Amponsah-Tawiah Kwesi, Anuka Branden E
Department of Organization & Human Resource Management, University of Ghana Business School, Legon, Accra, Ghana, West Africa.
J Nurs Manag. 2018 Oct;26(7):802-809. doi: 10.1111/jonm.12588. Epub 2018 Aug 23.
The study aim to examine whether management commitment and prioritization of safety at the hospital had any relationship with health care workers' safety behaviour under pressure to deliver health care.
Sub-Saharan Africa faces a human resource crisis in the health sector, leading to a compromise of the safety practices of nurses and other care providers. Hence there is a need to probe the influence of pressure for health service delivery on safety behaviour.
The sample consisted of 295 respondents consisting of nurses, medical doctors and biological scientists from two teaching hospitals (Tamale Teaching Hospital and Komfu Anokye Teaching Hospital). A quantitative research design approach was used. Simple linear regression was carried out to test the hypotheses formulated.
The results showed that pressure for health service delivery negatively affected health care workers' safety behaviour whereas management commitment to safety and priority of safety at the hospital were positively related to safety behaviour.
Priority and the commitment of management to safety can influence the safety behaviour of nurses and other caregivers who are under pressure to deliver quality health care to the great number of patients.
Upholding high safety standards by management can create an enabling environment that would compel nurses and other caregivers to provide apt safety behaviours which in the long run can improve the quality of safety of nurses and other care providers.
本研究旨在探讨医院管理层对安全的承诺及优先级与医护人员在提供医疗服务压力下的安全行为之间是否存在关联。
撒哈拉以南非洲地区卫生部门面临人力资源危机，导致护士及其他护理人员的安全措施受到影响。因此，有必要探究医疗服务提供压力对安全行为的影响。
样本包括来自两家教学医院（塔马利教学医院和孔富·阿诺凯教学医院）的295名受访者，涵盖护士、医生和生物科学家。采用定量研究设计方法。进行简单线性回归以检验所提出的假设。
结果表明，医疗服务提供压力对医护人员的安全行为产生负面影响，而医院管理层对安全的承诺及安全优先级与安全行为呈正相关。
管理层对安全的优先级和承诺能够影响那些在为大量患者提供优质医疗服务压力下的护士及其他护理人员的安全行为。
管理层坚持高安全标准可营造有利环境，促使护士及其他护理人员展现恰当的安全行为，从长远来看可提高护士及其他护理人员的安全质量。
