Ahadzi Dzifa Francis, Afitiri Abdul-Rahaman, Ahadzi Elizabeth
Center for Occupational Safety and Health, Health and Safety Group Africa (HESAG Africa), Cape Coast, Ghana.
Department of Environmental Science, School of Biological Sciences, College of Agriculture and Natural Sciences, University of Cape Coast, Ghana.
Int J Nurs Stud Adv. 2021 Jan 20;3:100020. doi: 10.1016/j.ijnsa.2021.100020. eCollection 2021 Nov.
Evidence shows that routine occupational safety and health (OSH) training is critical for maintaining good safety culture at healthcare facilities. However, our understanding of how healthcare facility type and routine OSH training interactively influence the number of reported organizational safety culture perceptions is limited.
This study assesses the interactive effect of healthcare facility type and OSH training on the number of reported organizational safety culture perceptions of healthcare workers in Ghana, secondly it evaluates how the relationship was attenuated when theoretically relevant factors (compositional and contextual) were considered, and lastly examines the magnitude and order of association between the predictors and the number of reported organizational safety culture perceptions.
Cross-sectional interview study.
The researchers interviewed 500 healthcare workers in seventeen healthcare facilities in the Central region of Ghana.
Negative binomial regression models were fitted to cross-sectional survey data on 500 healthcare workers in Ghana.
Healthcare workers who work in healthcare centers (24%, <0.05) and hospitals (23%, <0.05) where routine OSH training was conducted were more likely to report good organizational safety culture perceptions compared with their counterparts who work at healthcare centers where no routine OSH training was conducted. Individuals who were above 39 years (23%, <0.05) were more likely to report good organizational safety culture perceptions compared with their counterparts in the 20-29-year category. Female healthcare workers (11%, <0.05) were more likely to report good organizational safety culture perceptions compared with their male counterparts.
These findings provide valuable information for policymakers and stakeholders in the healthcare sector to develop interventions necessary for improving safety culture at healthcare facilities.
有证据表明，常规职业安全与健康（OSH）培训对于维持医疗机构良好的安全文化至关重要。然而，我们对于医疗机构类型与常规OSH培训如何相互作用影响所报告的组织安全文化认知数量的理解有限。
本研究评估医疗机构类型与OSH培训对加纳医护人员所报告的组织安全文化认知数量的交互作用，其次评估在考虑理论相关因素（构成因素和背景因素）时这种关系如何减弱，最后检验预测因素与所报告的组织安全文化认知数量之间关联的大小和顺序。
横断面访谈研究。
研究人员对加纳中部地区17家医疗机构的500名医护人员进行了访谈。
对加纳500名医护人员的横断面调查数据拟合负二项回归模型。
与在未进行常规OSH培训的医疗中心工作的医护人员相比，在进行常规OSH培训的医疗中心（24%，<0.05）和医院（23%，<0.05）工作的医护人员更有可能报告良好的组织安全文化认知。39岁以上的个体（23%，<0.05）比20 - 29岁年龄段的同行更有可能报告良好的组织安全文化认知。女性医护人员（11%，<0.05）比男性同行更有可能报告良好的组织安全文化认知。
这些发现为医疗部门的政策制定者和利益相关者提供了有价值的信息，以便制定改善医疗机构安全文化所需的干预措施。
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