Huang Hui-Ting, Tsai Chung-Hung, Wang Chia-Fen, Chien Tzu-Chao, Chang Shu-Hao
Taiwan Adventist Hospital, Taipei 10556, Taiwan.
Department of Information Technology and Management, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan.
Healthcare (Basel). 2023 Jan 4;11(2):153. doi: 10.3390/healthcare11020153.
Since the outbreak of COVID-19, the pandemic has become an important topic of global public health. To reduce the rapid spread of the pandemic, compliance with preventive behaviors has become one of the important guidelines from the World Health Organization (WHO). Healthcare workers stand on the frontline for pandemic prevention, and preventive behaviors are essential measures to protect their health and safety. The purpose of this study was to propose an integrative model that explained and predicted COVID-19 preventive behaviors among healthcare workers. The study integrated workplace safety climate and the health belief model (HBM) to verify the impact of workplace safety climate and health belief factors on the safety attitude, safety compliance, and safety satisfaction of healthcare workers performing COVID-19 pandemic prevention behaviors. A cross-sectional study was conducted from March to August 2021 with a self-administered online questionnaire. The sample of the study was drawn from healthcare workers of a famous medical institution in Taipei City as research subjects. After collecting 273 valid questionnaires and verifying them through the analysis of structural equation modeling (SEM), the findings revealed that workplace safety climate had an impact on health belief factors, and then health belief factors had impacts on safety attitudes. In addition, safety attitude affected safety compliance, while safety compliance further affected safety satisfaction. The study showed that workplace safety climate can strengthen healthcare workers' health beliefs and further affect their safety attitudes, safety compliance, and safety satisfaction. The study attempted to propose a model of healthcare workers' pandemic prevention behaviors as a reference for medical facility administrators in real practice.
自新冠疫情爆发以来，该疫情已成为全球公共卫生的一个重要议题。为减少疫情的快速传播，遵守预防行为已成为世界卫生组织（WHO）的重要指导方针之一。医护人员站在疫情防控的前线，预防行为是保护他们健康与安全的重要措施。本研究的目的是提出一个综合模型，用以解释和预测医护人员的新冠疫情预防行为。该研究整合了工作场所安全氛围和健康信念模型（HBM），以验证工作场所安全氛围和健康信念因素对从事新冠疫情防控行为的医护人员的安全态度、安全合规性和安全满意度的影响。于2021年3月至8月进行了一项横断面研究，采用自填式在线问卷。研究样本取自台北市一家著名医疗机构的医护人员作为研究对象。在收集了273份有效问卷并通过结构方程模型（SEM）分析进行验证后，研究结果显示工作场所安全氛围对健康信念因素有影响，进而健康信念因素对安全态度有影响。此外，安全态度影响安全合规性，而安全合规性进一步影响安全满意度。该研究表明，工作场所安全氛围可以强化医护人员的健康信念，并进一步影响他们的安全态度、安全合规性和安全满意度。该研究试图提出一个医护人员疫情防控行为模型，以供医疗机构管理人员在实际工作中参考。
