Bennouna Aida, Boughaba Assia, Djabou Salim, Mouda Mohamed
Health and Safety Industrial Institute, University of Batna 2, Laboratory of Research in Industrial Prevention (LRPI), Fesdis, Batna, 05078, Algeria.
Faculty of Economic Commerce and Management Sciences, Finance and Accounting, 12002, Tebessa, Algeria.
Saf Health Work. 2025 Mar;16(1):36-45. doi: 10.1016/j.shaw.2024.11.003. Epub 2024 Nov 12.
In healthcare, ensuring safety is crucial for quality care and patient outcomes. While research links leader-member exchange (LMX) quality to safety behavior, this remains understudied in healthcare. Our study explores LMX's long-term impact on safety behavior, proposing a model that includes the moderated mediating role of psychological safety and job satisfaction in the relationship between LMX and safety behaviors, regarding compliance (SCB) and participation (SPB). By identifying the mechanisms through which LMX influences safety behavior, this study can provide insights into the development of interventions that promote workplace safety and enhance the well-being of healthcare workers.
We collected data from 325 Algerian healthcare workers across three public hospitals at three points. Through SmartPLS analysis, we used advanced features of Partial Least Squares Structural Equation Modeling (PLS-SEM) alongside PROCESS analysis to evaluate the relationships within our proposed model.
Our analysis found a significant association between higher LMX and increased job satisfaction that positively correlated with enhanced SCB adherence and mediated the LMX-SCB relationship. This relationship was strengthened with high psychological safety.
Our study emphasizes the crucial role of LMX quality in shaping safety behavior among Algerian healthcare workers, providing insights for cultivating a safety culture in healthcare settings, highlighting the significance of prioritizing LMX, JS, and PS to improve workplace safety and support healthcare worker well-being.
在医疗保健领域，确保安全对于优质护理和患者治疗结果至关重要。虽然研究将领导-成员交换（LMX）质量与安全行为联系起来，但在医疗保健领域这方面仍研究不足。我们的研究探讨了LMX对安全行为的长期影响，提出了一个模型，该模型包括心理安全和工作满意度在LMX与安全行为（合规性安全行为[SCB]和参与性安全行为[SPB]）之间关系中的调节中介作用。通过确定LMX影响安全行为的机制，本研究可为促进工作场所安全和提高医护人员福祉的干预措施的制定提供见解。
我们在三个时间点从三家公立医院的325名阿尔及利亚医护人员那里收集了数据。通过SmartPLS分析，我们使用偏最小二乘结构方程模型（PLS-SEM）的高级功能以及PROCESS分析来评估我们提出的模型中的关系。
我们的分析发现，较高的LMX与工作满意度提高之间存在显著关联，工作满意度提高与SCB依从性增强呈正相关，并介导了LMX与SCB之间的关系。这种关系在高心理安全的情况下得到加强。
我们的研究强调了LMX质量在塑造阿尔及利亚医护人员安全行为方面的关键作用，为在医疗环境中培养安全文化提供了见解，突出了优先考虑LMX、工作满意度（JS）和心理安全（PS）以改善工作场所安全和支持医护人员福祉的重要性。
