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基层医疗保健层面的安全文化:一项针对担任领导职务员工的横断面研究

Safety Culture at Primary Healthcare Level: A Cross-Sectional Study Among Employees with a Leadership Role.

作者信息

Klemenc-Ketiš Zalika, Poplas Susič Antonija

机构信息

University of Ljubljana, Faculty of Medicine, Department of Family Medicine, Poljanski nasip 58, 1000 Ljubljana, Slovenia.

Community Health Centre Ljubljana, Metelkova 9, 1000 Ljubljana, Slovenia.

出版信息

Zdr Varst. 2019 Dec 13;59(1):42-46. doi: 10.2478/sjph-2020-0006. eCollection 2020 Mar.

Abstract

INTRODUCTION

An effective leadership is critical to the development of a safety culture within an organization. With this study, the authors wanted to assess the self-perceived level of safety culture among the employees with a leadership function in the Ljubljana Community Health Centre.

METHODS

This was a cross-sectional study in the largest community health centre in Slovenia. We sent an invitation to all employees with a leadership role (N=211). The Slovenian version of the SAQ - Short Form as a measurement of a safety culture was used. The data on demographic characteristics (gender, age, role, work experience, working hours, and location of work) were also collected. An electronic survey was used.

RESULTS

The final sample consisted of 154 (69.7%) participants, out of which 136 (88.3%) were women. The mean age and standard deviation of the sample was 46.2±10.5 years. The average scores for the safety culture domains on a scale from 1 to 5 were 4.1±0.6 for Teamwork Climate, Safety Climate, and Working Conditions and Satisfaction, 3.7±0.5 for Perception of Management, 3.6±0.4 for Communication, and 3.5±0.6 for Stress Recognition.

CONCLUSION

The safety culture among leaders in primary healthcare organizations in Slovenia is perceived as positive. There is also a strong organizational culture. Certain improvements are needed, especially in the field of communication and stress recognition with regards to safety culture.

摘要

引言

有效的领导力对于组织内安全文化的发展至关重要。通过本研究,作者希望评估卢布尔雅那社区健康中心具有领导职能的员工对安全文化的自我认知水平。

方法

这是一项在斯洛文尼亚最大的社区健康中心进行的横断面研究。我们向所有具有领导角色的员工(N = 211)发出了邀请。使用SAQ - 简版的斯洛文尼亚语版本作为安全文化的衡量指标。还收集了人口统计学特征(性别、年龄、角色、工作经验、工作时间和工作地点)的数据。采用电子调查。

结果

最终样本包括154名(69.7%)参与者,其中136名(88.3%)为女性。样本的平均年龄和标准差为46.2±10.5岁。安全文化领域在1至5分制上的平均得分分别为:团队合作氛围、安全氛围和工作条件与满意度为4.1±0.6,对管理层的认知为3.7±0.5,沟通为3.6±0.4,压力识别为3.5±0.6。

结论

斯洛文尼亚初级医疗保健组织中领导者的安全文化被认为是积极的。同时也有强大的组织文化。仍需要进行一些改进,特别是在安全文化的沟通和压力识别方面。

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