assistant professor, University of Calgary, Calgary, Alberta, Canada research scientist/program manager, University of Calgary associate professor, St. Louis University, St Louis, Missouri; and associate professor, University of Calgary.
J Healthc Manag. 2020 May-Jun;65(3):202-215. doi: 10.1097/JHM-D-19-00112.
Injury rates reported among healthcare practitioners tend to vary depending on position. Nurses and healthcare aides report different rates of injury, which suggests that position and job duties may be key injury antecedents. The outcomes related to workplace safety climate perceptions (e.g., injury rates, job satisfaction, turnover) require reflection to identify antecedents of safety perception. The purpose of this study was to examine workplace safety perceptions and well-being (e.g., stress, job satisfaction) of healthcare practitioners by position. A cross-sectional survey of care teams (e.g., nurses, healthcare aides, allied health professionals) was conducted across three inpatient units. Data (N = 144) were analyzed using hierarchical linear regression and binomial logistic regression to examine the relationship between safety climate and self-reported injuries and ANOVA to determine variations in safety climate perceptions by position. Results indicated that nurses, healthcare aides, and allied health professionals report differing levels of workplace safety climate perceptions. Nurses reported the poorest safety perceptions, lowest job satisfaction, and highest stress, while allied health professionals reported the highest safety perceptions and job satisfaction and the lowest stress. Safety climate perceptions were found to be significantly related to care practitioner reported stress, turnover intent, and job satisfaction. Considering the importance of safety climate perceptions for the well-being of care practitioners, healthcare organizations need to prioritize workplace safety to optimize practitioners' perceptions. This study makes a unique contribution to the safety climate literature by identifying the variation in safety climate perceptions by care practitioner position. Practical implications are offered for enhancing workplace safety perceptions.
医护人员报告的受伤率往往因职位而异。护士和医疗助理报告的受伤率不同,这表明职位和工作职责可能是导致受伤的关键因素。与工作场所安全氛围感知相关的结果(例如,受伤率、工作满意度、人员流动)需要进行反思,以确定安全感知的前因。本研究旨在通过职位来检查医护人员的工作场所安全感知和幸福感(例如,压力、工作满意度)。对三个住院病房的护理团队(例如,护士、医疗助理、辅助卫生专业人员)进行了横断面调查。使用分层线性回归和二项逻辑回归分析数据(N = 144),以检验安全氛围与自我报告的伤害之间的关系,以及方差分析以确定职位对安全氛围感知的差异。结果表明,护士、医疗助理和辅助卫生专业人员报告的工作场所安全氛围感知程度不同。护士报告的安全感知最差、工作满意度最低、压力最大,而辅助卫生专业人员报告的安全感知最高、工作满意度和压力最小。安全氛围感知与护理人员报告的压力、离职意向和工作满意度显著相关。考虑到安全氛围感知对护理人员幸福感的重要性,医疗保健组织需要优先考虑工作场所安全,以优化护理人员的感知。本研究通过确定护理人员职位的安全氛围感知差异,为安全氛围文献做出了独特的贡献。为增强工作场所安全感知提供了实际意义。