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1.
J Environ Public Health ; 2022: 4629422, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36089946

RESUMO

Excellence in corporate culture is the key to achieving sustainable business development. Sustainability can be a source of success, innovation and profitability for a company, driving the achievement of low-carbon goals for transport infrastructure enterprises. The aim of this study is to examine the relationship between corporate culture and corporate sustainability from the perspective of transport infrastructure enterprises, and to identify which corporate culture factors may have an impact on the sustainable low carbon development of transport infrastructure enterprises. To achieve this, we constructed a structural equation model based on 351 cases in Hunan Province and examined the relationship between corporate culture and sustainable low-carbon development using partial least squares structural equation modeling. The findings suggest that corporate values and corporate culture management capabilities play an important role in promoting sustainable development of transport infrastructure enterprises at the economic and low-carbon levels.


Assuntos
Cultura Organizacional , Desenvolvimento Sustentável , Carbono
2.
Leadersh Health Serv (Bradf Engl) ; ahead-of-print(ahead-of-print)2022 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-36107020

RESUMO

PURPOSE: Leadership literature has identified that the servant leadership style can reduce employee negative work outcomes, even in challenging work environments like the health-care sector as nurses play an important role in the performance of a hospital. That is why, the efficiency and effectiveness of the nurses are believed to be directly linked to improved health benefits to the public. So, this study aims to investigate the inter-relationship between servant leadership, organizational justice and workplace deviance of nurses in public sector hospitals. DESIGN/METHODOLOGY/APPROACH: A self-administrated questionnaire using a drop-and-collect method was used for collecting the data from nurses working in the public sector hospitals of Pakistan using a convenient sampling technique. In total, 370 questionnaires were distributed among the nursing staff, of which 201 completed and usable questionnaires were returned and used for data analysis. Further, the partial least squares structural equation modeling approach is used in this study using SmartPLS version 3 software to test the hypothesized model and determine the direct and indirect effects. FINDINGS: Results showed a negative relationship between servant leadership and workplace deviance, positive relationship between servant leadership and organizational justice, negative relationship between organizational justice and workplace deviance and that organizational justice mediates in the relationship between servant leadership and workplace deviance. PRACTICAL IMPLICATIONS: This study provides valuable recommendations and practical implications to address the nurses' deviant workplace behaviors in the public sector hospitals of Pakistan. ORIGINALITY/VALUE: This study is novel as it shows the significance of servant leadership behavior which has the ability to positively influence organizational justice perception leading to less likelihood of the emergence of nurses' deviant workplace behavior, specifically in the context of public sector hospitals of Pakistan.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Local de Trabalho , Hospitais Públicos , Humanos , Liderança , Cultura Organizacional , Justiça Social
3.
J Healthc Manag ; 67(5): 380-402, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36074701

RESUMO

GOAL: Moral distress literature is firmly rooted in the nursing and clinician experience, with a paucity of literature that considers the extent to which moral distress affects clinical and administrative healthcare leaders. Moreover, the little evidence that has been collected on this phenomenon has not been systematically mapped to identify key areas for both theoretical and practical elaboration. We conducted a scoping review to frame our understanding of this largely unexplored dynamic of moral distress and better situate our existing knowledge of moral distress and leadership. METHODS: Using moral distress theory as our conceptual framework, we evaluated recent literature on moral distress and leadership to understand how prior studies have conceptualized the effects of moral distress. Our search yielded 1,640 total abstracts. Further screening with the PRISMA process resulted in 72 included articles. PRINCIPAL FINDINGS: Our scoping review found that leaders-not just their employees- personally experience moral distress. In addition, we identified an important role for leaders and organizations in addressing the theoretical conceptualization and practical effects of moral distress. PRACTICAL APPLICATIONS: Although moral distress is unlikely to ever be eliminated, the literature in this review points to a singular need for organizational responses that are intended to intervene at the level of the organization itself, not just at the individual level. Best practices require creating stronger organizational cultures that are designed to mitigate moral distress. This can be achieved through transparency and alignment of personal, professional, and organizational values.


