Nurse View on Improving Occupational Safety and Health in the Hospital Environment
Keywords:
Occupational Health, Hospital Safety, Nurse well-being, Accreditation, Ergonomic IssuesAbstract
Objective: This study aimed to identify the specific risks experienced by nurses, the safety measures in place and how they perceived its effectiveness at preventing falls from taking place which helped to identify areas for improvement when enhancing healthcare workers welfare.
Methods: A structured questionnaire was administered to collect data on socio-demographics, specific sector employment types, safety practices and occupational risks. Trends were explored using percent distributions, means and chi-squared tests for independence where appropriate.
Findings: The study found that OHS conditions in a University teaching hospital are noticeably different from a private hospital. Nurses in private sector hospitals had better working conditions also with the improved safety standards, comprehensive safety training and ergonomic design which was accredited by JCI. On the other side hospital nurses encountered poor safety leads, ergonomic deficiencies, and high rates of occupational diseases and injuries. University hospitals had more psychological stress, burnout, and job dissatisfaction than private hospitals; however, in terms of infection control they fared better compared to private hospitals who, although carrying out consistent monitoring programmes for PPE, were hindered with shift fatigue and stress.
Novelty: This study offers a comparison of OHS conditions for nurses in private and public health care facilities and highlights the potential role of international accreditation for safer working environments. This has shone light on a long-neglected safety issue in academic hospitals.
Research Implications: The study findings are expected to help policy amendments, labor protection policies for civil servants in university hospitals, NABH accreditation processes and monitoring of safety training and ergonomic improvements in both private sector hospital environments and public healthcare establishments.
Downloads
References
Abutabenjeh, Sawsan, and Raed Jaradat. 2018. “Clarification of Research Design, Research Methods, and Research Methodology: A Guide for Public Administration Researchers and Practitioners.” Teaching Public Administration 36(3):237–58. doi: 10.1177/0144739418775787. DOI: https://doi.org/10.1177/0144739418775787
Achour, Nebil, Federica Pascale, Andrew D. F. Price, Francesco Polverino, Kurtulus Aciksari, Masakatsu Miyajima, Dogac Niyazi Özüçelik, and Masaho Yoshida. 2016. “Learning Lessons from the 2011 Van Earthquake to Enhance Healthcare Surge Capacity in Turkey.” Environmental Hazards 15(1):74–94. doi: 10.1080/17477891.2016.1139539. DOI: https://doi.org/10.1080/17477891.2016.1139539
Aghaei Hashjin, Asgar, Bahram Delgoshaei, Dionne S. Kringos, Seyed Jamaladin Tabibi, Jila Manouchehri, and Niek S. Klazinga. 2015. “Implementing Hospital Quality Assurance Policies in Iran.” International Journal of Health Care Quality Assurance 28(4):343–55. doi: 10.1108/IJHCQA-03-2014-0034. DOI: https://doi.org/10.1108/IJHCQA-03-2014-0034
Alghamdi, Saleh, Nada Atef-Shebl, Zoe Aslanpour, and Ilhem Berrou. 2019. “Barriers to Implementing Antimicrobial Stewardship Programmes in Three Saudi Hospitals: Evidence from a Qualitative Study.” Journal of Global Antimicrobial Resistance 18:284–90. doi: https://doi.org/10.1016/j.jgar.2019.01.031. DOI: https://doi.org/10.1016/j.jgar.2019.01.031
Alumran, Arwa, Hanadi Almutawa, Zainab Alzain, Arwa Althumairi, and Nauman Khalid. 2021. “Comparing Public and Private Hospitals’ Service Quality.” Journal of Public Health 29(4):839–45. doi: 10.1007/s10389-019-01188-9. DOI: https://doi.org/10.1007/s10389-019-01188-9
Andrias, Kate. 2019. “An American Approach to Social Democracy: The Forgotten Promise of the Fair Labor Standards Act.” The Yale Law Journal 128(3):616–709.
