Does safety climate moderate the influence of staffing adequacy and work conditions on nurse injuries?

PROBLEM: Hospital nurses have one of the highest work-related injury rates in the United States. Yet, approaches to improving employee safety have generally focused on attempts to modify individual behavior through enforced compliance with safety rules and mandatory participation in safety training. We examined a theoretical model that investigated the impact on nurse injuries (back injuries and needlesticks) of critical structural variables (staffing adequacy, work engagement, and work conditions) and further tested whether safety climate moderated these effects. METHOD: A longitudinal, non-experimental, organizational study, conducted in 281 medical-surgical units in 143 general acute care hospitals in the United States. RESULTS: Work engagement and work conditions were positively related to safety climate, but not directly to nurse back injuries or needlesticks. Safety climate moderated the relationship between work engagement and needlesticks, while safety climate moderated the effect of work conditions on both needlesticks and back injuries, although in unexpected ways. DISCUSSION AND IMPACT ON INDUSTRY: Our findings suggest that positive work engagement and work conditions contribute to enhanced safety climate and can reduce nurse injuries.     

Parents’ work injuries and children’s mental health: The moderating role of children’s work centrality

Introduction: The purpose of this study is to explore the relationship between parents’ work-related injuries and their children’s mental health, and whether children’s work centrality – the extent to which a child believes work will play an important part in their life – exacerbates or buffers this relationship. Method: We argue that high work centrality can exacerbate the relationship between parental work injuries and children’s mental health, with parental work injuries acting as identity-threatening stressors; in contrast, high work centrality may buffer this relationship, with parental work injuries acting as identity-confirming stressors. We test this relationship with a sample of Canadian children (N = 4,884, 46.2% female, M age = 13.67 years). Results:Children whose parents had experienced more frequent lost-time work-related injuries reported worse mental health with high work centrality buffering this negative relationship. Conclusions: Our study highlights the vicarious effects of work injuries on salient others, specifically parental work injuries on children’s mental health, as well as the role of work centrality in shaping children’s sense-making and expectations about the consequences of work.     

The insurance market’s influence on investments in safety measures

In a risky process there are three alternative ways to treat the negative consequences of the risk or the accident. We can: (1) take all the consequences when an accidental event occurs, (2) reduce the probability and/or the consequences of an accidental event by safety measures or (3) transfer the consequences of the occurrence to parties better able to carry them (i.e. buying insurance). In safety management a prevailing practice is that access to an insurance market does not affect the investment in safety measures. In this paper we discuss what the consequences are of this common practice in relation to insurance and mandatory safety requirements. We conclude that an overinvestment in safety measures is very likely if insurance is not taken into account. Moreover, mandatory safety measures and insurance can lead to both over- and underinvestment in safety measures.     

The influence of ClO− and acidity in the reaction between H2O2 and CuCl2

The potentially explosive reaction of hydrogen peroxide (H₂O₂) and copper chloride (CuCl₂) was investigated. Pressure tests revealed that the reaction was strongly temperature - dependent and can easily undergo runaway reaction. Nevertheless, there was only a slight pressure increase at the low temperatures studied or when using low concentrations of CuCl₂. Under the conditions generating the slight pressure increase, hypochlorite anions (ClO⁻) are generated and the acidity increases. As the reaction reaches completion, ClO⁻ disappears, and the acidity decreases. Interestingly, the addition of phosphate buffer to maintain the weakly acid conditions led to a runaway reaction, and the use of basic ClO⁻ promoted the exothermic reaction. Based on the results, acidity has a strong impact on the reaction behaviour.     

