Safety climate, worker health and organizational health performance Testing a physical, psychosocial and combined pathway
Safety climate, worker health and organizational health performance Testing a physical, psychosocial and combined pathway
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DOI：
10.1108/ijwhm-12-2015-0081
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发表时间：
2016-01-01
影响因子：
2.2
通讯作者：
Vermeeren, Brenda
中科院分区：
文献类型：
--
作者：
Bronkhorst, Babette;Vermeeren, Brenda
目的-本文的目的是调查组织安全气候和组织健康绩效结果（即缺勤，出勤，医疗保健利用率）之间的关系介导的个体工人的健康。作者使用三种途径来研究这种关系：一个以身体安全气候为起点，以肌肉骨骼疾病为中介的身体途径，一个以心理社会安全气候为起点，以情绪耗竭为中介的心理社会途径，和一个结合的途径开始与心理社会安全的气候和介导的两个MSD和情绪耗竭。设计/方法/途径-三个中介多层次的分析进行了使用的样本8,761名员工在177个医疗机构的工作。结果-虽然研究结果并不支持假设的物理路径，结果表明，心理社会途径对三种保健业绩成果中的两种（缺勤和出勤）的效果令人满意。相结合的物理和心理途径解释的差异，在第三个结果：医疗保健utilization.Originality/value -这是为数不多的研究，包括物理和心理途径，导致员工的健康和组织绩效。研究结果强调了在医疗保健工作场所关注心理健康和安全的重要性。不仅有利于员工的心理健康，也有利于提高员工的身体健康和后续的组织健康绩效。
Purpose - The purpose of this paper is to investigate the relationship between organizational safety climate and organizational health performance outcomes (i.e. absenteeism, presenteeism, health care utilization) mediated by individual worker health. The authors used three pathways to examine this relationship: a physical pathway starting with physical safety climate and mediated by musculoskeletal disorders (MSDs), a psychosocial pathway starting with psychosocial safety climate and mediated by emotional exhaustion, and a combined pathway starting with psychosocial safety climate and mediated by both MSDs and emotional exhaustion.Design/methodology/approach - Three mediational multilevel analyses were conducted using a sample of 8,761 employees working in 177 health care organizations.Findings - Although the findings did not support the hypothesized physical pathway, they showed that the psychosocial pathway worked satisfactorily for two of the three health performance outcomes (absenteeism and presenteeism). The combined physical and psychosocial pathway explained differences in the third outcome: health care utilization.Originality/value - This is one of the few studies to include both physical and psychosocial pathways that lead to employee health and organizational performance. The results underscore the importance of paying attention to psychological health and safety in the health care workplace. Not only for the psychological health of employees, but also to improve their physical health and subsequent organizational health performance.