Ayalew, Firew, Sharon Kibwana, Shelemo Shawula, Equlinet Misganaw, Zeine Abosse, Jos van Roosmalen, Jelle Stekelenburg, Young Mi Kim, Mihereteab Teshome, and Damtew Wolde Mariam. 2019. “Understanding Job Satisfaction and Motivation among Nurses in Public Health Facilities of Ethiopia: A Cross-Sectional Study.” BMC Nursing 18(1):46. doi: 10.1186/s12912-019-0373-8. DOI: https://doi.org/10.1186/s12912-019-0373-8
Bazazan, Ahmad, Iman Dianat, Zohreh Mombeini, Aydin Aynehchi, and Mohammad Asghari Jafarabadi. 2019. “Fatigue as a Mediator of the Relationship between Quality of Life and Mental Health Problems in Hospital Nurses.” Accident Analysis & Prevention 126:31–36. doi: https://doi.org/10.1016/j.aap.2018.01.042. DOI: https://doi.org/10.1016/j.aap.2018.01.042
Bertens, R. M., and R. A. A. Vonk. 2020. “Small Steps, Big Change. Forging a Public-Private Health Insurance System in the Netherlands.” Social Science & Medicine 266:113418. doi: https://doi.org/10.1016/j.socscimed.2020.113418. DOI: https://doi.org/10.1016/j.socscimed.2020.113418
Carayon, Pascale, Kathryn Wust, Bat-Zion Hose, and Megan E. Salwei. 2021. “HUMAN FACTORS AND ERGONOMICS IN HEALTH CARE.” Pp. 1417–37 in HANDBOOK OF HUMAN FACTORS AND ERGONOMICS. DOI: https://doi.org/10.1002/9781119636113.ch53
Cascio, Wayne F. 2019. “Training Trends: Macro, Micro, and Policy Issues.” Human Resource Management Review 29(2):284–97. doi: https://doi.org/10.1016/j.hrmr.2017.11.001. DOI: https://doi.org/10.1016/j.hrmr.2017.11.001
Chana, Navtej, Paul Kennedy, and Zoë J. Chessell. 2015. “Nursing Staffs’ Emotional Well-Being and Caring Behaviours.” Journal of Clinical Nursing 24(19–20):2835–48. doi: https://doi.org/10.1111/jocn.12891. DOI: https://doi.org/10.1111/jocn.12891
Choudhry, Rafiq M., Dongping Fang, and Sherif Mohamed. 2007. “The Nature of Safety Culture: A Survey of the State-of-the-Art.” Safety Science 45(10):993–1012. doi: https://doi.org/10.1016/j.ssci.2006.09.003. DOI: https://doi.org/10.1016/j.ssci.2006.09.003
Chua, Gek P. 2020. “Challenges Confronting the Practice of Nursing in Singapore.” Asia-Pacific Journal of Oncology Nursing 7(3):259–65. doi: https://doi.org/10.4103/apjon.apjon_13_20. DOI: https://doi.org/10.4103/apjon.apjon_13_20
Ciani, Oriana, Patrizio Armeni, Paola Roberta Boscolo, Marianna Cavazza, Claudio Jommi, and Rosanna Tarricone. 2016. “De Innovatione: The Concept of Innovation for Medical Technologies and Its Implications for Healthcare Policy-Making.” Health Policy and Technology 5(1):47–64. doi: https://doi.org/10.1016/j.hlpt.2015.10.005. DOI: https://doi.org/10.1016/j.hlpt.2015.10.005
Despotou, George, Jungmi Her, and Theodoros N. Arvanitis. 2020. “Nurses’ Perceptions of Joint Commission International Accreditation on Patient Safety in Tertiary Care in South Korea: A Pilot Study.” Journal of Nursing Regulation 10(4):30–36. doi: https://doi.org/10.1016/S2155-8256(20)30011-9. DOI: https://doi.org/10.1016/S2155-8256(20)30011-9
Farokhzadian, Jamileh, Nahid Dehghan Nayeri, and Fariba Borhani. 2018. “The Long Way Ahead to Achieve an Effective Patient Safety Culture: Challenges Perceived by Nurses.” BMC Health Services Research 18(1):654. doi: 10.1186/s12913-018-3467-1. DOI: https://doi.org/10.1186/s12913-018-3467-1
Fernández-Muñiz, Beatriz, José Manuel Montes-Peón, and Camilo José Vázquez-Ordás. 2007. “Safety Culture: Analysis of the Causal Relationships between Its Key Dimensions.” Journal of Safety Research 38(6):627–41. doi: https://doi.org/10.1016/j.jsr.2007.09.001. DOI: https://doi.org/10.1016/j.jsr.2007.09.001
Gurková, Elena, Matúš Adamkovič, Terry Jones, Radka Kurucová, Dominika Kalánková, and Katarína Žiaková. 2020. “Factor Analysis, Validity of the Perceived Implicit Rationing of Nursing Care Instrument and Prevalence and Patterns of Unfinished Nursing Care in Slovakia.” Journal of Nursing Management 28(8):2036–47. doi: https://doi.org/10.1111/jonm.12887. DOI: https://doi.org/10.1111/jonm.12887
