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Teamwork and Safety Climate in Homecare: A Mixed Method Study

Author

Listed:
  • Agneta Larsson

    (Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden)

  • Mats Westerberg

    (Division of Innovation and Design, Department of Business Administration, Technology and Social Sciences, Luleå University of Technology, 97187 Luleå, Sweden)

  • Lena Karlqvist

    (Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden)

  • Gunvor Gard

    (Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden)

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.

Suggested Citation

  • Agneta Larsson & Mats Westerberg & Lena Karlqvist & Gunvor Gard, 2018. "Teamwork and Safety Climate in Homecare: A Mixed Method Study," IJERPH, MDPI, vol. 15(11), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2495-:d:181420
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
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    Cited by:

    1. Janina Ribelienė & Jūratė Macijauskienė & Rasa Tamelienė & Aušrelė Kudrevičienė & Irena Nedzelskienė & Aurelija Blaževičienė, 2022. "Factors Relating to a Safety Culture in the University Perinatal Center: The Nurses’ and Midwives’ Perspective," IJERPH, MDPI, vol. 19(16), pages 1-10, August.
    2. Veronica Cobano-Delgado & Vicente Llorent-Bedmar, 2020. "Women’s Well-Being and Rural Development in Depopulated Spain," IJERPH, MDPI, vol. 17(6), pages 1-14, March.
    3. Kapo Wong & Alan Hoi Shou Chan, 2018. "Emerging Issues in Occupational Safety and Health," IJERPH, MDPI, vol. 15(12), pages 1-4, December.

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