When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurse safety performance. (10th January 2019)

• Record Type: Journal Article
• Authors: Manapragada, Archana; Bruk‐Lee, Valentina; Thompson, Arieana H.; Heron, Laura M.
• Is Part Of: Journal of advanced nursing. Volume 75:Number 6(2019)
• Page Start: 1207
• Page End: 1218
• Publication Date: 2019-01-10
• Subjects: conflict -- nurses -- psychosocial hazards -- safety climate -- safety performance -- support -- workload; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.13911
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim: To examine the association between components of safety climate and psychosocial hazards with safe work behaviours and test the moderating effects of psychosocial hazards on the safety climate‐safety performance relationships. Background: The effects of a strong safety climate on safety performance are well cited, however, the conditions that have an impact on this relationship warrant attention. While the psychosocial hazards commonly reported by nurses are predictors of well‐being and job attitudes, evidence suggests that these may also place boundaries on the effects of safety climate on safe work practices. Design: This study used a cross‐sectional design to collect data from 146 nurses. Methods: Participants were recruited through convenience sampling and snowball sampling methods in 2017. Nurses completed an online questionnaire and received a $5 e‐gift card as compensation. SPSS v.23 and PROCESS v3.0 were used to analyse the data. Results/Findings: A strong safety climate was positively associated with nurses' safety performance. While psychosocial hazards did not predict safety performance, they did moderate the safety climate‐performance relationship. High levels of perceived stressors weakened the association between promoting two‐way safety communication, the use and implementation of procedures to promote safe work practices and management's endorsement of health and safety with safe work performance. Conclusion: The positive effects of safety climate on nurses' safety performance are contingent on the levels of psychosocial hazards nurses experience. When aiming to improve safety performance among nurses, it is important for efforts to also focus on the psychosocial conditions of the work environment. Abstract : 目的: 检查安全氛围和心理社会危害成分与安全工作行为之间的关联, 测试心理社会危害对安全氛围‐安全绩效关系的调节作用。 背景: 浓厚安全氛围对安全绩效的影响已经有充分引述, 但关注这一关系的影响条件仍然十分必要。虽然护士一般报告的心理社会危害是作为福利和工作态度的预测因素, 但有证据表明, 这些因素也可能会限制安全氛围对安全工作实践的影响。 设计: 本研究采用横断面设计, 收集了146名护士的数据。 方法: 2017年, 通过任意抽样和雪球式抽样招募了参与者。护士们完成了一份在线问卷, 并收到价值5美元的电子礼品卡作为报酬。数据分析采用了SPSS v.23和PROCESS v3.0软件。 结果/发现: 浓厚安全氛围与护士的安全绩效呈正相关。虽然心理社会危害并不能预测安全绩效, 但确实缓和了安全氛围与安全绩效之间的关系。较高的压力因素削弱了促进双向安全交流、使用和实施促进安全工作实践的程序以及管理层认可健康和安全与安全工作绩效之间的联系。 结论: 安全氛围对护士安全绩效的积极影响取决于护士经受的心理社会危害水平。提高护士的安全绩效还必须努力关注工作环境的心理社会状况。