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Int. J. Environ. Res. Public Health 2018, 15(11), 2495; https://doi.org/10.3390/ijerph15112495

Teamwork and Safety Climate in Homecare: A Mixed Method Study

1
Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden
2
Division of Innovation and Design, Department of Business Administration, Technology and Social Sciences, Luleå University of Technology, 97187 Luleå, Sweden
*
Author to whom correspondence should be addressed.
Received: 30 August 2018 / Revised: 11 October 2018 / Accepted: 1 November 2018 / Published: 8 November 2018
(This article belongs to the Special Issue Emerging Issues in Occupational Safety and Health)
Full-Text   |   PDF [326 KB, uploaded 8 November 2018]

Abstract

A rapidly changing homecare service sector implies difficulties to control safety and health risks for staff and to guarantee standardised deliveries of services to recipients. This study aimed to describe staff perceptions of safety climate and practices in homecare service teams, and suggestions for improvements. A second aim was to identify if and how the appraisals of safety climate were related to individual perceptions of safety, mental strain and adverse events/injury. A convergent parallel mixed methods design was used. Nursing assistants and care aides (133 in total, representing 11 work teams) in the north of Sweden replied to a survey and participated in focus group interviews. Results were analysed with ANOVA (inter-team differences) and by qualitative content analysis. Significant diversity was identified between the teams in five of seven dimensions of safety climate. Important areas for improvement were: a need to define and agree on criteria for a safe working environment; leadership prioritising safety at work; and management able to provide trust, support and time. A prerequisite for these agreements was improved authority and communication between all parties involved. The safety climate dimensions were related to personal perceptions of safety and mental strain and, partly, to adverse events/injuries. View Full-Text
Keywords: health services research; risk management; safety climate; teamwork; quality improvement; mental strain; injury health services research; risk management; safety climate; teamwork; quality improvement; mental strain; injury
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 (CC BY 4.0).
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Larsson, A.; Westerberg, M.; Karlqvist, L.; Gard, G. Teamwork and Safety Climate in Homecare: A Mixed Method Study. Int. J. Environ. Res. Public Health 2018, 15, 2495.

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