The dynamic interplay of physical and psychosocial safety climates in frontline healthcare

Little is known about how safety climates concerning physical safety and psychosocial safety interact in the prediction of working conditions and subsequent worker health. Frontline healthcare was selected as the setting for this study on the dynamic interplay between physical and psychosocial safet...

Full description

Saved in:
Bibliographic Details
Published in:Stress and health 2019-12, Vol.35 (5), p.650-664
Main Authors: McLinton, Sarven S., Afsharian, Ali, Dollard, Maureen F., Tuckey, Michelle R.
Format: Article
Language:English
Subjects:
burnout
Climate
cost containment
job design
Medical personnel
Model testing
Occupational health
Occupational safety
Patient safety
Performance measurement
psychosocial safety climate
Safety
safety climate
safety incidents
System effectiveness
Workers
Working conditions
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Little is known about how safety climates concerning physical safety and psychosocial safety interact in the prediction of working conditions and subsequent worker health. Frontline healthcare was selected as the setting for this study on the dynamic interplay between physical and psychosocial safety climates because of a recent call for attention to working conditions in this industry. Poor safety climates for healthcare workers spill over into adverse outcomes for worker health, and when workers are compromised, then so too is their provision of quality patient care. We developed an integrated model of the relationships between psychosocial and physical safety climates, working conditions, and health and safety outcomes. A multilevel model was tested (N = 463 workers nested within n = 60 teams), and lagged analysis was conducted across four time points, each 6 months apart. The combination of safety climates significantly predict objective outcomes from hospital safety system records on staff accidents, absence, and patient incidents (quality of care), suggesting a dynamic interplay in the prediction of impacts on the worker, organization, and end‐user. Integrated physical and psychosocial safety climate measures can be incorporated into hospital occupational health and safety reporting and response systems as effective lead indicators and key performance metrics for work health and safety.
ISSN:1532-3005
1532-2998
DOI:10.1002/smi.2898