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Work Pressure and Safety Behaviors among Health Workers in Ghana: The Moderating Role of Management Commitment to Safety

  • Received : 2016.01.21
  • Accepted : 2016.05.03
  • Published : 2016.12.30

Abstract

Background: safety and healthy working environment has received numerous research attention over the years. Majority of these researches seem to have been conducted in the construction industry, with little attention in the health sector. Nonetheless, there are couple of studies conducted in Africa that suggest pressure in hospitals. Therefore the aim of the study was to examine how pressure influence safety behavior in the hospitals. With reference to the relevance of safety behavior in primary health care delivery, there was the need for the study. Method: Data was obtained from 422 public hospital employees. Respondents were assured that all information would be kept confidential to increase the response rate and acquire more accurate information. Collection of questionnaires from participants took four weeks (20 working days), after which the data was analyzed. Results: The result of the study showed that work pressure correlated negatively with safety behavior. General safety climate significantly correlated positively with safety behavior and negatively with work pressure, although the effect size for the latter was smaller. Hierarchical regression analysis showed management commitment to safety to moderate the relationship between work pressure and safety behavior. Conclusion: When employees perceive safety communication, safety systems and training to be positive, they seem to comply with safety rules and procedures than voluntarily participate in safety activities.

Keywords

References

  1. Neal A, Griffin MA, Hart PM. The impact of organizational climate on safety climate and individual behavior. Saf Sci 2000;34:99-109. https://doi.org/10.1016/S0925-7535(00)00008-4
  2. Barbaranelli C, Petitta L, Probst TM. Does safety climate predict safety performance in Italy and the USA? Cross-cultural validation of a theoretical model of safety climate. Accid Anal Prevent 2015;77:35-44. https://doi.org/10.1016/j.aap.2015.01.012
  3. Neal A, Griffin MA. A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. J Appl Psychol 2006;91:946-53. https://doi.org/10.1037/0021-9010.91.4.946
  4. DeMaria Jr S, Neustein SM. Production pressure, medical errors, and the preanesthesia checkout. Middle East J Anesthesiol 2010;20:631-8.
  5. Drach-Zahavy A, Somech A. Implicit as compared with explicit safety procedures: the experiences of Israeli nurses. Qual Health Res 2010;20:1406-17. https://doi.org/10.1177/1049732310373256
  6. Growth GS. Development Agenda (GSGDA) 2010-2013 [Internet]. [cited 2013 Mar 1]. Available from: http://www.ghanahealthservice.org/downloads/GHS%202011%20Annual%20Report%20Final%2014-8-12.pdf.
  7. Willcox ML, Peersman W, Daou P, Diakite C, Bajunirwe F, Mubangizi V, Khogali M. Human resources for primary health care in sub-Saharan Africa: progress or stagnation? Hum Resour Health 2015;13:76. https://doi.org/10.1186/s12960-015-0073-8
  8. World Health Organization (WHO). The world health report: 2006: working together for health. Geneva (Switzerland): WHO; 2006.
  9. Agnew C, Flin R, Mearns K. Patient safety climate and worker safety behaviours in acute hospitals in Scotland. J Saf Res 2013;45:95-101. https://doi.org/10.1016/j.jsr.2013.01.008
  10. Health and Safety Executive. Work related ill health and injuries in health and social care [Internet]. 2015 [cited 2015 Aug 25]. Available from: http://www.hse.gov.uk/statistics/industry/healthservices/index.htm.
  11. Choudhry RM. Behavior-based safety on construction sites: a case study. Accid Anal Prevent 2014;70:14-23. https://doi.org/10.1016/j.aap.2014.03.007
  12. Clarke S. An integrative model of safety climate: linking psychological climate and work attitudes to individual safety outcomes using meta-analysis. J Occup Organ Psychol 2010;83:553-78. https://doi.org/10.1348/096317909X452122
  13. DeJoy DM, Schaffer BS, Wilson MG, Vandenberg RJ, Butts MM. Creating safer workplaces: assessing the determinants and role of safety climate. J Saf Res 2004;35:81-90. https://doi.org/10.1016/j.jsr.2003.09.018
  14. Zohar D, Huang YH, Lee J, Robertson M. A mediation model linking dispatcher leadership and work ownership with safety climate as predictors of truck driver safety performance. Accid Anal Prevent 2014;62: 17-25. https://doi.org/10.1016/j.aap.2013.09.005
  15. McGonagle AK, Walsh BM, Kath LM, Morrow SL. Civility norms, safety climate, and safety outcomes: a preliminary investigation. J Occup Health Psychol 2014;19:437. https://doi.org/10.1037/a0037110
  16. Chen G. Correction to Beus, Dhanani, and McCord: A meta-analysis of personality and workplace safety: addressing unanswered questions. J Appl Psychol 2015;100:481. https://doi.org/10.1037/a0037916
