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The Influence of Supportive and Ethical Work Environments on Work-Related Accidents, Injuries, and Serious Psychological Distress among Hospital Nurses

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  • Maki Tei-Tominaga

    (Faculty of Nursing, Kyoto Tachibana University, Kyoto 607-8175, Japan)

  • Miharu Nakanishi

    (Mental Health and Nursing Research Team, Tokyo Metropolitan Institute of Medical Science, Tokyo 156-8506, Japan)

Abstract

The healthcare industry in Japan has experienced many cases of work-related injuries, accidents, and workers’ compensation claims because of mental illness. This study examined the influence of supportive and ethical work environments on work-related accidents, injuries, and serious psychological distress among hospital nurses. Self-reported questionnaires were distributed to nurses ( n = 1114) from 11 hospitals. Valid responses ( n = 822, 93% women, mean age = 38.49 ± 10.09 years) were used for analyses. The questionnaire included items addressing basic attributes, work and organizational characteristics, social capital and ethical climate at the workplace, psychological distress, and experience of work-related accidents or injuries in the last half year. The final model of a multivariate logistic regression analysis revealed that those who work less than 4 h of overtime per week (OR = 0.313), those who work on days off more than once per month (OR = 0.424), and an exclusive workplace climate (OR = 1.314) were significantly associated with work-related accidents or injuries. Additionally, an exclusive workplace climate (OR = 1.696) elevated the risk of serious psychological distress. To prevent work-related compensation cases, which are caused by these variables, strengthening hospitals’ occupational health and safety is necessary.

Suggested Citation

  • Maki Tei-Tominaga & Miharu Nakanishi, 2018. "The Influence of Supportive and Ethical Work Environments on Work-Related Accidents, Injuries, and Serious Psychological Distress among Hospital Nurses," IJERPH, MDPI, vol. 15(2), pages 1-13, January.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:240-:d:129542
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    References listed on IDEAS

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    1. Elke Driller & Oliver Ommen & Christoph Kowalski & Nicole Ernstmann & Holger Pfaff, 2011. "The relationship between social capital in hospitals and emotional exhaustion in clinicians: A study in four German hospitals," International Journal of Social Psychiatry, , vol. 57(6), pages 604-609, November.
    2. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    3. Ulrich, Connie & O'Donnell, Patricia & Taylor, Carol & Farrar, Adrienne & Danis, Marion & Grady, Christine, 2007. "Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States," Social Science & Medicine, Elsevier, vol. 65(8), pages 1708-1719, October.
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    Cited by:

    1. Laurent Auzoult & Crisanta-Alina Mazilescu, 2021. "Ethical Climate as Social Norm: Impact on Judgements and Behavioral Intentions in the Workplace," IJERPH, MDPI, vol. 18(11), pages 1-9, June.
    2. Gehad Mohammed Ahmed Naji & Ahmad Shahrul Nizam Isha & Abdulsamad Alazzani & Paula Brough & Muhammad Shoaib Saleem & Mysara Eissa Mohyaldinn & Mohammed Alzoraiki, 2022. "Do Leadership, Organizational Communication, and Work Environment Impact Employees’ Psychosocial Hazards in the Oil and Gas Industry?," IJERPH, MDPI, vol. 19(8), pages 1-20, April.

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