Department of Psychology, Florida International University, Miami, Florida.
PwC, McLean, Virginia.
J Adv Nurs. 2019 Jun;75(6):1207-1218. doi: 10.1111/jan.13911. Epub 2019 Jan 10.
To examine the association between components of safety climate and psychosocial hazards with safe work behaviours and test the moderating effects of psychosocial hazards on the safety climate-safety performance relationships.
The effects of a strong safety climate on safety performance are well cited, however, the conditions that have an impact on this relationship warrant attention. While the psychosocial hazards commonly reported by nurses are predictors of well-being and job attitudes, evidence suggests that these may also place boundaries on the effects of safety climate on safe work practices.
This study used a cross-sectional design to collect data from 146 nurses.
Participants were recruited through convenience sampling and snowball sampling methods in 2017. Nurses completed an online questionnaire and received a $5 e-gift card as compensation. SPSS v.23 and PROCESS v3.0 were used to analyse the data.
RESULTS/FINDINGS: A strong safety climate was positively associated with nurses' safety performance. While psychosocial hazards did not predict safety performance, they did moderate the safety climate-performance relationship. High levels of perceived stressors weakened the association between promoting two-way safety communication, the use and implementation of procedures to promote safe work practices and management's endorsement of health and safety with safe work performance.
The positive effects of safety climate on nurses' safety performance are contingent on the levels of psychosocial hazards nurses experience. When aiming to improve safety performance among nurses, it is important for efforts to also focus on the psychosocial conditions of the work environment.
探讨安全氛围的组成部分与心理社会危害因素与安全工作行为之间的关系，并检验心理社会危害因素对安全氛围-安全绩效关系的调节作用。
强有力的安全氛围对安全绩效的影响已得到充分证实，然而，影响这种关系的条件值得关注。虽然护士中常见的心理社会危害因素是幸福感和工作态度的预测因素，但有证据表明，这些因素也可能限制安全氛围对安全工作实践的影响。
本研究采用横断面设计，于 2017 年从 146 名护士中收集数据。
参与者通过便利抽样和滚雪球抽样方法招募，护士完成在线问卷并获得 5 美元电子礼品卡作为补偿。使用 SPSS v.23 和 PROCESS v3.0 分析数据。
结果/发现：强有力的安全氛围与护士的安全绩效呈正相关。虽然心理社会危害因素不能预测安全绩效，但它们确实调节了安全氛围-绩效关系。感知到的压力源水平越高，就越会削弱促进双向安全沟通、使用和实施程序以促进安全工作实践以及管理层对健康和安全的认可与安全工作绩效之间的关联。
安全氛围对护士安全绩效的积极影响取决于护士所经历的心理社会危害因素的水平。当旨在提高护士的安全绩效时，重要的是要努力关注工作环境的心理社会条件。