  17. Cigularov KP, Chen PY, Rosecrance J. The effects of error management climate and safety communication on safety: a multi-level study. Accid Anal Prevent 2010;42:1498-506. https://doi.org/10.1016/j.aap.2010.01.003
  18. Clarke S. Safety climate in an automobile manufacturing plant: the effects of work environment, job communication and safety attitudes on accidents and unsafe behaviour. Personnel Rev 2006;35:413-30. https://doi.org/10.1108/00483480610670580
  19. Cooper MD, Phillips RA. Exploratory analysis of the safety climate and safety behavior relationship. J Saf Res 2004;35:497-512. https://doi.org/10.1016/j.jsr.2004.08.004
  20. World Health Organization (WHO). Safer Primary Care [Internet]. Geneva (Switzerland): WHO [cited 2015 Sep 19]. Available from: http://www.who. int/patientsafety/safer_primary_care/en/.
  21. World Health Organization (WHO). World health statistics 2010. Geneva (Switzerland): WHO; 2015.
  22. Aveling EL, Kayonga Y, Nega A, Dixon-Woods M. Why is patient safety so hard in low-income countries? A qualitative study of healthcare workers views in two African hospitals. Global Health 2015;11:6. https://doi.org/10.1186/s12992-015-0096-x
  23. Zohar D. Safety climate in industrial organizations: theoretical and applied implications. J Appl Psychol 1980;65:96. https://doi.org/10.1037/0021-9010.65.1.96
  24. Vinodkumar MN, Bhasi M. Safety management practices and safety behaviour: assessing the mediating role of safety knowledge and motivation. Accid Anal Prevent 2010;42:2082-93. https://doi.org/10.1016/j.aap.2010.06.021
  25. Wu TC, Liu CW, Lu MC. Safety climate in university and college laboratories: impact of organizational and individual factors. J Saf Res 2007;38:91-102. https://doi.org/10.1016/j.jsr.2007.01.003
  26. Christian MS, Bradley JC, Wallace JC, Burke MJ. Workplace safety: a metaanalysis of the roles of person and situation factors. J Appl Psychol 2009;94:1103. https://doi.org/10.1037/a0016172
  27. Hofmann DA, Morgeson FP, Gerras SJ. Climate as a moderator of the relationship between leaderemember exchange and content specific citizenship: safety climate as an exemplar. J Appl Psychol 2003;88:170-8. https://doi.org/10.1037/0021-9010.88.1.170
  28. Gershon RRM, Karkashian CD, Grosch JW, Murphy L, Escamilla-Cejudo A, Goldenhar LM, Williams LJ, Swanson NG. Modelling relationships between job stressors and injury and near-miss outcomes for construction labourers. Work Stress 2003;17:218-41. https://doi.org/10.1080/02678370310001616144
  29. Hemingway MA, Smith CS. Organizational climate and occupational stressors as predictors of withdrawal behaviours and injuries in nurses. J Occup Organ Psychol 1999;72:285-99. https://doi.org/10.1348/096317999166680
  30. Mearns K, Flin R, Gordon R, Fleming M. Human and organizational factors in offshore safety. Work Stress 2001;15:144-60. https://doi.org/10.1080/026783701102678370110066616
  31. Fugas CS, Silva SA, Melia JL. Another look at safety climate and safety behavior: Deepening the cognitive and social mediator mechanisms. Accid Anal Prevent 2012;45:468-77. https://doi.org/10.1016/j.aap.2011.08.013
  32. Morrow SL, McGonagle AK, Dove-Steinkamp ML, Walker CT, Marmet M, Barnes-Farrell JL. Relationships between psychological safety climate facets and safety behavior in the rail industry: a dominance analysis. Accid Anal Prevent 2010;42:1460-7. https://doi.org/10.1016/j.aap.2009.08.011
  33. Ghana Health Service. 2014 Annual Report [Internet]. 2014 [cited 2016 Mar 31]. Available from: http://www.ghanahealthservice.org/downloads/Ghana_Health_Service_2014_Annual_Report.pdf.
  34. Smith DR, Muto T, Sairenchi T, Ishikawa Y, Sayama S, Yoshida A, Townley-Jones M. Hospital safety climate, psychosocial risk factors and needlestick injuries in Japan. Ind Health 2010;48:85-95. https://doi.org/10.2486/indhealth.48.85
  35. Sorra JS, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Serv Res 2010;10:199. https://doi.org/10.1186/1472-6963-10-199
  36. Huang DT, Clermont G, Kong L, Weissfeld LA, Sexton JB, Rowan KM, Angus DC. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care 2010;22:151-61. https://doi.org/10.1093/intqhc/mzq017
  37. Bosak J, Coetseeb WJ, Cullinanea SJ. Safety climate dimensions as predictors for risk behavior. Accid Anal Prevent 2013;55:256-64. https://doi.org/10.1016/j.aap.2013.02.022
  38. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173-82. https://doi.org/10.1037/0022-3514.51.6.1173
  39. Aiken LS, West SG, Reno RR. Multiple regression: testing and interpreting interactions. Thousand Oaks (CA): Sage Publications; 1991.
  40. Flin R. Measuring safety culture in healthcare: a case for accurate diagnosis. Saf Sci 2007;45:653-67. https://doi.org/10.1016/j.ssci.2007.04.003
  41. Zohar D. Safety climate and beyond: a multi-level multi-climate framework. Saf Sci 2008;46:376-87. https://doi.org/10.1016/j.ssci.2007.03.006

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