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Determinants of Occupational Safety Culture in Hospitals and other Workplaces—Results from an Integrative Literature Review

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  • Anke Wagner

    (Institute of Occupational and Social Medicine and Health Services Research, University Hospital of Tübingen, 72074 Tübingen, Germany)

  • Ladina Schöne

    (Institute of Occupational and Social Medicine and Health Services Research, University Hospital of Tübingen, 72074 Tübingen, Germany)

  • Monika A. Rieger

    (Institute of Occupational and Social Medicine and Health Services Research, University Hospital of Tübingen, 72074 Tübingen, Germany)

Abstract

Background: The aim of the present study was to obtain an overview of occupational safety culture by assessing and mapping determinants in different workplaces (hospital workplaces and workplaces in construction, manufacturing, and other industry sectors) using an already established theoretical framework with seven clusters developed by Cornelissen and colleagues. We further derived implications for further research on determinants of occupational safety culture for the hospital workplace by comparing the hospital workplace with other workplaces. Methods: We conducted an integrative literature review and searched systematically for studies in four research databases (PubMed, Web of Science, CINAHL, and PsycINFO). The search was undertaken in 2019, and updated in April 2020. Results of the included studies were analyzed and mapped to the seven clusters proposed by Cornelissen and colleagues. Results: After screening 5566 hits, 44 studies were included. Among these, 17 studies were conducted in hospital workplaces and 27 were performed in other workplaces. We identified various determinants of an occupational safety culture. Most studies in hospital and other workplaces included determinants referring to management and colleagues, to workplace characteristics and circumstances, and to employee characteristics. Only few determinants in the studies referred to other factors such as socio-economic factors or to content relating to climate and culture. Conclusions: The theoretical framework used was helpful in classifying various determinants from studies at different workplaces. By comparing and contrasting results of studies investigating determinants at the hospital workplace with those addressing other workplaces, it was possible to derive implications for further research, especially for the hospital sector. To date, many determinants for occupational safety culture known from workplaces outside of the healthcare system have not been addressed in studies covering hospital workplaces. For further studies in the hospital workplace, it may be promising to address determinants that have been less studied so far to gain a more comprehensive picture of important determinants of an occupational safety culture in the hospital sector.

Suggested Citation

  • Anke Wagner & Ladina Schöne & Monika A. Rieger, 2020. "Determinants of Occupational Safety Culture in Hospitals and other Workplaces—Results from an Integrative Literature Review," IJERPH, MDPI, vol. 17(18), pages 1-23, September.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6588-:d:411627
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    References listed on IDEAS

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    1. Hicks, Gemma & Buttigieg, Donna & De Cieri, Helen, 2016. "Safety climate, strain and safety outcomes," Journal of Management & Organization, Cambridge University Press, vol. 22(1), pages 19-31, January.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Anke Wagner & Martina Michaelis & Edwin Luntz & Andrea Wittich & Matthias Schrappe & Constanze Lessing & Monika A. Rieger, 2018. "Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital," IJERPH, MDPI, vol. 15(12), pages 1-24, November.
    4. Anke Wagner & Antje Hammer & Tanja Manser & Peter Martus & Heidrun Sturm & 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," IJERPH, MDPI, vol. 15(10), pages 1-18, September.
    5. Sharon Clarke & Katie Ward, 2006. "The Role of Leader Influence Tactics and Safety Climate in Engaging Employees' Safety Participation," Risk Analysis, John Wiley & Sons, vol. 26(5), pages 1175-1185, October.
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    Cited by:

    1. Anna T. Ehmann & Eylem Ög & Monika A. Rieger & Achim Siegel, 2021. "Work-Related Health Literacy: A Scoping Review to Clarify the Concept," IJERPH, MDPI, vol. 18(19), pages 1-24, September.
    2. Jana Soeder & Anna T. Neunhöffer & Anke Wagner & Christine Preiser & Benjamin Rebholz & Diego Montano & Norbert Schmitz & Johanna Kauderer & Falko Papenfuss & Antje Klink & Karina Alsyte & Monika A. R, 2022. "Assessing Differences in Attitudes toward Occupational Safety and Health Measures for Infection Control between Office and Assembly Line Employees during the COVID-19 Pandemic in Germany: A Cross-Sect," IJERPH, MDPI, vol. 20(1), pages 1-18, December.

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