Prihatiningsih Septyani, Martiana Tri, Widajati Noeroel, Fajar Jonny K
Doctoral Program in Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
Division of Occupational Health and Safety, Department of Health, Faculty of Vocational Studies, Universitas Airlangga, Surabaya, Indonesia.
Narra J. 2025 Aug;5(2):e1654. doi: 10.52225/narra.v5i2.1654. Epub 2025 May 12.
Safety performance among healthcare workers is an important issue, and currently, the factors related to it remain unclear. The aim of this study was to identify the factors related to safety performance among the healthcare worker population. This meta-analysis study was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) standards. Data on the factors affecting safety performance in the healthcare population were collected from each article to determine pooled point estimates. Data heterogeneity was evaluated using the Q statistic. Numerical data were analyzed using the inverse variance test, and the Mantel-Haenszel test was used for categorical data analysis. Pooled point estimates were presented as mean difference (MD) or odds ratio (OR) along with a 95% confidence interval (95%CI). Fifty articles were included in this study. Our results showed that nurses had lower safety performance compared to other professions (OR: 0.66; 95%CI: 0.56-0.79; -Egger: 0.3739; -Heterogeneity <0.0001; <0.0001). On the other hand, it was also identified that housekeepers were associated with better safety performance compared to other professions (OR: 1.90; 95%CI: 1.08-3.35; -Egger: 0.1577; -Heterogeneity: 0.0950; =0.0220). Furthermore, our findings revealed that healthcare workers who had undergone work safety training had better safety performance compared to those who had not (OR: 1.40; 95%CI: 1.01-1.95; -Egger: 0.6124; -Heterogeneity <0.0001; =0.0430). In conclusion, this study has identified the factors contributing to safety performance in the healthcare population. These findings can inform policymakers in developing regulatory improvements regarding safety performance in healthcare workers.
医护人员的安全绩效是一个重要问题，目前，与之相关的因素仍不明确。本研究的目的是确定医护人员群体中与安全绩效相关的因素。这项荟萃分析研究是按照系统评价和荟萃分析的首选报告项目（PRISMA）标准进行的。从每篇文章中收集有关影响医护人员安全绩效因素的数据，以确定合并点估计值。使用Q统计量评估数据异质性。数值数据采用逆方差检验进行分析，分类数据分析采用Mantel-Haenszel检验。合并点估计值以平均差（MD）或比值比（OR）以及95%置信区间（95%CI）表示。本研究纳入了50篇文章。我们的结果表明，与其他职业相比，护士的安全绩效较低（OR：0.66；95%CI：0.56 - 0.79；-Egger：0.3739；-异质性<0.0001；<0.0001）。另一方面，还发现与其他职业相比，勤杂工的安全绩效更好（OR：1.90；95%CI：1.08 - 3.35；-Egger：0.1577；-异质性：0.0950；=0.0220）。此外，我们的研究结果显示，接受过工作安全培训的医护人员比未接受过培训的人员具有更好的安全绩效（OR：1.40；95%CI：1.01 - 1.95；-Egger：0.6124；-异质性<0.0001；=0.0430）。总之，本研究确定了医护人员群体中影响安全绩效的因素。这些发现可为政策制定者在制定有关医护人员安全绩效的监管改进措施时提供参考。
