The Influence of Supportive and Ethical Work Environments on Work-Related Accidents, Injuries, and Serious Psychological Distress among Hospital Nurses.

The Influence of Supportive and Ethical Work Environments on Work-Related Accidents, Injuries, and Serious Psychological Distress among Hospital Nurses.
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DOI:
10.3390/ijerph15020240
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发表时间:
2018-01-31
影响因子:
--
通讯作者:
Nakanishi M
Nakanishi M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Tei-Tominaga M;Nakanishi M

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日本的医疗保健行业经历了许多因精神疾病而导致的工伤、事故和工人赔偿索赔案件。本研究探讨支持性和伦理性工作环境对医院护士工作事故、伤害和严重心理困扰的影响。向11家医院的护士发放自填问卷(n = 1114)。有效应答(n = 822, 93%为女性,平均年龄= 38.49±10.09岁)用于分析。问卷内容包括基本属性、工作和组织特征、工作场所的社会资本和道德氛围、心理困扰以及过去半年的工伤事故或伤害经历。多变量logistic回归分析的最终模型显示,每周加班时间少于4小时(OR = 0.313)、每月休假超过一次(OR = 0.424)和排他性工作环境(OR = 1.314)与工伤事故或伤害显著相关。此外,排他性的工作环境(OR = 1.696)增加了严重心理困扰的风险。为了防止由这些变量引起的工伤赔偿案件,加强医院的职业卫生与安全是必要的。
The healthcare industry in Japan has experienced many cases of work-related injuries, accidents, and workers’ compensation claims because of mental illness. This study examined the influence of supportive and ethical work environments on work-related accidents, injuries, and serious psychological distress among hospital nurses. Self-reported questionnaires were distributed to nurses (n = 1114) from 11 hospitals. Valid responses (n = 822, 93% women, mean age = 38.49 ± 10.09 years) were used for analyses. The questionnaire included items addressing basic attributes, work and organizational characteristics, social capital and ethical climate at the workplace, psychological distress, and experience of work-related accidents or injuries in the last half year. The final model of a multivariate logistic regression analysis revealed that those who work less than 4 h of overtime per week (OR = 0.313), those who work on days off more than once per month (OR = 0.424), and an exclusive workplace climate (OR = 1.314) were significantly associated with work-related accidents or injuries. Additionally, an exclusive workplace climate (OR = 1.696) elevated the risk of serious psychological distress. To prevent work-related compensation cases, which are caused by these variables, strengthening hospitals’ occupational health and safety is necessary.
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