Assuntos
Cultura Organizacional , Estresse Psicológico , Atenção à Saúde , Humanos , Liderança , Princípios Morais
4.
Artigo em Inglês | MEDLINE | ID: mdl-36078677

RESUMO

Trust and team communication are central aspects for the achievement of both individual and common goals, which affect not only work efficiency but also the well-being of its members. In addition, organizational justice could affect these indicators, as well as the perception of collective efficacy within organizations, in this case, schools. The purpose of this study was to analyze the effect of organizational justice on teachers' subjective well-being, and how this is affected/mediated by collective efficacy. We worked with a sample of 693 teachers across Chile. Multiple mediation analysis was carried out, where the latent variables of the study were estimated (subjective well-being, organizational justice, and two dimensions of collective efficacy). The results indicate that there is full mediation of the collective efficacy dimensions between the predictor-criterion relationship. Our findings allow us to hypothesize that perceptions of collective efficacy are central to explaining well-being as an intrinsic factor.


Assuntos
Cultura Organizacional , Justiça Social , Logro , Humanos , Professores Escolares , Instituições Acadêmicas
5.
Artigo em Inglês | MEDLINE | ID: mdl-36078853

RESUMO

The importance of sustainability in supply chain management is growing worldwide. It is possible to find reasons for this using various phenomena that negatively affect humanity, e.g., climate change, scarce materials, supply disruptions, and complex fossil fuel dependency. Because of that, is extremely important to constantly look for new ways to systematically increase sustainability in enterprises and their logistics and supply chain processes by considering different stakeholders and influential factors. Therefore, this paper explores how different types of organizational culture and normative commitment impact sustainability and each other in business logistics and supply chains and develops a conceptual model to manage this challenge. Gaining new insights is valuable especially for managers to obtain better information on how to improve sustainability not just by integrating green technologies but mainly by changing culture, attitude, and perception in their enterprises. The research is focused on employees from global logistics or related branches in micro, small, medium, and large enterprises with the primary activity mostly related to manufacturing, transport, and storage. The findings are based on the questionnaire which was sent directly to 1576 employees from 528 enterprises. A total of 516 employees from enterprises that are mostly located in 34 countries responded to requests for participation. The results reveal statistically significant positive and negative impacts, e.g., clan culture has a positive statistically significant impact on the sustainable development of supply chains. Most of the connections to the eighth Sustainable Development Goal by the United Nations (decent work and economic growth) were also found, which was the enterprise's highest priority with a share of 52.99%. A contribution to the theory development is gained using the developed model that considers both positive and negative statistically significant impacts studied.


Assuntos
Cultura Organizacional , Desenvolvimento Sustentável , Comércio , Desenvolvimento Econômico , Humanos , Modelos Teóricos
6.
Hu Li Za Zhi ; 69(5): 7-13, 2022 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-36127753

RESUMO

In hospitals, safety climate refers to the safety policies and regulations established by medical institutions and the measures taken to ensure medical personnel feel safe while working at these institutions. Safety climate can directly affect the overall work performance of medical personnel and indirectly affect patient care quality, which in turn impacts the rate of occupational hazards. Common occupational hazards in the medical workplace include contracting infectious diseases, overwork, irregular circadian rhythm due to working shifts, changes in sleep patterns and dietary habits, musculoskeletal discomfort, workplace violence, workplace stress, and needlestick injuries. This paper was developed to explore the history of promoting needlestick prevention in Taiwan, and discusses how to use the results of empirical research as scientific evidence and critical proofs to advocate for needlestick prevention and to establish related policies. In addition, the process of how improvements to the hospital safety climate and the prevention of occupational hazard incidents mutually influence and complement each other was examined. Future studies are encouraged to explore this topic to further elucidate the sources of workplace stress and to devise methods to ameliorate their influence on workplace stress in medical institutions. The results of these studies may be referenced by relevant government agencies and medical institutions when developing policies promoting safe environments in hospitals that improve the safe-work perceptions of nursing personnel and create comfortable and friendly medical environments.


