A pilot study of changes in Total Worker Health® policies and programs and associated changes in safety and health climates in small business.
A pilot study of changes in Total Worker Health® policies and programs and associated changes in safety and health climates in small business.
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DOI：
10.1002/ajim.23290
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发表时间：
2021-12
影响因子：
3.5
通讯作者：
Newman LS
中科院分区：
文献类型：
--
作者：
Shore E;Tenney L;Schwatka NV;Dally M;Dexter L;Brown CE;Newman LS
关于全员健康®(TWh)政策和计划的变化是否与健康环境和安全环境的变化相关的纵向研究很少。我们假设，随着TWH政策和计划的变化，员工将报告从基线到一年的安全环境和健康环境的变化。25家不同的小企业及其雇员参加了大约相隔一年完成的评估。使用企业级健康工作场所评估™来衡量感兴趣的暴露、TWH政策和计划，该评估收集了6个基准的信息。感兴趣的结果，即员工对安全氛围和健康氛围的感知，通过员工调查进行衡量。我们使用配对t检验和简单线性回归来评估一年期间的变化。从基线到第一年，健康工作场所评估的平均总分变化了11.3分(SD=11.8)。从基线到第一年，每个基准的平均分数在本样本中呈正向变化。从基线到1年，平均安全气氛得分和健康气氛得分分别变化了+0.1分(SD=0.2)和+0.1分(SD=6.4)。健康工作场所总分的变化与健康氛围和安全氛围得分之间的相关性可忽略不计(β=0.002.0 1(95%CI：0.002，0.0 2)，β=0.0 1(95%CI：0.002，0.0 2))。我们的研究表明，当小企业改进其TWH政策和计划时，他们在员工对工作场所安全氛围和健康氛围的感知方面会有轻微的可衡量的改善。
There is little longitudinal research on whether changes to Total Worker Health® (TWH) policies and programs are associated with changes in health climate and safety climate. We hypothesize that as TWH policies and programs change, employees will report changes in safety climate and health climate from baseline to one year. Twenty-five diverse small businesses and their employees participated in assessments completed approximately one year apart. The exposures of interest, TWH policies and programs, were measured using the business-level Healthy Workplace Assessment™ which collects information on 6 benchmarks. The outcomes of interest, employee perceptions of safety climate and health climate, were measured via an employee survey. We employed paired t-tests and simple linear regression to assess change over a one-year period. The mean Healthy Workplace Assessment overall score changed by 11.3 points (SD = 11.8) from baseline to Year 1. From baseline to Year 1, the mean scores of each benchmark changed in a positive direction among this sample. The mean safety climate score and health climate score changed by +0.1 points (SD=0.2) and +0.1 points (SD=6.4) from baseline to Year 1, respectively. The associations between changes in the overall Healthy Workplace Assessment score and health climate and safety climate scores were negligible (β = 0.01 (95%CI: 0.002, 0.02), β = 0.01 (95%CI: 0.002, 0.02), respectively). Our study suggests that when small businesses improve upon their TWH policies and programs they experience marginal measurable improvements in employee perceptions of their workplace safety climate and health climate.
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