Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership.
Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership.
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DOI：
10.3390/ijerph182111313
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发表时间：
2021-10-28
影响因子：
--
通讯作者：
Williams JAR
中科院分区：
文献类型：
--
作者：
Collins JE;Boden LI;Gundersen DA;Katz JN;Wagner GR;Sorensen G;Williams JAR
疗养院的工作人员遭受职业伤害的风险很高。了解养老院是否以及哪些养老院实施综合政策来保护和促进工人健康至关重要。我们调查了护理主任（DON）在美国三个州的养老院与工作场所综合安全与健康（WISH）评估，最近开发和验证的工具，评估工作场所的政策，计划和实践，影响工人的安全，健康和福祉。我们假设，企业和营利性养老院将不太可能报告与全面工人健康（TWH）方法一致的政策。对于五个验证的WISH域中的每一个，我们使用多变量逻辑回归评估了WISH得分最低四分位数与所有权状态之间的关联。我们的样本包括543家养老院，其中83%是企业拥有的，77%是营利性的。平均而言，根据WISH的衡量，DON报告了高执行率的TWH政策。我们没有发现公司所有权或营利性地位与任何WISH域的WISH得分之间存在关联。多项敏感性分析的结果一致。营利性地位和企业所有权地位不确定养老院，可能会受益于额外的TWH方法。
Workers in nursing homes are at high risk of occupational injury. Understanding whether—and which—nursing homes implement integrated policies to protect and promote worker health is crucial. We surveyed Directors of Nursing (DON) at nursing homes in three US states with the Workplace Integrated Safety and Health (WISH) assessment, a recently developed and validated instrument that assesses workplace policies, programs, and practices that affect worker safety, health, and wellbeing. We hypothesized that corporate and for-profit nursing homes would be less likely to report policies consistent with Total Worker Health (TWH) approaches. For each of the five validated WISH domains, we assessed the association between being in the lowest quartile of WISH score and ownership status using multivariable logistic regression. Our sample included 543 nursing homes, 83% which were corporate owned and 77% which were for-profit. On average, DONs reported a high implementation of TWH policies, as measured by the WISH. We did not find an association between either corporate ownership or for-profit status and WISH score for any WISH domain. Results were consistent across numerous sensitivity analyses. For-profit status and corporate ownership status do not identify nursing homes that may benefit from additional TWH approaches.
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DOI：
10.1016/j.jamda.2006.05.010
发表时间：
2007-01-01
影响因子：
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作者：
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