ICU nurses' safety performance related to respect for safety and management commitment: A cross-sectional study
ICU nurses' safety performance related to respect for safety and management commitment: A cross-sectional study
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DOI：
10.1080/10376178.2022.2104740
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发表时间：
2022-08-03
影响因子：
1.6
通讯作者：
Dauwed, Mohammed
中科院分区：
文献类型：
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作者：
Al-Bsheish, Mohammad;Jarrar, Mu'taman;Dauwed, Mohammed
背景医疗工作是全球最容易发生事故的职业之一。护士，特别是在重症监护病房(ICU)工作的护士，由于其复杂的工作职责，极有可能在工作中遭遇不幸。通过合规和参与安全来实现安全绩效是一种积极主动的方法，也是衡量工作场所对员工的保护的重要工具。尽管医院管理者和管理者对这一工具的兴趣有所增加，但在这一领域的科学研究一直受到限制。本研究的目的有二：(1)探讨尊重安全感对ICU护士安全绩效的影响；(2)探讨安全管理承诺(MCS)在尊重安全感与安全绩效之间的中介作用。方法采用整群抽样方法，随机抽取约旦卫生部8家公立医院的ICU护士进行问卷调查。共285名护士完成问卷调查。数据分析采用SmartPLS3自举技术。结果护士对安全的尊重感知对其安全依从性(Beta=.39，p<；.01)和安全参与度(Beta=.34，p<；.01)有显著正向影响，MCS起中介作用。结论研究结果支持在管理层和员工之间建立和保持尊重文化的重要性，特别是在感知到对安全问题的尊重方面，这种文化将提高安全绩效。这项研究解释了积极的MCS的作用，这有助于全面理解研究模式。还增加了对改善工作场所安全的实际影响。医疗保健组织经理对研究结果的影响陈述认可将改善ICU护士的安全，并最终减少不良后果。
Background Healthcare work is one of the most accident-prone occupations globally. Nurses, especially those who work in Intensive Care Units (ICU), are very likely to experience mishaps on the job due to the complicated duties they perform. Safety performance through compliance and participation in safety is a proactive approach and a critical tool to measure the protection of employees, like these, in the workplace. Although interest in this tool has increased among hospital administrators and managers, scientific research has been limited in this area. Aims The study's purposes were twofold: (1) to explore the effect of perceived respect safety on the safety performance of ICU nurses and (2) to explore the mediation effect of Management Commitment to Safety (MCS) between the relationship of perceived respect safety and safety performance. Methods Eight public hospitals from the Jordanian Ministry of Health (JMoH) were selected randomly using cluster sampling, and their ICU nurses were surveyed. A total of 285 nurses completed questionnaires. The SmartPLS3 bootstrapping technique was used to analyse data. Results The results established that the perceived respect for the safety of nurses has a significant and positive effect on their safety compliance (beta = .39, p < .01) and safety participation (beta = .34, p < .01), and that MCS mediated these associations. Conclusion The findings support the importance of developing and maintaining a culture of respect between management and employees, especially in terms of perceived respect for safety issues, and that culture will improve safety performance. The study explains the role of an active MCS, which contributes to understanding the research model fully. Practical implications for improving workplace safety also are added. Impact statement Recognition of the study's findings by healthcare organisation managers would improve ICU nurses' safety and ultimately decrease undesirable outcomes.