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1.
Stress Health ; 39(2): 384-403, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35986939

RESUMEN

Although job insecurity and employability have drawn much research attention, the plausible relationships between them and how they jointly influence mental health remain unclear in the literature. We draw upon JD-R and COR theories to test and contrast three plausible relationships between job insecurity and employability, using a longitudinal sample of 1216 employees over 18 years. We further expand tests of these theoretical positions by considering temporal dynamics, using dynamic structural equation models (DSEMs) for stronger mediation evidence and latent growth models (LGMs) to compare the effects of job insecurity and employability trends in predicting the trend of mental health. In general, findings showed that job insecurity mediated the relationship between employability and mental health, supporting the mediation hypothesis. We also found that employability moderated the relationship between job insecurity and mental health, supporting the moderation hypothesis, although the effect was weak. Results further suggested that the effect magnitudes of job insecurity and employability predicting mental health were significantly different. Specifically, job insecurity was a stronger predictor of mental health than employability across all 18 years; the trend of job insecurity also predicted the trend of mental health more strongly than the trend of employability. Taken together, this study not only advances theory precision but also methodological soundness of research on job insecurity, employability, and mental health, supporting the value of considering temporal factors in examining mental health effects of job insecurity and employability.


Asunto(s)
Empleo , Salud Mental , Humanos , Empleo/psicología
2.
J Safety Res ; 82: 166-175, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-36031244

RESUMEN

INTRODUCTION: As the Covid-19 pandemic affects the world, disruptions to work routines impose a psychological burden on people, and thus can affect their job performance and well-being. We conducted an empirical study to explore the links between the experience of Covid-19 and workers' safety behaviors and well-being outcome of job satisfaction. METHOD: Structural equation modelling (SEM) with a sample of 515 safety workers was conducted to simultaneously test the links among these constructs. RESULTS: Experience of Covid-19 was associated with lower employee job satisfaction, explained by higher psychological uncertainty and decreased perception of managerial commitment to safety. Notably, contrasting pathways from experience of Covid-19 to safety behaviors were found. On the one hand, higher psychological uncertainty caused by the pandemic was associated with lower perceptions of managerial safety commitment; and lower perceived managerial safety commitment was linked to reduced safety compliance and safety participation. On the other hand, experience of Covid-19 in this study showed unexpected positive direct links with safety behaviors, which might be explained by workers' enhanced safety knowledge, motivation, and status of mindfulness due to Covid-19 related safety instructions and communications. CONCLUSIONS: This exploratory study helps to deepen the understanding of workplace safety and well-being in the context of pandemic and in times of uncertainty. PRACTICAL APPLICATIONS: The practical insights are useful for applying appropriate strategies for managing the Covid-19 crisis, coping with uncertainties, and building a healthier and safer workplace in the long run.


Asunto(s)
COVID-19 , Satisfacción en el Trabajo , Humanos , Pandemias , Incertidumbre , Lugar de Trabajo
3.
Nat Rev Psychol ; 1(7): 378-392, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35574235

RESUMEN

Self-determination theory has shaped our understanding of what optimizes worker motivation by providing insights into how work context influences basic psychological needs for competence, autonomy and relatedness. As technological innovations change the nature of work, self-determination theory can provide insight into how the resulting uncertainty and interdependence might influence worker motivation, performance and well-being. In this Review, we summarize what self-determination theory has brought to the domain of work and how it is helping researchers and practitioners to shape the future of work. We consider how the experiences of job candidates are influenced by the new technologies used to assess and select them, and how self-determination theory can help to improve candidate attitudes and performance during selection assessments. We also discuss how technology transforms the design of work and its impact on worker motivation. We then describe three cases where technology is affecting work design and examine how this might influence needs satisfaction and motivation: remote work, virtual teamwork and algorithmic management. An understanding of how future work is likely to influence the satisfaction of the psychological needs of workers and how future work can be designed to satisfy such needs is of the utmost importance to worker performance and well-being.

