Silver Sharon R, Boiano James M
1 National Institute for Occupational Safety and Health, Cincinnati, OH.
Am J Med Qual. 2019 Mar/Apr;34(2):165-175. doi: 10.1177/1062860618791757. Epub 2018 Aug 9.
Safety climate has been associated with patient and health care worker safety and outcomes. However, few studies have examined how perceptions of workplace safety differ by worker, work schedule, and workplace characteristics. Data from 10 168 participants in the National Institute for Occupational Safety and Health's Health and Safety Practices Survey of Healthcare Workers were analyzed. Multivariable regression analyses examined associations among worker and workplace characteristics and items measuring 5 areas of workplace safety perception. Safety climate perception scores were higher (more positive) for dentists and for health care workers who were salaried, were self-employed, worked day shifts and shifts ⩽11 hours, and spent <76% of their time in patient care. A wide range of health care worker, work schedule, and workplace characteristics should be considered in analyses designed to evaluate safety climate and identify potential interventions to improve downstream safety outcomes.
安全氛围与患者及医护人员的安全及结果相关。然而,很少有研究探讨不同工种、工作班次和工作场所特征的员工对工作场所安全的认知有何差异。对美国国家职业安全与健康研究所医护人员健康与安全实践调查中10168名参与者的数据进行了分析。多变量回归分析检验了员工和工作场所特征与测量工作场所安全认知5个领域的项目之间的关联。牙医以及受薪、自营职业、上日班且班次时长≤11小时、且将<76%的时间用于患者护理的医护人员的安全氛围认知得分更高(更积极)。在旨在评估安全氛围并确定改善下游安全结果的潜在干预措施的分析中,应考虑广泛的医护人员、工作班次和工作场所特征。