Department of Occupational Health Engineering, Guilan Road Trauma Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
Department of Occupational Medicine, Iran Medical University, Tehran, Iran.
Work. 2021;68(1):189-196. doi: 10.3233/WOR-203368.
Safety climate is a common insight of staff that indicates individuals' attitudes toward safety and priority of safety at work.
Nursing is a risky job where paying attention to safety is crucial. The assessment of the safety climate is one of the methods to measure the safety conditions in this occupation. The aim of this study was to assess the safety climate of rehabilitation nurses working in hospitals in Tehran.
This is a cross-sectional study which was carried out on 140 rehabilitation nurses selected from all hospitals and clinics in Tehran in 2019. To collect the required data, a two-section questionnaire was used. The first section was related to demographic factors and the second part (22 statements) was to measure the safety climate using nurses' safety climate assessment questionnaire. The collected data were analyzed by SPSS V16 using independent t-test, ANOVA, Kruskal-Wallis and Mann-Whitney U test at the 5% level.
Findings showed that the total mean of safety climate was 3.06±0.56. According to the results, a significant difference was found between the positive and negative satisfaction of nurses with safety climates (P-value = 0.03), communication with nurses (P-value = 0.01) and supervisors' attitude (P-value = 0.02). Furthermore, a significant difference in safety climate between the individual with the second job and the individual without second could be observed (P-value = 0.01).
The results indicated that the safety climate was not at an acceptable level. Thus, it is essential to introduce safety training courses (e.g. safety, work-rest balance, and so on) and to improve the safety performance at work.
安全氛围是员工对工作场所安全的态度和安全优先级的普遍看法。
护理工作是一项高风险的工作，关注安全至关重要。评估安全氛围是衡量该职业安全状况的方法之一。本研究旨在评估德黑兰医院康复护士的安全氛围。
这是一项横断面研究，于 2019 年在德黑兰的所有医院和诊所中选取了 140 名康复护士进行。为了收集所需的数据，使用了一个两部分的问卷。第一部分与人口统计学因素有关，第二部分（22 个陈述）使用护士安全氛围评估问卷来衡量安全氛围。使用 SPSS V16 对收集的数据进行分析，采用独立 t 检验、方差分析、Kruskal-Wallis 和 Mann-Whitney U 检验，检验水准为 5%。
研究结果表明，安全氛围的总平均值为 3.06±0.56。结果表明，护士对安全氛围的积极和消极满意度（P 值=0.03）、与护士的沟通（P 值=0.01）和主管态度（P 值=0.02）之间存在显著差异。此外，还可以观察到个体从事第二份工作和个体不从事第二份工作之间的安全氛围存在显著差异（P 值=0.01）。
研究结果表明，安全氛围尚未达到可接受的水平。因此，有必要引入安全培训课程（如安全、工作-休息平衡等），并提高工作场所的安全绩效。