4.
Appl Ergon ; 94: 103412, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33740741

RESUMEN

Fatigue is a critically important aspect of crew endurance in submarine operations, with continuously high fatigue being associated with increased risk of human error and long-term negative health ramifications. Submarines pose several unique challenges to fatigue mitigation, including requirements for continuous manning for long durations, a lack of access to critical environmental zeitgebers (stimuli pertinent to circadian physiology; e.g., natural sunlight), and work, rest and sleep occurring within an encapsulated environment. In this paper, we examine the factors that underlie fatigue in such a context with the aim of evaluating the predictive utility of a biomathematical model (BMM) of fatigue. Three experience sampling studies were conducted with submarine crews using a participant-led measurement protocol that included assessments of subjective sleepiness, workload (NASA-Task Load Index [TLX] and a bespoke underload-overload scale), and sleep. As expected, results indicated that predicting KSS with a BMM approach outperformed more conventional linear modelling approaches (e.g., time-of-day, sleep duration, time awake). Both the homeostatic and circadian components of the BMM were significantly associated with KSS and used as controls in the workload models. We found increased NASA-TLX workload was significantly associated with increased average KSS ratings at the between-person level. However, counter to expectations, the two workload measures were not found to have significant linear or quadratic relationship with fatigue at the within-person level. An important outcome of the research is that applied fatigue researchers should be extremely cautious applying conventional linear predictors when predicting fatigue. Practical implications for the submarine and related extreme work context are discussed. Important avenues for continued research are outlined, including directly estimating BMM parameters.


Asunto(s)
Fatiga , Carga de Trabajo , Fatiga/etiología , Humanos , Navíos , Sueño , Vigilia
5.
Accid Anal Prev ; 148: 105834, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33120185

RESUMEN

There has been no scarcity in the literature of suggested antecedents of employee safety behavior, and this paper brings together the disaggregated antecedents of safety behavior in the construction field. In total, 101 eligible empirical articles are obtained. Bibliometric and context analyses are combined to identify the influential journals, scholars, keywords, use of theory, research methods, and countries or regions of the empirical samples. The 83 factors that are identified are divided into five groups, namely (a) individual characteristics, (b) workgroup interactions, (c) work and workplace design, (d) project management and organization, and (e) family, industry, and society. This indicates that the causes of safety behavior are manifold. Various factors from different systems likely work in concert to create situations in which an individual chooses to comply with safety rules and participate voluntarily in safety activities. Given this, we propose that safety behavior is only an ostensible symptom of more complex "The Self-Work-Home-Industry/Society" systems and establish a safety behavior antecedent analysis and classification model. Based on this model, we develop a resource flow model, illustrating why, how, and when the flow of resources between the five systems-namely the self system, work system, home system, work-home interface system, and industry/society system-either promotes or inhibits safety behavior. The safety behavior antecedent analysis and classification model and resource flow model are based mainly on bioecological system theory and resources theories. Avenues for future theoretical development and method designs are suggested based on the reviewed findings and the two conceptual models. The intention with this systematic review together with the two integrated conceptual models is to advance theoretical thinking on how safety behavior can be promoted, or instead, inhibited.


Asunto(s)
Accidentes de Trabajo/psicología , Accidentes de Trabajo/estadística & datos numéricos , Accidentes de Tránsito/psicología , Accidentes de Tránsito/estadística & datos numéricos , Industria de la Construcción/estadística & datos numéricos , Lugar de Trabajo/psicología , Lugar de Trabajo/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Teóricos , Administración de la Seguridad/métodos , Administración de la Seguridad/estadística & datos numéricos
6.
Saf Sci ; 131: 104929, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32834517

RESUMEN

Pervasive human and organizational factors (HOFs) within the public sectors play a vital role in the prevention and control of epidemic (PCE). Insufficient analysis of HOFs has helped continue the use of flawed precautions. In this study, we attempted to establish a quantitative model to (a) clarify HOFs within the public sectors with regard to PCE, (b) predict the probability of relevant risk factors and an epidemic, and (c) diagnose the critical factors. First, we systematically identified 47 HOFs based on the Human Factors Analysis and Classification System (HFACS). We then converted the HFACS framework into a Bayesian Network (BN) after determining the causalities among these factors. Finally, we applied the hybrid HFACS-BN model to analyze the COVID-19 outbreak in China by virtue of its efficacy in probability prediction and diagnosis of key risk factors, and thus to test the feasibility of the model itself. This study contributes to a holistic analysis of HOFs within the public sectors with regard to PCE by providing a risk assessment model for epidemics or pandemics, and developing risk analysis methods for the public health field.

