Journal of Preventive Medicine and Public Health

  • 제53권6호
  • /
  • Pages.447-454
  • /
  • 2020
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

The Relationships Among Occupational Safety Climate, Patient Safety Climate, and Safety Performance Based on Structural Equation Modeling

  • Aghaei, Hamed (Department of Community Medicine, School of Medicine, Aja University of Medical Sciences) ;
  • Asadi, Zahra Sadat (Department of Community Medicine, School of Medicine, Aja University of Medical Sciences) ;
  • Aliabadi, Mostafa Mirzaei (Center of Excellence for Occupational Health (CEOH) and Occupational Health and Safety Research Center, Hamadan University of Medical Sciences) ;
  • Ahmadinia, Hassan (Department of Epidemiology and Biostatistics, Medical School, Rafsanjan University of Medical Sciences)
  • 투고 : 2020.07.24
  • 심사 : 2020.10.03
  • 발행 : 2020.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses. Methods: In the current cross-sectional study, the occupational safety climate, patient safety climate, and safety performance of nurses were measured using several questionnaires. Structural equation modeling was applied to test the relationships among occupational safety climate, patient safety climate, and safety performance. Results: A total of 211 nurses participated in this study. Over half of them were female (57.0%). The age of the participants tended to be between 20 years and 30 years old (55.5%), and slightly more than half had less than 5 years of work experience (51.5%). The maximum and minimum scores of occupational safety climate dimensions were found for reporting of errors and cumulative fatigue, respectively. Among the dimensions of patient safety climate, non-punitive response to errors had the highest mean score, and manager expectations and actions promoting patient safety had the lowest mean score. The correlation coefficient for the relationship between occupational safety climate and patient safety climate was 0.63 (p<0.05). Occupational safety climate and patient safety climate also showed significant correlations with safety performance. Conclusions: Close correlations were found among occupational safety climate, patient safety climate, and nurses' safety performance. Therefore, improving both the occupational and patient safety climate can improve nurses' safety performance, consequently decreasing occupational and patient-related adverse outcomes in healthcare units.

