The ConCom Safety Management Scale: developing and testing a measurement instrument for control-based and commitment-based safety management approaches in hospitals

Alingh, Carien W; Strating, Mathilde; Wijngaarden, Jeroen D H van; Paauwe, Jaap; Huijsman, Robbert

doi:10.1136/bmjqs-2017-007162

Cited by 6 publications

(8 citation statements)

References 28 publications

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“…Control-based and commitment-based safety management : Nurses’ perceptions of the safety management approaches used by their direct supervisor were measured using the 33-item ConCom Safety Management Scale 36. An example item is: ‘The actions of my supervisor show that patient safety is a top priority’.…”

Section: Methodsmentioning

confidence: 99%

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses’ willingness to speak up

et al. 2018

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Results provide initial support that nurses who perceive higher levels of commitment-based safety management feel safer to take interpersonal risks and are more willing to speak up about patient safety concerns. Furthermore, nurses' perceptions of control-based safety management are found to be positively related to a climate for safety, although no association was found with speaking up. Both control-based and commitment-based management approaches seem to be relevant for managing patient safety, but when it comes to encouraging speaking up, a commitment-based safety management approach seems to be most valuable.

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Section: Methodsmentioning

confidence: 99%

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses’ willingness to speak up

et al. 2018

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“…This was a methodological study for adapting the CCSMS [ 14 ] for the Korean context and testing that version’s validity and reliability. The scale was first translated into Korean considering Korea’s clinical context and then assessed for content validity by nursing experts in patient safety management.…”

Section: Methodsmentioning

confidence: 99%

“…The original is a 33-item scale that examines nurses’ perceptions of their managers’ control- and commitment-based patient safety management approaches [ 14 ]. The scale comprises seven subscales: stressing the importance of safety rules and regulations (5 items), monitoring compliance (4 items), providing employees with feedback (3 items), showing role modeling behavior (7 items), creating safety awareness (6 items), showing safety commitment (5 items), and encouraging participation (3 items).…”

Section: Methodsmentioning

confidence: 99%

“…Currently, the Perception of Importance on Patient Safety scale is the most commonly used tool in Korea to measure employees’ awareness of patient safety management [ 13 ]. Alingh et al developed the ConCom Safety Management Scale (CCSMS) to measure employees’ perception of mutually complementary management by integrating control- and commitment-based management [ 14 ]. The CCSMS integrates control- and commitment-based management approaches and focuses on nurse managers’ leadership behaviors regarding patient safety management in hospitals [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Validity and Reliability of a Korean Version of the ConCom Safety Management Scale

Kwon

Kim

2021

IJERPH

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The purpose of this study was to verify the validity and reliability of the Korean version of the ConCom Safety Management Scale (K-CCSMS). This study consisted of two phases. First, in accordance with the guidelines of the World Health Organization, the Korean version of the scale was developed in five stages. Second, data from 206 general and tertiary hospital nurses were analyzed to confirm the validity and reliability of the K-CCSMS; thus, the construct validity, criterion-related validity, and reliability were confirmed. In total, 21 items divided across four factors (i.e., stressing the importance of safety rules and monitoring, providing employees with feedback, showing role modeling behavior, and creating safety awareness) were identified through exploratory factor analysis. Three items were deleted through confirmatory factor analysis, and the model fit was as follows: normed χ2 = 2.80, normed fit index = 0.87, Tucker–Lewis index = 0.90, comparative fit index = 0.92, and standardized root mean square residual = 0.05. The correlation coefficient between the K-CCSMS and patient safety culture was 0.76 (p < 0.001), and internal consistency was acceptable (Cronbach’s α = 0.95). For patient safety, an appropriate combination of control- and commitment-based management is required, and the 18-item K-CCSMS showed usefulness and reliability in determining such a balance and evaluating the leadership styles of Korean nursing managers.

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“…Besides, in previous research studies, scholars have identified the role of safety management practices to enhance occupational health and safety performance (Almost et al, 2019;Baldassarre et al, 2020;Hanafi et al, 2018;Lee, 2018;Liu et al, 2020;Vinodkumar and Bhasi, 2010;Zimolong and Elke, 2006). However, the rate of accidents, injuries, and health and safety expenses revealed the fundamental concerns for the study designs and safety management models (Alingh et al, 2018;Amponsah-Tawaih and Adu, 2016;Aziz, 1993). Added to this, occupational health and safety-related theories have evolved dramatically and resulted in various safety management practices in the last decade (Zohar, 2000).…”

Section: Introductionmentioning

confidence: 99%

Safety Management Practices and Occupational Health and Safety Performance: An Empirical Review

Ajmal¹,

Isha²,

Nordin³

2021

JBR

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his paper aims to investigate how the relationship between safety management practices and occupational health and safety performance have been examined in the literature, and which future research areas can be recommended. This systematic literature review applied the matrix method to examine major literature in safety management practices and occupational health and safety performance. A total of 24 papers in English peer-reviewed from 21 journals were selected and analyzed. The synthesis of these empirical studies revealed the following: The relationship between safety management practices and occupational health and safety performance has mostly been investigated quantitatively in many countries and sectors; management commitment to safety, safety rules, and procedures and safety training are still most commonly used safety management practices to improve occupational health and safety performance. In this study, research articles were selected only from English journals; therefore, some research articles in other languages might not be included. The findings of this study can be used to develop a safety management model to reduce the rate of injuries, accidents, and near misses in high hazardous risk organizations. Overall, the findings provide Safety management practices overview that practitioners use to manage safety performance. There are only a few systematic literature reviews available on safety management practices, occupational health, and safety performance. This paper is among the first systematic literature reviews to analyze how safety management practices have been associated with occupational health and safety performance and provide potential research avenues.

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The ConCom Safety Management Scale: developing and testing a measurement instrument for control-based and commitment-based safety management approaches in hospitals

Cited by 6 publications

References 28 publications

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses’ willingness to speak up

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses’ willingness to speak up

Validity and Reliability of a Korean Version of the ConCom Safety Management Scale

Safety Management Practices and Occupational Health and Safety Performance: An Empirical Review

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