Hadidi, Laith A., Ahmet Kolus, and Mohammed AlKhamis. 2019. “Quality Improvement through Ergonomics Intervention at Chemical Plant.” Facilities 37(5/6):266–79. doi: 10.1108/F-06-2018-0068. DOI: https://doi.org/10.1108/F-06-2018-0068
Hanvold, Therese N., Pete Kines, Mikko Nykänen, Sara Thomée, Kari A. Holte, Jukka Vuori, Morten Wærsted, and Kaj B. Veiersted. 2019. “Occupational Safety and Health Among Young Workers in the Nordic Countries: A Systematic Literature Review.” Safety and Health at Work 10(1):3–20. doi: https://doi.org/10.1016/j.shaw.2018.12.003. DOI: https://doi.org/10.1016/j.shaw.2018.12.003
Hoot, Nathan R., and Dominik Aronsky. 2008. “Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions.” Annals of Emergency Medicine 52(2):126-136.e1. doi: https://doi.org/10.1016/j.annemergmed.2008.03.014. DOI: https://doi.org/10.1016/j.annemergmed.2008.03.014
Ji, Tianchang, Jan de Jonge, Maria C. W. Peeters, and Toon W. Taris. 2024. “Matching Job Demands and Job Resources as Linear and Non-Linear Predictors of Employee Vigor and Sustainable Performance.” Human Performance 37(3):81–99. doi: 10.1080/08959285.2024.2332683. DOI: https://doi.org/10.1080/08959285.2024.2332683
Johanes, Mandowa, Matsa Mark, and Jerie Steven. 2023. “A Global Review of Implementation of Occupational Safety and Health Management Systems for the Period 1970–2020.” International Journal of Occupational Safety and Ergonomics 29(2):821–36. doi: 10.1080/10803548.2022.2083811. DOI: https://doi.org/10.1080/10803548.2022.2083811
Johnson, Judith, Louise H. Hall, Kathryn Berzins, John Baker, Kathryn Melling, and Carl Thompson. 2018. “Mental Healthcare Staff Well-Being and Burnout: A Narrative Review of Trends, Causes, Implications, and Recommendations for Future Interventions.” International Journal of Mental Health Nursing 27(1):20–32. doi: https://doi.org/10.1111/inm.12416. DOI: https://doi.org/10.1111/inm.12416
Kamalasanan, Ajayan, Gurumoorthy Sathiyamurthi, and Arun Vijay Subbarayalu. 2020. “A Tool to Assess the Quality Perception of Healthcare Employees.” International Journal of Health Care Quality Assurance 33(4/5):291–307. doi: 10.1108/IJHCQA-01-2020-0008. DOI: https://doi.org/10.1108/IJHCQA-01-2020-0008
Karadas, Ayse, Özlem Dogu, and Seda Degirmenci Oz. 2022. “The Effect of Perceived Organizational Support of Nurses on Their Resilience: A Cross-Sectional Study From Turkey.” Canadian Journal of Nursing Research 55(2):241–49. doi: 10.1177/08445621221118800. DOI: https://doi.org/10.1177/08445621221118800
Al Khalaf, Khaleel, Shane O’Dowling Keane, Cristiane da Mata, Catherine T. McGillycuddy, Barbara L. Chadwick, and Christopher D. Lynch. 2022. “Response Rates to Questionnaire-Based Studies in the Contemporary Dental Literature: A Systematic Review.” Journal of Dentistry 126:104284. doi: https://doi.org/10.1016/j.jdent.2022.104284. DOI: https://doi.org/10.1016/j.jdent.2022.104284
Kumar, Ritesh, and Ajnesh Prasad. 2023. “The Neoliberalization of Indian Business Schools: How Accreditation-Linked Institutional Pressures Shape Academic Subjectivities.” Equality, Diversity and Inclusion: An International Journal 42(7):889–902. doi: 10.1108/EDI-01-2023-0016. DOI: https://doi.org/10.1108/EDI-01-2023-0016
Lawati, Muna Habib A. L., Sarah Dennis, Stephanie D. Short, and Nadia Noor Abdulhadi. 2018. “Patient Safety and Safety Culture in Primary Health Care: A Systematic Review.” BMC Family Practice 19(1):104. doi: 10.1186/s12875-018-0793-7. DOI: https://doi.org/10.1186/s12875-018-0793-7
Li, Pei-Hsuan, Shou-Yu Wang, Jung-Ying Tan, Li-Hung Lee, and Cheng-I. Yang. 2019. “Infection Preventionists’ Challenges in Psychiatric Clinical Settings.” American Journal of Infection Control 47(2):123–27. doi: https://doi.org/10.1016/j.ajic.2018.08.010. DOI: https://doi.org/10.1016/j.ajic.2018.08.010
Patel, Gaurav, and Prabir Mukhopadhyay. 2021. “Ergonomic Analysis and Design Intervention in Symbols Used in Hospitals in Central India.” Applied Ergonomics 94:103410. doi: https://doi.org/10.1016/j.apergo.2021.103410. DOI: https://doi.org/10.1016/j.apergo.2021.103410