7.
Accid Anal Prev ; 142: 105572, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32361476

RESUMEN

Employee safety citizenship behavior (SCB) is critical for workplace safety in a high-risk work environment, but few studies have addressed how safety stressors affect SCB. This study investigates the different relationships between safety stressors (safety role ambiguity, safety role conflict, and interpersonal safety conflict) and two forms of SCB (proactive and prosocial). It also examines the moderating effect of safety-specific trust (cognition- and affect-based) within these relationships. An analysis of 332 multisource data from frontline workers and their safety supervisors in China reveals that safety role ambiguity and safety role conflict negatively affect proactive safety behaviors, while interpersonal safety conflict impedes prosocial safety behaviors. Additionally, cognition-based safety trust alleviates the effects of safety role ambiguity and safety role conflict on proactive safety behaviors, whereas affect-based safety trust effectively restricts the influence of interpersonal safety conflict on prosocial safety behaviors. These results suggest that managers need to instill SCB in their subordinates and combat stressful conditions through interventions that enhance safety-specific trust.


Asunto(s)
Accidentes de Trabajo/prevención & control , Administración de la Seguridad/organización & administración , Lugar de Trabajo/organización & administración , Adulto , China , Conflicto Psicológico , Femenino , Humanos , Relaciones Interpersonales , Masculino , Confianza
8.
J Appl Psychol ; 105(11): 1308-1326, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32091228

RESUMEN

Drawing on Cybernetic Big Five Theory, we propose that chronic job insecurity is associated with an increase in neuroticism and decreases in agreeableness and conscientiousness (the 3 traits that reflect stability). Data collected from 1,046 employees participating in the Household, Income and Labor Dynamics in Australia survey over a 9-year period were analyzed. Job insecurity and the other job-related variables (i.e., job control, time demand, and job stress) were measured in all years, and personality was measured at the first, fifth, and ninth years. We applied latent trait-state-occasion modeling and specified models using variables across two timeframes (from Time 1 to Time 4 and from Time 5 to Time 9). Results showed that chronic job insecurity over four or five preceding years predicted a small increase in neuroticism and a small decrease in agreeableness in both timeframes, and a small decrease in conscientiousness in the first timeframe. We also found that chronic job stress explained the association between chronic job insecurity and the increase in neuroticism, but not changes in other personality traits, in the first timeframe. Similar results were obtained when the entire 9-year timeframe was examined. The results generally showed null effects of chronic job insecurity with regard to extraversion and openness (the traits that reflect plasticity). This study suggests that job insecurity has important implications for one's personality when experienced over a long-term period. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Empleo/psicología , Personalidad , Adolescente , Adulto , Anciano , Australia , Extraversión Psicológica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neuroticismo , Encuestas y Cuestionarios , Adulto Joven
9.
J Safety Res ; 70: 169-180, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31847992

RESUMEN

The Publisher regrets that this article is an accidental duplication of an article that has already been published in Journal of Safety Research, 68 (2019) 203-214, https://doi.org/10.1016/j.jsr.2018.12.011. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.

11.
Accid Anal Prev ; 129: 190-201, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31163325

RESUMEN

Safety citizenship behaviors (SCBs) are important participative organizational behaviors that emerge in work-groups. SCBs create a work environment that supports individual and team safety, encourages a proactive management of workplace safety, and ultimately, prevents accidents. In spite of the importance of SCBs, little consensus exists on research issues like the dimensionality of safety citizenship, and if any superordinate factor level of safety citizenship should be conceptualized, and thus measured. The present study addressed this issue by examining the dimensionality of SCBs, as they relate to behaviors of helping, stewardship, civic virtue, whistleblowing, voice, and initiating change in current practices. Data on SCBs were collected from four industrial plants (N = 1065) in four European countries (Italy, Russia, Switzerland, United Kingdom). The results show that SCBs structure around two superordinate second-order factors that reflect affiliation and challenge. Multi-group analyses supported the structure and metric invariance of the two-factor model across the four national subsamples.


