Taiwan Adventist Hospital, Taipei 10556, Taiwan.
Department of Health Administration, Tzu Chi University of Science and Technology, Hualien 970, Taiwan.
Int J Environ Res Public Health. 2019 Mar 11;16(5):882. doi: 10.3390/ijerph16050882.
Advocating for improving workplace safety and health has gained substantial support in recent years. The medical industry is a high-risk industry and receives considerable public attention. This study used an integrative approach as a starting point and combined the contextual factors of an organization: perceived organizational support, safety climate, social influence, and shared decision making. Subsequently, the effects of these factors on preventive action and safety satisfaction were investigated. This study surveyed employees of two hospitals, one in Northern Taiwan and one in Eastern Taiwan, collecting valid data from 468 respondents. Structural equation modeling (SEM) was used to verify our research framework. The finding indicates that (1) All hypotheses proposed in this study were supported. (2) The overall goodness of fit of the model was excellent, and the explained variance of the outcome variables was high. (3) Safety climate had the strongest total effects on preventive action and safety satisfaction simultaneously, whereas preventive action had the strongest direct effect on safety satisfaction. The objective of this study was to obtain empirical conclusions and make suggestions for academic theory and clinical practice. The findings may serve as a reference for future research and for scholars and practitioners, enabling the creation of healthy workplaces and, thus, a brighter future.
近年来，倡导改善工作场所安全和健康已得到广泛支持。医疗行业属于高风险行业，备受公众关注。本研究采用整合方法作为起点，结合组织的情境因素：感知组织支持、安全氛围、社会影响和共同决策。随后，研究调查了这两个医院的员工，一个在台湾北部，一个在台湾东部，共收集了 468 位受访者的有效数据。结构方程模型（SEM）用于验证我们的研究框架。研究结果表明：（1）本研究提出的所有假设均得到支持。（2）模型的整体拟合度非常好，对结果变量的解释方差较高。（3）安全氛围对预防措施和安全满意度的综合影响最强，而预防措施对安全满意度的直接影响最强。本研究旨在获得实证结论，并为学术理论和临床实践提供建议。研究结果可以为未来的研究以及学者和从业者提供参考，以创建健康的工作场所，从而拥有更美好的未来。