키워드

참고문헌

  1. Owens ML. The effect of safety climate, teamwork, and sustainable motivation on nurse job satisfaction and intent to stay [dissertation]. Tyler: University of Texas at Tyler; 2011.
  2. Gershon RR, Stone PW, Zeltser M, Faucett J, MacDavitt K, Chou SS. Organizational climate and nurse health outcomes in the United States: a systematic review. Ind Health 2007;45(5):622-636. https://doi.org/10.2486/indhealth.45.622
  3. World Health Organization. Patient safety; 2019 [cited 2020 Jul 1]. Available from: https://www.who.int/news-room/factsin-pictures/detail/patient-safety.
  4. Zohar D. Safety climate in industrial organizations: theoretical and applied implications. J Appl Psychol 1980;65(1):96-102. https://doi.org/10.1037/0021-9010.65.1.96
  5. Kudo Y, Kido S, Taruzuka Shahzad M, Saegusa Y, Satoh T, Aizawa Y. Safety climate and motivation toward patient safety among Japanese nurses in hospitals of fewer than 250 beds. Ind Health 2009;47(1):70-79. https://doi.org/10.2486/indhealth.47.70
  6. Lin SH, Tang WJ, Miao JY, Wang ZM, Wang PX. Safety climate measurement at workplace in China: a validity and reliability assessment. Saf Sci 2008;46(7):1037-1046. https://doi.org/10.1016/j.ssci.2007.05.001
  7. Najjar S, Nafouri N, Vanhaecht K, Euwema M. The relationship between patient safety culture and adverse events: a study in Palestinian hospitals. Saf Health 2015;1(1):16. https://doi.org/10.1186/s40886-015-0008-z
  8. Kohn LT, Janet Corrigan J, Donaldson MS; Committee on Quality of Health Care in America. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999, p. 18-24.
  9. Agnew C, Flin R, Mearns K. Patient safety climate and worker safety behaviours in acute hospitals in Scotland. J Safety Res 2013;45:95-101. https://doi.org/10.1016/j.jsr.2013.01.008
  10. Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med 2013;158(5 Pt 2):369-374. https://doi.org/10.7326/0003-4819-158-5-201303051-00002
  11. Mirzaei Aliabadi M, Aghaei H, Kalatpour O, Soltanian AR, Nikravesh A. Analysis of human and organizational factors that influence mining accidents based on Bayesian network. Int J Occup Saf ergon 2018:1-8.
  12. Lyu S, Hon CK, Chan AP, Wong FK, Javed AA. Relationships among safety climate, safety behavior, and safety outcomes for ethnic minority construction workers. Int J environ Res Public Health 2018;15(3):484. https://doi.org/10.3390/ijerph15030484
  13. Neal A, Griffin MA, Hart PM. The impact of organizational climate on safety climate and individual behavior. Saf Sci 2000;34(1-3):99-109. https://doi.org/10.1016/S0925-7535(00)00008-4
  14. Siu OL, Phillips DR, Leung TW. Safety climate and safety performance among construction workers in Hong Kong. The role of psychological strains as mediators. Accid Anal Prev 2004;36(3):359-366. https://doi.org/10.1016/S0001-4575(03)00016-2
  15. Pousette A, Larsson S, Torner M. Safety climate cross-validation, strength and prediction of safety behaviour. Saf Sci 2008;46(3):398-404. https://doi.org/10.1016/j.ssci.2007.06.016
  16. Hon CK, Chan AP, Yam MC. Relationships between safety climate and safety performance of building repair, maintenance, minor alteration, and addition (RMAA) works. Saf Sci 2014;65:10-19. https://doi.org/10.1016/j.ssci.2013.12.012
  17. Kuenzi M, Schminke M. Assembling fragments into a lens: a review, critique, and proposed research agenda for the organizational work climate literature. J Manag 2009;35(3):634-717. https://doi.org/10.1177/0149206308330559
  18. Flin R. Measuring safety culture in healthcare: a case for accurate diagnosis. Saf Sci 2007;45(6):653-667. https://doi.org/10.1016/j.ssci.2007.04.003
  19. Pousette A, Larsman P, Eklof M, Torner M. The relationship between patient safety climate and occupational safety climate in healthcare - a multi-level investigation. J Safety Res 2017;61:187-198. https://doi.org/10.1016/j.jsr.2017.02.020
  20. McCaughey D, DelliFraine JL, McGhan G, Bruning NS. The negative effects of workplace injury and illness on workplace safety climate perceptions and health care worker outcomes. Saf Sci 2013;51(1):138-147. https://doi.org/10.1016/j.ssci.2012.06.004
  21. Zarei E, Khakzad N, Reniers G, Akbari R. On the relationship between safety climate and occupational burnout in healthcare organizations. Saf Sci 2016;89:1-10. https://doi.org/10.1016/j.ssci.2016.05.011
  22. Javad M, Amin G, Mahbobe M, Forooshani R, Abas AS, Mohammad A. Validation of Farsi version of hospital survey on patient safety culture questionnaire, using confirmatory factor analysis method. Hosp J 2012;11(2):19-30 (Persian).
  23. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Qual Saf 2003;12(Suppl 2):ii17-ii23.
  24. Lawshe CH. A quantitative approach to content validity. Pers Psychol 1975;28(4):563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
  25. Mirzaei Aliabadi M, Aghaei H, Kalatpour O, Soltanian AR, Seyed-Tabib M. Effects of human and organizational deficiencies on workers' safety behavior at a mining site in Iran. Epidemiol Health 2018;40:e2018019. https://doi.org/10.4178/epih.e2018019
  26. Soltanzadeh A, Mohammadfam I, Moghimbeygi A, Ghiasvand R. Exploring causal factors on the severity rate of occupational accidents in construction worksites. Int J Civ Eng 2017;15(7):959-965. https://doi.org/10.1007/s40999-017-0184-9
  27. Techera U, Hallowell M, Stambaugh N, Littlejohn R. Causes and consequences of occupational fatigue: meta-analysis and systems model. J Occup Environ Med 2016;58(10):961-973. https://doi.org/10.1097/JOM.0000000000000837
  28. Ghasemi F, Samavat P, Soleimani F. The links among workload, sleep quality, and fatigue in nurses: a structural equation modeling approach. Fatigue 2019;7(3):141-152.
  29. Akbari H, Ghasemi F, Akbari H, Adibzadeh A. Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran, Iran. Epidemiol Health 2018;40:e2018042. https://doi.org/10.4178/epih.e2018042
  30. Feng XQ, Acord L, Cheng YJ, Zeng JH, Song JP. The relationship between management safety commitment and patient safety culture. Int Nurs Rev 2011;58(2):249-254. https://doi.org/10.1111/j.1466-7657.2011.00891.x
  31. Di Gravio G, Mancini M, Patriarca R, Costantino F. Overall safety performance of the air traffic management system: indicators and analysis. J Air Transp Manag 2015;44:65-69. https://doi.org/10.1016/j.jairtraman.2015.02.005
  32. Antony J, Forthun SC, Trakulsunti Y, Farrington T, McFarlane J, Brennan A, et al. An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context. Leadersh Health Serv (Bradf engl) 2019;32(4):509-524. https://doi.org/10.1108/lhs-12-2018-0065
  33. Aspden P, Wolcott JA, Bootman JL, Cronenwett LR. Preventing medication errors: quality chasm series. Washington, DC: National Academy Press; 2007, p. 409-446.
  34. Chaccour K, Darazi R, El Hassani AH, Andres E. From fall detection to fall prevention: a generic classification of fall-related systems. IEEE Sens J 2016;17(3):812-822. https://doi.org/10.1109/JSEN.2016.2628099
  35. Cooper MD, Phillips RA. Exploratory analysis of the safety climate and safety behavior relationship. J Safety Res 2004;35(5):497-512. https://doi.org/10.1016/j.jsr.2004.08.004
  36. Tholen SL, Pousette A, Torner M. Causal relations between psychosocial conditions, safety climate and safety behaviour-a multi-level investigation. Saf Sci 2013;55:62-69. https://doi.org/10.1016/j.ssci.2012.12.013
  37. Clarke S. The relationship between safety climate and safety performance: a meta-analytic review. J Occup Health Psychol 2006;11(4):315-327. https://doi.org/10.1037/1076-8998.11.4.315