Informal Social Status Among Coworkers and Risk of Work-Related Injury Among Nurse Aides in Long-Term Care
Informal Social Status Among Coworkers and Risk of Work-Related Injury Among Nurse Aides in Long-Term Care
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DOI：
10.1002/ajim.20805
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发表时间：
2010-05-01
影响因子：
3.5
通讯作者：
Lipscomb, Hester J.
中科院分区：
文献类型：
--
作者：
Myers, Douglas J.;Lipscomb, Hester J.
背景 使用社交网络测量来探讨一个人在单一长期护理机构雇用的护士助理的非正式社会等级中的排名是否与工伤风险相关。方法检查了行政人员六个月的日程安排数据和自我报告的伤害记录。利用调查数据，每位助手在非正式等级制度中的社会地位排名被具体化为会向助手寻求工作相关事宜建议的同事数量。使用条件逻辑回归来模拟社会地位对伤害风险的影响；病例与由在场的同事以及受伤事件发生日期组成的对照组相匹配。这使得可以对具有某种职称的工人之间的社会群体内的社会地位排名进行比较。结果 伤害发生率在社会地位排名分数的三分位数中下降。观察到社会地位最高三分之一的人受伤风险没有显着下降（调整后 OR = 0.24 95% CI [0.05, 1.32]）。 结论 这项探索性研究的结果是内部一致的，并支持一个理论框架，即基于工作场所非正式社会地位的个人之间的社会关系模式可能会导致具有相同职称的个人之间工伤风险的差异。是。 J.工业医学。 53:514-523, 2010。(C) 2010 Wiley-Liss, Inc.
Background A social network measure was used to explore whether one's rank in an informal social hierarchy of nurse aides employed in a single long-term care facility was associated with risk of work-related injury.Methods Six months of administrative staff schedule data and self-reported injury records were examined. Using survey data, social status rank in the informal hierarchy for each aide was operationalized as the number of coworkers who would approach the aide for advice about work-related matters. Conditional logistic regression was used to model the effect of social status on injury risk; cases were matched to controls consisting of coworkers present on the,floor shift, and date of the injury event. This allowed for a comparison of social status rank within social groups among workers with the some job title.Results Injury incidence rates decreased across tertiles of social status rank scores. A non-significant drop in injury risk in the highest tertile of social status was observed (adjusted OR = 0.24 95% CI [0.05, 1.32]).Conclusion Findings of this exploratory study were internally consistent and support a theoretical framework suggesting that patterns of social relations between individuals based on informal social status in the workplace may contribute to differences in work-related injury risk among individuals with the same job title. Am. J. Ind. Med. 53:514-523, 2010. (C) 2010 Wiley-Liss, Inc.