Asunto(s)
Accidentes de Trabajo/prevención & control , Cultura Organizacional , Conducta Social , Europa (Continente) , Femenino , Humanos , Italia , Psicometría , Federación de Rusia , Suiza , Reino Unido
12.
J Safety Res ; 68: 203-214, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30876512

RESUMEN

INTRODUCTION: Perceived management safety commitment as an aspect of safety climate or culture is a key influence on safety outcomes in organizations. What is unclear is how perceptions of management commitment are created by leaders. METHOD: To address this gap in the literature, we position safety commitment as a leadership construct viewed from the perspectives of the leaders who experience and demonstrate it. In this paper, an established multidimensional commitment framework is applied to leaders' safety commitment (consisting of affective, normative, and calculative commitment). Via an exploratory sequential mixed methods design combining interviews (n = 40) and surveys (n = 89), we investigate the applicability of this theoretical conceptualization to safety commitment. RESULTS: The results indicate the multiple dimensions captured leaders' safety commitment well, safety commitment can be demonstrated via a range of behaviors, and the dimensions' association with behavioral demonstrations aligned with those of other types of commitment reported in the literature. Only affective safety commitment was consistently associated with demonstrations of safety commitment. The link between high levels of affective and normative safety commitment and demonstrations was more pronounced when participants perceived their company's safety climate more positively. CONCLUSIONS: Adopting a focus on leaders' experience of safety commitment offers opportunities for new research into the way in which safety commitment perceptions are shaped by leaders. Practical application: The findings can support leaders' reflection about their personal mindset around safety and support them in fostering strong safety climates and cultures. It further encourages organizations in creating work environments that in particular foster affective and normative safety commitments in leaders.


Asunto(s)
Liderazgo , Administración de la Seguridad/organización & administración , Humanos , Cultura Organizacional , Encuestas y Cuestionarios
13.
Accid Anal Prev ; 123: 235-242, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30530247

RESUMEN

Cycling for transportation has multiple benefits to both individuals and societies. However, in many countries, cycling rates are very low. One major deterrent is hostile or aggressive behaviours directed towards cyclists. Past research has established that negative attitudes towards cyclist are a major driver of aggressive behaviour. However, the attitudinal roots that motivate these negative attitudes are currently not well understood. This study investigates to what extent negative attitudes towards cyclists are rooted in a sense of attachment to cars, and environmental attitudes. Furthermore, the study examines whether the distinctiveness of group-membership of cyclists, as signalled by cycling attire, influences the link between attitudes and aggressive behaviours directed at cyclists. An online survey of 308 car drivers measured automobility and environmental attitudes, attitudes towards cyclist, and aggressive behaviour addressed at two groups of cyclists (lycra-clad or casually dressed cyclists). Hierarchical regression analyses showed that automobility attitudes, but not environmental attitudes, were associated with negative car driver attitudes towards cyclists. A significant link between negative attitudes towards cyclists and aggressive behaviour addressed at cyclists was not moderated by the type of cyclist shown. These findings provide a more refined understanding of the basis in which negative attitudes towards cyclists are rooted and how they affect driver behaviour. This research may inform campaigns and initiatives aimed at changing attitudes towards cyclists.


Asunto(s)
Conducción Agresiva/psicología , Automóviles , Ciclismo/psicología , Apego a Objetos , Adulto , Conducción Agresiva/estadística & datos numéricos , Ciclismo/estadística & datos numéricos , Vestuario/psicología , Femenino , Hostilidad , Humanos , Masculino , Persona de Mediana Edad , Análisis de Regresión , Estadísticas no Paramétricas , Encuestas y Cuestionarios
14.
J Safety Res ; 65: 29-37, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29776527

RESUMEN

INTRODUCTION: Individual safety performance (behavior) critically influences safety outcomes in high-risk workplaces. Compared to the study of generic work performance on different measurements, few studies have investigated different measurements of safety performance, typically relying on employees' self-reflection of their safety behavior. This research aims to address this limitation by including worker self-reflection and other (i.e., supervisor) assessment of two worker safety performance dimensions, safety compliance and safety participation. METHOD: A sample of 105 workers and 17 supervisors in 17 groups in the Chinese construction industry participated in this study. Comparisons were made between worker compliance and participation in each measurement, and between workers' and supervisors' assessment of workers' compliance and participation. Multilevel modeling was adopted to test the moderating effects on the worker self-reflection and supervisor-assessment relationship by group safety climate and the work experience of supervisors. RESULTS: Higher levels of safety compliance than participation were found for self-reflection and supervisor assessment. The discrepancy between the two measurements in each safety performance dimension was significant. The work experience of supervisors attenuated the discrepancy between self- and supervisor-assessment of compliance. Contrary to our expectations, the moderating effect of group safety climate was not supported. CONCLUSIONS: The discrepancy between worker self- and supervisor-assessment of worker safety performance, thus, suggests the importance of including alternative measurements of safety performance in addition to self-reflection. Lower levels of participation behavior in both raters suggest more research on the motivators of participatory behavior. Practical applications The discrepancy between different raters can lead to negative reactions of ratees, suggesting that managers should be aware of that difference. Assigning experienced supervisors as raters can be effective at mitigating interrater discrepancy and conflicts in the assessment of compliance behavior.