Scanlan, Justin Newton, and Megan Still. 2019. “Relationships between Burnout, Turnover Intention, Job Satisfaction, Job Demands and Job Resources for Mental Health Personnel in an Australian Mental Health Service.” BMC Health Services Research 19(1):62. doi: 10.1186/s12913-018-3841-z. DOI: https://doi.org/10.1186/s12913-018-3841-z
Sherwood, Gwen, Cheryl B. Jones, Jamie L. Conklin, and Adam Dodd. 2023. “Quality and Safety Education for Nurses: A Bibliometric Analysis.” Journal of Nursing Scholarship 55(5):914–25. doi: https://doi.org/10.1111/jnu.12876. DOI: https://doi.org/10.1111/jnu.12876
da Silva, Sabrina Letícia Couto, and Fernando Gonçalves Amaral. 2019. “Critical Factors of Success and Barriers to the Implementation of Occupational Health and Safety Management Systems: A Systematic Review of Literature.” Safety Science 117:123–32. doi: https://doi.org/10.1016/j.ssci.2019.03.026. DOI: https://doi.org/10.1016/j.ssci.2019.03.026
Sovacool, Benjamin K., Jonn Axsen, and Steve Sorrell. 2018. “Promoting Novelty, Rigor, and Style in Energy Social Science: Towards Codes of Practice for Appropriate Methods and Research Design.” Energy Research & Social Science 45:12–42. doi: https://doi.org/10.1016/j.erss.2018.07.007. DOI: https://doi.org/10.1016/j.erss.2018.07.007
Spoorthy, Mamidipalli Sai, Sree Karthik Pratapa, and Supriya Mahant. 2020. “Mental Health Problems Faced by Healthcare Workers Due to the COVID-19 Pandemic-A Review.” Asian Journal of Psychiatry 51:102119. DOI: https://doi.org/10.1016/j.ajp.2020.102119
Trinchero, Elisabetta, Ben Farr-Wharton, and Yvonne Brunetto. 2019. “Workplace Relationships, Psychological Capital, Accreditation and Safety Culture: A New Framework of Analysis within Healthcare Organizations.” Public Organization Review 19(1):139–52. doi: 10.1007/s11115-017-0390-6. DOI: https://doi.org/10.1007/s11115-017-0390-6
Upton, Katherine Valentine. 2018. “An Investigation into Compassion Fatigue and Self-Compassion in Acute Medical Care Hospital Nurses: A Mixed Methods Study.” Journal of Compassionate Health Care 5(1):7. doi: 10.1186/s40639-018-0050-x. DOI: https://doi.org/10.1186/s40639-018-0050-x
Veerapen, Jessry D., and Eamonn McKeown. 2021. “Exploration of the Views and Experiences of Research Healthcare Professionals during Their Redeployment to Clinical Roles during the COVID-19 Pandemic.” Journal of Advanced Nursing 77(12):4862–75. doi: https://doi.org/10.1111/jan.14998. DOI: https://doi.org/10.1111/jan.14998
Vila-Pozo, Marta Maria, and Sundeep Sahay. 2023. “Institutional Shaping of Effective Use of Routine Health Data Management in the Context of Global Humanitarian Organizations.” IFIP Advances in Information and Communication Technology 551(October):496–507.
Weaver, Bodhi, Andrea Kirk-Brown, Denise Goodwin, and Jennie Oxley. 2023. “Psychosocial Safety Behavior: A Scoping Review of Behavior-Based Approaches to Workplace Psychosocial Safety.” Journal of Safety Research 84:33–40. doi: https://doi.org/10.1016/j.jsr.2022.10.006. DOI: https://doi.org/10.1016/j.jsr.2022.10.006
Whitehead, Lisa, Manonita Ghosh, Deborah Kirk Walker, Dianne Bloxsome, Caroline Vafeas, and Anne Wilkinson. 2019. “The Relationship between Specialty Nurse Certification and Patient, Nurse and Organizational Outcomes: A Systematic Review.” International Journal of Nursing Studies 93:1–11. doi: https://doi.org/10.1016/j.ijnurstu.2019.02.001. DOI: https://doi.org/10.1016/j.ijnurstu.2019.02.001
Yalcin Ocak, Necmiye, Murat Yesilaras, Yesim Eyler, and Onur Hakoglu. 2022. “Occupational Accidents of Emergency Medicine Residents in Turkey.” International Journal of Occupational Safety and Ergonomics 28(4):2210–15. doi: 10.1080/10803548.2021.1986298. DOI: https://doi.org/10.1080/10803548.2021.1986298
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Sefinez Muzena, Ozvitruk Mitoulaf (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Safety and Health for Medical Workers (SHMW) © 2024 by Inovasi Analisis Data is licensed under CC BY-SA 4.0