Assuntos
Ferimentos Penetrantes Produzidos por Agulha , Estresse Ocupacional , Hospitais , Humanos , Ferimentos Penetrantes Produzidos por Agulha/prevenção & controle , Cultura Organizacional , Políticas , Taiwan
7.
Hu Li Za Zhi ; 69(5): 14-20, 2022 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-36127754

RESUMO

Cultures of safety share a strong commitment to the goal of achieving zero harm and to continuously implementing the improvements and innovations necessary to achieve this goal. However, in some healthcare organizations today, safety is often undervalued and considered only after the occurrence of safety incidents, with no sense of commitment and no goal of zero harm. This article first briefly introduces the origin and definition of safety culture, the composition of safety culture, and the safety culture pyramid. Secondly, the definition, importance, and impact of hospital safety culture as well as the assessment tools for hospital safety culture are discussed. Finally, many practical leadership guidelines used in other countries to promote hospital safety culture are introduced as references for domestic healthcare organizations. Because patient safety is a dynamic and complex phenomenon, research and surveys of hospital safety culture conducted every two to three years are recommended to ensure best practices in patient safety. Achieving continuous improvement in patient safety and hospital safety culture requires leadership at all levels. In tandem, a total safety culture must be instilled throughout the health system. Commitment from leadership and management is critical to establishing and maintaining a safe, people-centered environment.


Assuntos
Liderança , Cultura Organizacional , Hospitais , Humanos , Segurança do Paciente , Gestão da Segurança
8.
Hu Li Za Zhi ; 69(5): 21-26, 2022 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-36127755

RESUMO

Workplace violence is recognized as a serious psychosocial work hazard in the workplace. Nurses face higher risks of workplace violence and poor mental health than other medical professionals. In addition to addressing personal factors, workplace violence should be understood and managed in the context of the organizational climate. In this article, the definition and types of workplace violence and a socio-ecological perspective on workplace violence are introduced. In addition, the prevalence and impact on mental health of workplace violence are described. Lastly, the concept of safety climate and its influence on mental health are proposed. We hope this article provides readers with a better understanding of workplace violence and a contextual perspective on this issue. In addition to understanding workplace violence and learning coping strategies and skills, hospital managers should promote a positive climate of safety to reduce the occurrence of workplace violence and the impact of workplace violence on nurses.


Assuntos
Recursos Humanos de Enfermagem , Violência no Trabalho , Hospitais , Humanos , Saúde Mental , Cultura Organizacional , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia
9.
Hu Li Za Zhi ; 69(5): 27-33, 2022 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-36127756

RESUMO

Work environments at healthcare organizations involve biological, chemical, and physical risks. Healthcare providers adhere to safe work practices and promote organizational activities proactively to improve practice safety and patient safety, both of which are closely linked to quality of care. In light of the limited research on safety culture and employee safety performance in the healthcare industry, this paper was developed to introduce the concept of hospital safety climate; the factors known to influence the safety climate in hospitals and safety performance and outcomes; and related safety climate measurement tools from the perspective of promoting safe performance among hospital healthcare providers. We recommend management create a safe work environment to reinforce employees' positive perceptions about the commitment of management to safety and subsequently promote shared beliefs regarding workplace safety and motivate employees to create a safer work environment. In addition, healthcare providers' perceptions of the safety climate should be assessed to identify strengths and weaknesses in the safety climate, guide the development of related improvement measures, and enhance the safety-climate perceptions of employees.