Asunto(s)
Industria de la Construcción/estadística & datos numéricos , Cultura Organizacional , Administración de la Seguridad/estadística & datos numéricos , Lugar de Trabajo/normas , Adulto , China , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
15.
Accid Anal Prev ; 106: 234-242, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28645020

RESUMEN

While risk perception is a key factor influencing safety behavior, the academia lacks specific attention to the ways that workers perceive risk, and thus little is known about the mechanisms through which different risk perceptions influence safety behavior. Most previous research in the workplace safety domain argues that people tend to perceive risk based on rational formulations of risk criticality. However, individuals' emotions can be also useful in understanding their perceptions. Therefore, this research employs an integrated analysis concerning the rational and emotional perspectives. Specifically, it was expected that the identified three rational ways of perceiving risk, i.e., perceived probability, severity, and negative utility, would influence the direct emotional risk perception. Furthermore, these four risk perceptions were all expected to positively but differently influence safety behavior. The hypotheses were tested using a sample of 120 construction workers. It was found that all the three rational risk perceptions significantly influenced workers' direct perception of risk that is mainly based on emotions. Furthermore, safety behavior among workers relied mainly on emotional perception but not rational calculations of risk. This research contributes to workplace safety research by highlighting the importance of integrating the emotional assessment of risk, especially when workers' risk perception and behavior are concerned. Suggested avenues for improving safety behavior through improvement in risk perception include being aware of the possibility of different ways of perceiving risk, promoting experience sharing and accident simulation, and uncovering risk information.


Asunto(s)
Percepción , Medición de Riesgo , Lugar de Trabajo/psicología , Accidentes de Trabajo/prevención & control , Adulto , China , Industria de la Construcción/estadística & datos numéricos , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Salud Laboral , Encuestas y Cuestionarios , Adulto Joven
16.
J Occup Health Psychol ; 22(3): 341-353, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28150991

RESUMEN

Safety climate research has reached a mature stage of development, with a number of meta-analyses demonstrating the link between safety climate and safety outcomes. More recently, there has been interest from systems theorists in integrating the concept of safety culture and to a lesser extent, safety climate into systems-based models of organizational safety. Such models represent a theoretical and practical development of the safety climate concept by positioning climate as part of a dynamic work system in which perceptions of safety act to constrain and shape employee behavior. We propose safety climate and safety culture constitute part of the enabling capitals through which organizations build safety capability. We discuss how organizations can deploy different configurations of enabling capital to exert control over work systems and maintain safe and productive performance. We outline 4 key strategies through which organizations to reconcile the system control problems of promotion versus prevention, and stability versus flexibility. (PsycINFO Database Record


Asunto(s)
Accidentes de Trabajo/prevención & control , Cultura Organizacional , Administración de la Seguridad/organización & administración , Conductas Relacionadas con la Salud , Humanos , Metaanálisis como Asunto , Modelos Organizacionales , Salud Laboral , Percepción , Lugar de Trabajo/psicología
17.
Psychol Methods ; 20(4): 489-505, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26322999

RESUMEN

Cross-lagged regression coefficients are frequently used to test hypotheses in panel designs. However, these coefficients have particular properties making them difficult to interpret. In particular, cross-lagged regression coefficients may vary, depending on the respective time lags between different sets of measurement occasions. This article introduces the concept of an optimal time lag. Further, it is demonstrated that optimal time lags in panel studies are related to the stabilities of the variables investigated, and that in unidirectional systems, they may be unrelated to the size of possible true effects. The results presented also suggest that optimal time lags for panel designs are usually quite short. Implications are (a) that interpreting cross-lagged regression coefficients requires taking the time lag between measurement occasions into account, and (b) that in much research, far shorter time lags than those frequently found in the literature are justifiable, and we call for more "shortitudinal" studies in the future.


