Brown Jeanne Geiger, Trinkoff Alison, Rempher Kenneth, McPhaul Kathleen, Brady Barbara, Lipscomb Jane, Muntaner Charles
Department of Behavioral and Community Health, University of Maryland School of Nursing, Baltimore, MD, USA.
AAOHN J. 2005 May;53(5):213-7.
Work-related injuries such as back strain are common among health care workers. Work-related injury data are a primary data source with which managers can assess workplace safety, yet many work-related injuries go unreported. This study examined organizational, work-group, and individual factors, and nurses' inclination to report a work-related injury. Using a cross-sectional mailed survey, a probability sample of currently employed nurses (N = 1,163) indicated their inclination to report a workplace injury. Inclination to report injuries was higher in organizations with onsite health programs and when health and safety committees included non-management nurses and occupational health representatives. Reporting was reduced when nurses felt a lack of concern for staff welfare from supervisors and a climate of blame for worker injuries were present. Nurses were also less inclined to report work-related injuries when working in jobs with non-standard work arrangements. Improvements in the reporting climate may influence the completeness and, thus, the value of injury data for identifying hazards in the workplace. These data could provide valuable information for targeting preventive initiatives.
诸如背部拉伤等与工作相关的伤害在医护人员中很常见。与工作相关的伤害数据是管理人员评估工作场所安全性的主要数据来源，但许多与工作相关的伤害并未上报。本研究调查了组织、工作小组和个人因素，以及护士报告与工作相关伤害的倾向。通过横断面邮寄调查，对当前在职护士（N = 1,163）的概率样本进行调查，以表明他们报告工作场所伤害的倾向。在设有现场健康项目的组织中，以及健康与安全委员会中有非管理护士和职业健康代表时，报告伤害的倾向更高。当护士感到主管对员工福利缺乏关注且存在对工伤的指责氛围时，报告率会降低。在从事非标准工作安排的岗位上工作时，护士也不太倾向于报告与工作相关的伤害。报告氛围的改善可能会影响报告的完整性，从而影响用于识别工作场所危害的伤害数据的价值。这些数据可为针对性的预防措施提供有价值的信息。