Assuntos
Cultura Organizacional , Gestão da Segurança , Hospitais , Humanos , Segurança do Paciente , Local de Trabalho
11.
PLoS One ; 17(9): e0274074, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36103554

RESUMO

The aim of this study was to analyse the content of online reviews posted by hospital employees on job websites for themes of organisational culture. 103 anonymous online reviews across three job websites, posted by hospital employees of four hospitals within an Australian health network were extracted. Reviews had been posted across a period of six years, from 2014 to early 2020. Sentiment rating based on user-allotted ratings on the selected websites was calculated. The sentiment score was validated against the textual content of the review to confirm employee recommendation and sentiment. Sentiment was coded as neutral, positive, or negative. Significant keywords, associations, and usage within the context of identified sentiment were deductively coded and clustered manually against eight pre-determined safety culture themes. These themes were derived from the most used assessment tools for self-reported measures of occupational health and safety, and safety culture in healthcare. Workers across clinical roles (n = 49) and non-clinical roles (n = 50) were evenly represented in the dataset. 35.9% of commenters (n = 37) reported their length of employment in the hospitals that they reviewed. Most online employee reviews addressed broad themes related to perceptions of management (n = 98), safety climate (n = 97), teamwork climate (n = 91) and working conditions (n = 98). A significant set of reviews addressed themes related to job satisfaction (n = 49) and learning, training, and development (n = 41). 72.8% of online reviews (n = 75) expressed positive sentiment towards their employer. Reviews expressing negative sentiment were largely posted by former employees and indicated areas of discontent that reflected organisational and systemic factors. Online employee reviews posted by hospital workers on job sites provide valuable insights into healthcare organisational culture. Therefore, employee online reviews could be used as a supplementary source of data to inform organisational employee engagement initiatives.


Assuntos
Cultura Organizacional , Gestão da Segurança , Austrália , Hospitais , Humanos , Satisfação no Emprego
12.
J Ambul Care Manage ; 45(4): 299-309, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36006388

RESUMO

Investigation of nurses' perceptions of patient safety culture (PSC) might be beneficial in identifying safety areas that need improvement, especially during the COVID-19 pandemic. The study reports on the PSC in primary care from the nurses' perspective during the pandemic. Nurses (n = 117) evaluated teamwork (87.3%) and staff training (80.9%) positively but work pressure and pace (26.1%) and patient care tracking (45.3%) concerning PSC dimensions negatively. Limited care coordination and continuity lead to patient hospitalizations and care fragmentation. However, regular assessment of PSC can lead to adopting the necessary strategies to reinforce weaknesses and thus improve patient safety in primary care.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , COVID-19/epidemiologia , Estudos Transversais , Humanos , Cultura Organizacional , Pandemias , Segurança do Paciente , Percepção , Atenção Primária à Saúde , Gestão da Segurança , Inquéritos e Questionários
13.
J Safety Res ; 82: 151-158, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36031242

RESUMO

INTRODUCTION: Researchers are finding merits in utilizing industry-specific safety climate scales that capture the nuances of context, and tend to show stronger associations with safety behavior and outcomes like incidents. Yet, to date, guidance around the practicalities of developing and validating such industry-specific scales is lacking in the safety science literature. METHOD: In this paper we outline our experiences developing six industry-specific safety climate scales and highlight strengths and limitations of our approach. We also briefly review the industry-specific safety climate literature and offer highlights for consideration when developing such scales. Our method to develop industry-specific safety climate scales followed an established best practice structure: literature review of existing published industry scales, collation and review of existing scale items, consultation interviews with industry experts, item drafting, exploratory and confirmatory statistical analyses, and finally, a real-world ecological validity test. RESULTS: Our research highlighted the diversity of safety climate dimensions (both the conceptual and content domains of each dimension) when it is considered at an industry level. Also, the literature reviews revealed a dearth of industry-specific safety climate scales in the areas we engaged with, so our project filled a glaring gap in research and practice. Best practice safety climate scale development methods are provided to stimulate further research. CONCLUSIONS: We conclude with reflections on the nature of safety climate within and across industries, and offer suggestions for future lines of research across other contexts (e.g., national culture, geography, and regulatory settings). We suggest that industry-specific safety climate scales have a specific use case, such as identifying specific areas to improve and evaluating the impact of safety interventions. PRACTICAL APPLICATIONS: This article provides applications for both applied researchers (to improve capabilities in safety climate scale development) and practitioners who wish to measure organisational safety climate and design effective interventions. Engaging with regulators to build safety climate scales is powerful because their personnel have rich experiences to share across multiple workplaces. Organisational researchers can engage with survey panels to build robust scales. Finally, industry-specific nuances can lead to richer insights into an organisation's safety climate.