Asunto(s)
Estudios Longitudinales , Modelos Estadísticos , Análisis de Regresión , Proyectos de Investigación , Niño , Depresión/etiología , Humanos , Factores de Tiempo
18.
Accid Anal Prev ; 68: 156-71, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24393216

RESUMEN

The paper outlines a systemic approach to understanding and assessing safety capability in the offshore oil and gas industry. We present a conceptual framework and assessment guide for understanding fitness-to-operate (FTO) that builds a more comprehensive picture of safety capability for regulators and operators of offshore facilities. The FTO framework defines three enabling capitals that create safety capability: organizational capital, social capital, and human capital. For each type of capital we identify more specific dimensions based on current theories of safety, management, and organizational processes. The assessment guide matches specific characteristics to each element of the framework to support assessment of safety capability. The content and scope of the FTO framework enable a more comprehensive coverage of factors that influence short-term and long-term safety outcomes.


Asunto(s)
Accidentes de Trabajo/prevención & control , Modelos Teóricos , Yacimiento de Petróleo y Gas , Administración de la Seguridad/normas , Humanos , Modelos Organizacionales , Océanos y Mares , Cultura Organizacional , Objetivos Organizacionales , Medición de Riesgo/métodos , Análisis de Sistemas
19.
Inj Prev ; 20(4): e6, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24478230

RESUMEN

BACKGROUND: Although road traffic injury is reported as the leading cause of work-related death in Australia, it is not clear, due to limitations in previous methods used, just how large a burden it is. Many organisations are unaware of the extent of work-related road traffic injury and, importantly, what can be done to reduce the burden. The proposed research will (i) estimate the prevalence of work-related road traffic injury and (ii) identify the organisational determinants associated with work-related road traffic injury. METHODS AND DESIGN: The current study is designed to enumerate the problem and identify the individual driver-level, the supervisor-level and organisational-level factors associated with work-related road traffic injury. The multilevel systems protocol will involve a series of cross-sectional surveys administered to drivers of fleet vehicles (n=1200), supervisors of the drivers (n=1200) and senior managers (n=300) within the same organisation. DISCUSSION: The novel use of the multilevel systems protocol is critical to be able to accurately assess the specific determinants of driving safety within each context of an organisation. RESULTS: The results are expected to highlight that reducing injury in the workplace requires more than just individual compliance with safety procedures. It will also establish, for the first time, an occupational translation taskforce to ensure that the research findings are adopted into work-place practice and thereby directly contribute to reductions in work-related road traffic injury.


Asunto(s)
Accidentes de Trabajo/prevención & control , Accidentes de Tránsito/prevención & control , Accidentes de Trabajo/estadística & datos numéricos , Accidentes de Tránsito/estadística & datos numéricos , Australia , Conducción de Automóvil/normas , Humanos , Seguridad
20.
Pediatrics ; 131(3): e837-42, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23420915

RESUMEN

OBJECTIVES: To design and validate an objective clinical scoring system to identify unwell neonates, by using routinely collected bedside observations. METHODS: A Neonatal Trigger Score (NTS) was designed by using local expert consensus and incorporated into a new observation chart. All neonates >35 weeks' gestation admitted to the NICU over an 18-month period, and an age-matched "well" cohort, were retrospectively scored by using the newly constructed NTS and all established pediatric early warning system (PEWS) scores. RESULTS: Scores were calculated for 485 neonates. The NTS score area under the receiver operating characteristic curve was 0.924 with a score of 2 or more predicting need for admission to the NICU with 77% sensitivity and 97% specificity. Neonates scoring ≥2 had increased odds of needing intensive care (odds ratio [OR] 48.7, 95% confidence interval [CI] 27.5-86.3), intravenous fluids (OR 48.1, 95% CI 23.9-96.9), and continuous positive airway pressure (OR 29.5, 95% CI 6.9-125.8). The NTS was more sensitive than currently established PEWS scores. CONCLUSIONS: The NTS observation chart acts as an adjunct to clinical assessment, highlighting unwell neonates. Its simplicity allows successful and safe use by nonpediatric specialists. NTS out-performed PEWS, with significantly better sensitivity, particularly in neonates who deteriorated within the first 12 hours after birth (P < .001) or in neonates with sepsis or respiratory symptoms (P < .001). Neonates with a score of 1 should be reviewed and those scoring ≥2 should be considered for NICU admission for further management.


Asunto(s)
Enfermedades del Prematuro/diagnóstico , Unidades de Cuidado Intensivo Neonatal/normas , Índice de Severidad de la Enfermedad , Estudios de Cohortes , Humanos , Recién Nacido , Enfermedades del Prematuro/epidemiología , Estudios Retrospectivos
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