Jiang Lili, Muller Matthew, McGeer Allison, Simor Andrew, Holness D Linn, Coleman Kristy K L, Katz Kevin, Loeb Mark, McNeil Shelly, Nichol Kathryn, Powis Jeff, Coleman Brenda L
Sinai Health, Toronto, ON, Canada.
St. Michael's Hospital & University of Toronto, Toronto, ON, Canada.
Antimicrob Steward Healthc Epidemiol. 2024 Oct 2;4(1):e157. doi: 10.1017/ash.2024.426. eCollection 2024.
Studies have shown an association between workplace safety climate scores and patient outcomes. This study aimed to investigate (1) performance of the hospital safety climate scale that was adapted to assess acute respiratory illness safety climate, (2) factors associated with safety climate scores, and (3) whether the safety scores were associated with following recommended droplet and contact precautions.
A survey of Canadian healthcare personnel participating in a cohort study of influenza during the 2010/2011-2013/2014 winter seasons. Factor analysis and structural equation modeling were used for analyses.
Of the 1359 participants eligible for inclusion, 88% were female and 52% were nurses. The adapted items loaded to the same factors as the original scale. Personnel working on higher risk wards, nurses, and younger staff rated their hospital's safety climate lower than other staff. Following guidelines for droplet and contact precautions was positively associated with ratings of management support and absence of job hindrances.
The adapted tool can be used to assess hospital safety climates regarding respiratory pathogens. Management support and the absence of job hindrances are associated with hospital staff's propensity and ability to follow precautions against the transmission of respiratory illnesses.
研究表明工作场所安全氛围得分与患者预后之间存在关联。本研究旨在调查：（1）为评估急性呼吸道疾病安全氛围而改编的医院安全氛围量表的性能；（2）与安全氛围得分相关的因素；（3）安全得分是否与遵循推荐的飞沫和接触预防措施相关。
对参与2010/2011 - 2013/2014年冬季流感队列研究的加拿大医护人员进行调查。采用因子分析和结构方程模型进行分析。
在1359名符合纳入条件的参与者中，88%为女性，52%为护士。改编后的条目与原始量表加载到相同的因子上。在高风险病房工作的人员、护士和年轻员工对其医院安全氛围的评分低于其他员工。遵循飞沫和接触预防措施指南与管理支持评分及无工作障碍呈正相关。
改编后的工具可用于评估医院针对呼吸道病原体的安全氛围。管理支持和无工作障碍与医院工作人员遵循呼吸道疾病传播预防措施的倾向和能力相关。
