95% CI: 0.80\u22121.01); experiencing greater low back pain (AOR: 1.07, 95% CI: 1.02\u22121.12); missing work (AOR: 1.38, 95% CI: 1.21\u22122.62); perceiving high physical workload (AOR: 0.89, 95% CI: 0.81\u22120.98); perceiving high people\u2010oriented culture (AOR: 1.14, 95% CI: 1.04\u22121.25); and perceiving high ergonomic practices (AOR: 0.89, 95% CI: 0.81\u22120.98). Identified themes on the reasons for not reporting injuries included organizational\u2010culture attitudes toward work\u2010related injuries and injury characteristics of musculoskeletal disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings indicate a need for management to remove structural barriers and improve organizational practices, and for a culture that promotes trust and open communication between workers and management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23530","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T05:34:55Z","timestamp":1693200895000},"page":"952-964","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Underreporting of work\u2010related low back pain among registered nurses: A mixed method study"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3045-7055","authenticated-orcid":false,"given":"Suyoung","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Jeong","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Nursing University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,27]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"US Bureau of Labor Statistics. 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