Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals

Institute of Occupational and Social Medicine and Health Services Research, University Hospital of Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany

Institute for Patient Safety, University Hospital of Bonn, Sigmund-Freud-Str. 25, 53127 Bonn, Germany

FHNW School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Riggenbachstrasse 16, 4600 Olten, Switzerland

⁴

Institute for Clinical Epidemiology and Applied Biometry, University Hospital of Tübingen, Silcherstraße 5, 72076 Tübingen, Germany

Author to whom correspondence should be addressed.

^†

Equal contribution.

^‡

During the study: members of the WorkSafeMed Project Consortium were: Luntz, E., Rieger, M.A. (Project lead), Sturm, H., Wagner, A. (Institute of Occupational and Social Medicine and Health Services Research, University Hospital of Tuebingen), Hammer, A., Manser, T. (Institute for Patient Safety, University Hospital Bonn), Martus, P. (Institute for Clinical Epidemiology and Applied Biometry, University Hospital of Tuebingen), Holderried, M. (University Hospital Tuebingen).

Int. J. Environ. Res. Public Health 2018, 15(10), 2131; https://doi.org/10.3390/ijerph15102131

Received: 8 August 2018 / Revised: 19 September 2018 / Accepted: 26 September 2018 / Published: 27 September 2018

(This article belongs to the Special Issue Emerging Issues in Occupational Safety and Health)

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Abstract

Background: In the healthcare sector, a comprehensive safety culture includes both patient care-related and occupational aspects. In recent years, healthcare studies have demonstrated diverse relationships between aspects of psychosocial working conditions, occupational, and patient safety culture. The aim of this study was to consider and test relevant predictors for staff’s perceptions of occupational and patient safety cultures in hospitals and whether there are shared predictors. From two German university hospitals, 381 physicians and 567 nurses completed a questionnaire on psychosocial working conditions, occupational, and patient safety culture. Two regression models with predictors for occupational and patient safety culture were conceptually developed and empirically tested. In the Occupational Safety Culture model, job satisfaction (β = 0.26, p ≤ 0.001), work‒privacy conflict (β = −0.19, p ≤ 0.001), and patient-related burnout (β = −0.20, p ≤ 0.001) were identified as central predictors. Important predictors in the Patient Safety Culture model were management support for patient safety (β = 0.24, p ≤ 0.001), supervisor support for patient safety (β = 0.18, p ≤ 0.001), and staffing (β = 0.21, p ≤ 0.001). The two models mainly resulted in different predictors. However, job satisfaction and leadership seem to play an important role in both models and can be used in the development of a comprehensive management of occupational and patient safety culture. View Full-Text

Keywords: Germany; hospitals; occupational safety culture; patient safety culture; psychosocial working conditions; regression analysis; safety culture; transformational leadership

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Wagner, A.; Hammer, A.; Manser, T.; Martus, P.; Sturm, H.; Rieger, M.A. Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals. Int. J. Environ. Res. Public Health 2018, 15, 2131. https://doi.org/10.3390/ijerph15102131

AMA Style

Wagner A, Hammer A, Manser T, Martus P, Sturm H, Rieger MA. Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals. International Journal of Environmental Research and Public Health. 2018; 15(10):2131. https://doi.org/10.3390/ijerph15102131

Chicago/Turabian Style

Wagner, Anke, Antje Hammer, Tanja Manser, Peter Martus, Heidrun Sturm, and Monika A. Rieger. 2018. "Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals" International Journal of Environmental Research and Public Health 15, no. 10: 2131. https://doi.org/10.3390/ijerph15102131

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Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals

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