Profiles of total worker health® in United States small businesses.

Profiles of total worker health® in United States small businesses.
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DOI:
10.1186/s12889-021-11045-8
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发表时间:
2021-05-29
期刊:
影响因子:
4.5
通讯作者:
Newman LS
Newman LS
中科院分区:
医学2区
文献类型:
--
作者:
Schwatka NV;Dally M;Shore E;Dexter L;Tenney L;Brown CE;Newman LS

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Total Worker Health®(TWH)方法是保护和促进工人安全、健康和福祉的最佳实践方法。这种方法的核心是领导支持和健康和安全气候,支持日常使用的健康和安全政策和计划。有一些研究支持这些关系,但在小企业中的研究有限。此外,还有待证明的作用TWH的业务战略,反映了组织的政策和计划,在这一过程中发挥。本研究的目的是通过他们的组织的TWH方法来描述小企业,并评估这些方法与员工健康和安全行为的关系。我们使用了来自97家参与“小+安全+好”研究的企业的横截面数据。我们使用业务评估工具“健康工作场所评估”(Healthy Workplace Assessment™)和员工评估工具“员工健康与安全文化调查”(Employee Health and Safety Culture Survey)收集数据。我们在业务层面使用了潜在特征分析,根据这些评估中的一组特征来识别业务子组。在员工水平的线性回归分析,以确定配置文件与员工的安全和健康行为的关联。有两种情况的特点是最低(所有企业的33%)和最高(9%)的指标水平。此外,在TWH业务策略(27%)或领导力和气候(31%)两个不同的焦点上,也有两个轮廓得分较高。在一家企业工作的员工,除了有一个商业战略外,还关注领导力和气候,他们报告了最好的安全和健康行为。我们的研究表明,当企业制定了如何实施TWH方法的战略,并且他们表现出对这些战略的领导承诺并促进积极的安全和健康氛围时,TWH的员工参与度将最高。我们的研究结果提供了建议,如何使用TWH评估,以制定干预措施,为小企业。需要更多的研究来了解小企业是否可以随着时间的推移改善他们的形象,这些变化是否取决于环境因素,以及TWH的干预是否可以帮助他们改善他们的形象。在线版本包含补充材料,可通过10.1186/s12889-021-11045-8获得。
The Total Worker Health® (TWH) approach is a best practice method to protect and promote worker safety, health, and well-being. Central to this approach is leadership support and health and safety climates that support day-to-day use of health and safety policies and programs. There is some research that supports these relationships, but there is limited research amongst small businesses. Furthermore, it remains to be shown what role TWH business strategies, as reflected by organizational policies and programs, play in this process. The purpose of this study is to characterize small businesses by their organizations’ TWH approach and assess the relationship of these approaches to employee health and safety behaviors. We utilized cross-sectional data from 97 businesses participating in the Small+Safe+Well study. We collected data using a business assessment tool, Healthy Workplace Assessment™, and an employee assessment tool, Employee Health and Safety Culture Survey. We used latent profile analysis at the business level to identify subgroups of businesses based on a set of characteristics from these assessments. Linear regression analysis at the employee level was used to determine profile association with employee safety and health behaviors. There were two profiles characterized by the lowest (33% of all businesses) and highest (9%) levels of the indicators. There were also two profiles with higher scores on two of the different foci on either TWH business strategies (27%) or leadership and climate (31%). Employees working for a business with a profile that focused on leadership and climate, in addition to having a business strategy, reported the best safety and health behaviors. Our study demonstrates that employee engagement in TWH will be highest when businesses have a strategy for how they implement a TWH approach and when they demonstrate leadership commitment to these strategies and foster positive safety and health climates. Our results offer suggestions on how to use TWH assessments to develop interventions for small businesses. More research is needed to understand whether small businesses can improve upon their profile overtime, whether these changes depend on contextual factors, and whether TWH interventions can help them improve their profile. The online version contains supplementary material available at 10.1186/s12889-021-11045-8.
DOI: 10.1097/jom.0000000000000032
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影响因子: 3.2
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