Abstract:Background
Job stress and safety climate have been recognized as two crucial factors that can increase the risk of occupational accidents. This study was performed to determine the relationship between job stress and safety climate factors in the occurrence of accidents using the Bayesian network model.
Methods
This cross-sectional study was performed on 1530 male workers of Asaluyeh petrochemical company in Iran. The participants were asked to com… Show more
“…The human factor is one of the agents affecting the occurrence of injuries ( Khoshakhlagh et al., 2017 ). According to Heinrich's theory, 80 percent of injuries happen because of unsafe behavior ( Khoshakhlagh et al., 2021 ). For this reason, developed countries have focused on controlling this factor in recent years ( Khoshakhlagh et al., 2019 ).…”
“…The human factor is one of the agents affecting the occurrence of injuries ( Khoshakhlagh et al., 2017 ). According to Heinrich's theory, 80 percent of injuries happen because of unsafe behavior ( Khoshakhlagh et al., 2021 ). For this reason, developed countries have focused on controlling this factor in recent years ( Khoshakhlagh et al., 2019 ).…”
“…[ 29 ], further thought needs to be given to a collaborative analysis that crosses organizational boundaries between different actors and structures, and examines how care can best be provided. Finally, the challenges associated with the quality of the working life of professionals who provide care should not be forgotten [ 36 , 37 ].…”
Background
French Nursing Homes (NHs) are in the early stages of implementing their Risk Management (RM) approach. A regional structure, which was mandated to provide independent support in RM, designed a training package.
Objective
To study the impact of the RM training package on safety culture (SC) in NHs and drivers for improvement in SC scores.
Method and analysis
This randomised controlled study targeted French NHs. Inclusion criteria were voluntary participation, no external support provided on the topic of adverse incidents upstream of the project, and the commitment of top management to its implementation. The 61 NHs were randomly allocated to one of two groups: the first benefited from a training package; support was given to the second after the impact measurement. Seven dimensions of SC were measured, at an 18-month interval, using the validated Nursing Home Survey on Patient Safety Culture questionnaire (22 items), which was administered to all of the professionals working in NHs. Eleven variables were captured, relating to the structural profile of the NH, the choices of top management in terms of healthcare safety, and the implementation of the system. Further modelling identified predictive factors for changes in SC scores.
Results
95% of NHs completed both rounds of the questionnaire. The dimension Feedback and communication about incidents (SC = 85.4% before the intervention) significantly improved (+2.8%; p = 0.044). Improvement in the dimension Overall perceptions of resident safety–organizational learning was close to significant (+3.1%; p = 0.075). Drivers for improvement in scores were a pre-existing quality improvement approach, and a steering group that showed RM leadership.
Conclusions
The system appears to have improved several dimensions of SC. Our findings are all the more important given the current crisis in the healthcare sector.
Trial registration
Retrospectively registered as NCT02908373 (September 21, 2016).
“…Scientific research intrinsically involves a high degree of uncertainty which, when coupled with policies or circumstances intending to increase productivity, increases worker stress. Discrimination and harassment contribute to the stress of individuals in the laboratory. , Mentors and leaders must be trained to recognize explicit and implicit DEIR hazards individuals experience in the laboratory, such as bullying or microaggressions, and minimize their impacts. Leaders must understand these threats cause laboratory workers to feel unwelcome and not valuedundermining laboratory safety.…”
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