Assuntos
Saúde do Trabalhador , Cultura Organizacional , Humanos , Indústrias , Gestão da Segurança , Inquéritos e Questionários , Local de Trabalho
14.
Artigo em Inglês | MEDLINE | ID: mdl-35954655

RESUMO

Previous studies have mainly focused on the negative effects of teacher-student conflict; the positive effects of conflict have rarely been mentioned. This paper suggests that encouraging conflict could act as a teaching method to improve students' innovative competence. This study has two objectives: (1) to examine how various types of teacher-student conflict affects students' innovative competence and (2) to identify the mediating role of a psychological safety climate in the association between conflict and students' innovative competence. To achieve the objectives, we used evidence from 1207 university students. Multivariable logistic regression analysis revealed that conflicts were associated with students' innovative competence, and the mediation role of a psychological safety climate is significant. Specifically, the results revealed that Cognitive Conflict had significant positive effects on students' innovative competence, whereas Affective Conflict had a significant negative effect on students' innovative competence. In addition, we clarified a psychological safety climate as the boundary condition for the relationship between conflict and students' innovative competence.


Assuntos
Pessoal de Educação , Relações Interpessoais , Humanos , Cultura Organizacional , Professores Escolares/psicologia , Estudantes/psicologia
15.
Artigo em Inglês | MEDLINE | ID: mdl-35954775

RESUMO

This study investigated the factors that cause job stress among male flight attendants in a female-dominated airline organization, as well as the impact of job stress on their mental health and turnover intention. It also attempted to determine whether perceived family support, perceived organizational support, and job positions had moderating effects on male flight attendants' job stress. Six job stress factors were identified through focus group interviews and a literature review. A survey was conducted from 1 January to 2 February 2022 to validate the research model, and 188 valid samples were used for statistical analysis. This study discovered that gender differences in communication, relationship conflict with colleagues, hierarchical organizational culture, and role overload had a direct impact on male flight attendants' job stress. Job stress was found to have a negative impact on mental health and a positive impact on turnover intention. Perceived organizational support was also found to reduce job stress. This study is notably the first to address stress encountered by male flight attendants at work. It offers new directions for future airline personnel management and research. It also presents practical implications, such as the development of training and personnel management programs for male flight attendants.


Assuntos
Estresse Ocupacional , Gestão de Recursos Humanos , Feminino , Humanos , Satisfação no Emprego , Masculino , Estresse Ocupacional/epidemiologia , Cultura Organizacional , Reorganização de Recursos Humanos , Inquéritos e Questionários
16.
Artigo em Inglês | MEDLINE | ID: mdl-35954857

RESUMO

Discretionary environmental behaviors are usually encouraged beyond a formal reward system, but environmental skeptics, from managers or co-workers, place underdog expectations on the importance of organizational citizenship behaviors for workplace environments. Building on the leadership substitution theory, the social exchange theory (SET), and the ability-motivation-opportunity (AMO) theory, in the current study, we explore the relationships between underdog environmental expectations and organizational citizenship behaviors for the environment (OCBE), with the mediating effects of desire to prove others wrong and the moderating effect of green values. A total of 246 hotel employees participated, and the obtained data were analyzed by structural equation modeling with partial least squares (PLS). The results assert that underdog environmental expectations are able to reduce OCBE. The results also demonstrate that green values and the desire to prove others wrong lessen the negative effect of underdog environmental expectations on OCBE. In addition, we discuss the theoretical and practical implications regarding the application of these findings to the tourism and hospitality industries.


