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Introduction: Musculoskeletal disorders (MSDs) are major occupational health and safety challenges to several groups of workers and their organisations. Though healthcare workers are highly vulnerable to MSDs, evidence suggest that in the presence of favourable organisational psychosocial factors, including psychosocial safety climate (PSC) at healthcare facilities, workers have less of MSD challenges. The aim is to collate global current evidence of the role of organizational level psychosocial factors in the occurrence of MSDs among healthcare workers.

Methods: This systematic scoping review is guided by the PRISMA_ScR framework and JBI guidelines. The following databases, PubMed Central, Scopus, JSTORE, Embase, Google Scholar, Web of Science and Ergonomic Abstracts are searched for available articles for this review. The search period has no lower band but ends on October 31^st 2025, and retrieve only English language articles. This review may not conduct quality assessment of included articles since it is a scoping review. Retrieved records are screened for full-text articles, which are further screened based on the inclusion criteria. Data extraction is done, data charted, and qualitative thematic analysis and synthesis carried on the data.

Results: The findings will provide detailed evidence on the organisational level psychological factors that contributes to the MSDs among health care workers especially in the context of developing countries. The case that, evidence from the healthcare facilities which have higher level of psychosocial support, including PSC would help to design structured organizational level intervention strategies to promote optimal psychosocial safety climate to reduce MSDs and associated effects among health care workers at various facilities in developing countries.

Discussion: Reducing the burden of MSDs among healthcare workers and their facilities needs stakeholders in healthcare to pay much attention to promoting psychosocial climate of these workers. This may demand increasing the PSC of the facilities not only to protect the workers from MSDs but also to reduce its effects both on the workers and on their organisations for quality healthcare delivery.

Conclusion and Impact: The outcome of this review will provide a conceptual framework and pretextual evidence for organisations and facilities across the developing countries to design and construct an optimal psychosocial safety climate for tackling MSDs among health care workers. 2. This work already instigates an international network of health partnership between Ghana, United Kingdom, Kenya and several other developing countries tackling MSDs among health care workers.