Assuntos
Motivação , Cultura Organizacional , Cidadania , Humanos , Comportamento Social , Local de Trabalho
17.
Artigo em Inglês | MEDLINE | ID: mdl-35955067

RESUMO

The patient safety climate is a key element of quality in healthcare. It should be a priority in the healthcare systems of all countries in the world. The goal of patient safety programs is to prevent errors and reduce the potential harm to patients when using healthcare services. A safety climate is also necessary to ensure a safe working environment for healthcare professionals. The attitudes of healthcare workers toward patient safety in various aspects of work, organization and functioning of the ward are important elements of the organization's safety culture. The aim of this study was to determine the perception of the patient safety climate by healthcare workers during the COVID-19 pandemic. METHODS: The study was conducted in five European countries. The Safety Attitude Questionnaire (SAQ) short version was used for the study. A total of 1061 healthcare workers: physicians, nurses and paramedics, participated in this study. RESULTS: All groups received the highest mean results on the stress recognition subscale (SR): nurses 98.77, paramedics 96.39 and physician 98.28. Nurses and physicians evaluated work conditions (WC) to be the lowest (47.19 and 44.99), while paramedics evaluated perceptions of management (PM) as the worst (46.44). Paramedics achieved statistically significantly lower scores compared to nurses and physicians in job satisfaction (JS), stress recognition (SR) and perception of management (PM) (p < 0.0001). Paramedics compared to nurses and physicians rank better in working conditions (WC) in relation to patient safety (16.21%). Most often, persons of lower seniority scored higher in all subscales (p = 0.001). In Poland, Spain, France, Turkey, and Greece, healthcare workers scored highest in stress recognition (SR). In Poland, Spain, France, and Turkey, they assessed working conditions (WC) as the worst, while in Greece, the perception of management (PM) had the lowest result. CONCLUSION: Participant perceptions about the patient safety climate were not at a particularly satisfactory level, and there is still a need for the development of patient safety culture in healthcare in Europe. Overall, positive working conditions, good management and effective teamwork can contribute to improving employees' attitudes toward patient safety. This study was carried out during the COVID-19 pandemic and should be repeated after its completion, and comparative studies will allow for a more precise determination of the safety climate in the assessment of employees.


Assuntos
COVID-19 , Segurança do Paciente , Atitude do Pessoal de Saúde , COVID-19/epidemiologia , Estudos Transversais , Pessoal de Saúde , Humanos , Satisfação no Emprego , Cultura Organizacional , Pandemias , Percepção , Gestão da Segurança , Inquéritos e Questionários
18.
Artigo em Inglês | MEDLINE | ID: mdl-35955099

RESUMO

In complex systems such as hospitals, work organization can influence the level of occupational stress and, consequently, the physical and mental health of workers. Hospital healthcare workers were asked to complete a questionnaire during their regular occupational health examination, in order to assess the perceived level of organizational justice, and to verify whether it was associated with occupational stress, mental health, and absenteeism. The questionnaire included the Colquitt Organizational Justice (OJ) Scale, the Karasek/Theorell demand-control-support (DCS) questionnaire for occupational stress, and the General Health Questionnaire (GHQ12) for mental health. Workers were also required to indicate whether they had been absent because of back pain in the past year. Organizational justice was a significant predictor of occupational stress. Stress was a mediator in the relationship between justice and mental health. Occupational stress was more closely related to perceptions of lack of distributive justice than to perceptions of procedural, informational, and interpersonal justice. Physicians perceived significantly less distributive justice than other workers. In adjusted univariate logistic regression models, the perceptions of organizational justice were associated with a significant reduction in the risk of sick leave for back pain (OR 0.96; CI95% 0.94-0.99; p < 0.001), whereas occupational stress was associated with an increased risk of sick leave (OR 6.73; CI95% 2.02-22.40; p < 0.002). Work organization is a strong predictor of occupational stress and of mental and physical health among hospital employees.


Assuntos
Estresse Ocupacional , Justiça Social , Hospitais , Humanos , Estresse Ocupacional/psicologia , Cultura Organizacional , Recursos Humanos em Hospital , Justiça Social/psicologia , Inquéritos e Questionários
19.
Cien Saude Colet ; 27(9): 3517-3530, 2022 Sep.
Artigo em Português, Inglês | MEDLINE | ID: mdl-36000641

RESUMO

The effects of organizational justice on workers' health have been investigated in several areas of work. However, the systematization of available information on the effects related to cardiovascular diseases (CVD) and diabetes is scarce. This article aims to systematically review the association between organizational justice and CVD and metabolic disease in adult workers. The search strategy included the terms organizational justice, coronary heart disease, cerebrovascular disease, systemic arterial hypertension, diabetes mellitus and CVD. This study investigated the following databases: MEDLINE, EMBASE, and LILACS. The quality of the studies was assessed using the instrument developed by the National Institute of Health. Results: This study identified 1,959 titles. After evaluation, eight studies were selected. Individuals with a high perception of organizational justice showed a lower risk of CVD and metabolic disease, whereas low organizational justice presented repercussions for the cardiovascular and metabolic health of workers. The development of strategies to promote organizational justice must be prioritized and thus mitigate its impacts on workers and institutions.


Os efeitos da justiça organizacional sobre a saúde dos trabalhadores têm sido investigados em diversas áreas de trabalho. Entretanto, a sistematização da informação disponível sobre os efeitos relacionados às doenças cardiovasculares (DCV) e à diabetes é escassa. O objetivo deste artigo é revisar sistematicamente a associação entre justiça organizacional e DCV e metabólica em trabalhadores adultos. A estratégia de busca incluiu os termos justiça organizacional, doença coronariana, doença cerebrovascular, hipertensão arterial sistêmica, diabetes mellitus e DCV. As bases de dados investigadas foram MEDLINE, EMBASE e LILACS. A qualidade dos estudos foi avaliada pelo instrumento desenvolvido pelo National Institute of Health. Foram identificados 1.959 títulos. Após avaliação, foram selecionados oito estudos. Os indivíduos com percepção de justiça organizacional alta apresentaram menor risco de DCV e metabólica. Baixa justiça organizacional tem repercussões para a saúde cardiovascular e metabólica dos trabalhadores. A elaboração de estratégias para promover justiça organizacional deve ser priorizada para assim mitigar seus impactos para os trabalhadores e as instituições.


Assuntos
Doenças Cardiovasculares , Diabetes Mellitus , Hipertensão , Doenças Metabólicas , Adulto , Doenças Cardiovasculares/epidemiologia , Diabetes Mellitus/epidemiologia , Humanos , Doenças Metabólicas/epidemiologia , Cultura Organizacional , Justiça Social
20.
Artigo em Inglês | MEDLINE | ID: mdl-36011763

RESUMO

Healthcare systems are becoming increasingly complex which is helping to promote a 'culture of safety' within them based on the best scientific evidence available. Indeed, creating a positive institutional culture of patient safety is reflected in health outcomes. The aim of this present study was to describe the perception of culture of safety by nurses in adult inpatient units in a tertiary hospital and to analyze adverse events reporting. It was a cross-sectional study in which 202 nurses from adult hospitalization units of the Hospital Universitario y Politécnico La Fe in Valencia (Spain) participated. The perception of safety culture was measured using the Hospital Survey on Patient Safety questionnaire version 1.0, which consists of 42 items distributed in 12 dimensions that are considered strengths or weaknesses. In addition, adverse events related to nursing care during the study period and those reported in the official hospital registry were collected. Finally, the association between safety culture and sociodemographic and labor variables was explored. A total of 148 responses to the questionnaire were analyzed (Cronbach's alpha = 0.94), where seven dimensions and 25 items were identified as weaknesses. Two hundred and fourteen events were identified and none were reported in the official registry. Years of experience were significantly (p < 0.05) associated with safety culture. It is necessary to establish strategies to improve the perception of the safety culture of nurses, as well as to make nurses aware of the importance of notifying adverse events derived from health care.


Assuntos
Enfermeiras e Enfermeiros , Segurança do Paciente , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Hospitais , Humanos , Cultura Organizacional , Percepção , Encaminhamento e Consulta , Gestão da Segurança , Inquéritos e Questionários
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