A pleasure working together? The effects of dissimilarity in team member conscientiousness on team temporal processes and individual satisfaction

In this study of 43 student project teams, we tested a multi‐level mediation model of the relationship between dissimilarity in conscientiousness, team temporal processes, and team member satisfaction. We distinguished between individual‐level dissimilarity in conscientiousness (i.e., the distance between an individual member and his or her team mates), and team‐level dissimilarity in conscientiousness (i.e., the overall dissimilarity within the team). Individual‐level dissimilarity in conscientiousness had a direct negative effect on team members' satisfaction with the team, but did not affect their satisfaction with the team's performance. Team‐level dissimilarity in conscientiousness indirectly affected both types of satisfaction negatively as it impeded early agreement about the temporal aspects of task execution, which, in turn, hindered coordinated action in later stages of team task execution. Copyright © 2008 John Wiley & Sons, Ltd.     

The characteristics of fatal occupational injuries in Korea’s construction industry, 1997–2004

This study is aimed at exploring the characteristics of fatal occupational injuries in Korea’s construction industry and comparing the causes in various occupations within that industry. There were 10,276 fatal occupational injury victims in Korea over 8 years (1997–2004). The mortality risk due to injuries in construction and non-construction industries was calculated, and their causes were compared. The number of victims of fatal occupational injuries in the construction industry was 4333 (42.2% of the total fatal occupational injuries), and the 1 year mortality risk was higher (23.7/100,000 persons) than in non-construction industries (10.4). Falling was the most frequent (52.7%) cause of fatal injuries. In addition, deaths due to structural collapse and electric shock were significantly higher than in other industries. When the distribution of the causal factors in various occupations within the construction industry was investigated, some factors appeared more frequently in certain occupations than in others. As the construction industry encompasses a large proportion of occupational injuries, a reduction in this field alone will substantially contribute to an overall reduction of occupational injuries in Korea. Further research for effective prevention is needed.     

The unintended impact of helmet use on bicyclists’ risk-taking behaviors

Introduction: Safety is a critical factor in promoting sustainable urban non-motorized travel modes like bicycles. Helmets have shown to be effective in reducing injury severity in bicycle crashes, however, their effects on bicyclists’ behaviors still requires deeper understanding, especially amid the emerging trend of using shared bicycles. Risk compensation effects suggest that bicyclists may offset perceived gains in safety from wearing a helmet by increasing risk-taking behaviors. A better understanding of these compensation effects can be useful in assessing various bicycle safety related programs. Method: Using a sample of 131 bicyclists from the San Francisco Bay area, this research studies how bicyclists respond with respect to risk-taking behaviors under various urban-street conditions, as a function of helmet use. Study participants were each shown 12 videos, shot in Berkeley, California, from the perspective of a bicyclist riding behind another bicyclist. A fractional factorial experiment design was used to systematically vary contextual attributes (e.g., speed, bike lane facilities, on-street parking, passing vehicles) across the videos. After each video, participants were asked to indicate if they would overtake the bicyclist in the video. With the help of data adaptive estimation techniques, targeted maximum likelihood estimation (TMLE) was applied to estimate the average risk difference between helmeted users and non-users, controlling for self-selection effects. Individual-based nonparametric bootstrap was performed to assess the uncertainty associated with the estimator. Results: Our findings suggest, on average, individuals more likely to wear a helmet are 15.6% more likely to undertake a risky overtaking maneuver. Practical Applications: This study doesn’t try to oppose mandatory helmet laws, but rather serves as a cautionary warning that road safety programs may need to consider strategies in which unintended impact of bicycle helmet use can be mitigated. Moreover, our findings also provide additional evaluation component when it comes to the cost-benefit assessment of helmet-related laws.     

The influence of air flow on maximum explosion characteristics of dust–air mixtures

A standard spherical apparatus for measuring explosion characteristics was modified to give increased and controlled turbulence within a dust–air mixture. This was intended to mimic the local effects which may occur during industrial dust explosions, particularly secondary ones which may develop in ducts or mine galleries where the initial explosion causes an increased air velocity and suspension of further quantities of dust.The results show that there may be a doubling of the maximum explosion pressure and of the rate of pressure rise during the explosion under more turbulent conditions. This is significant for modelling of dust explosions and suggests that explosion relief may be inadequate if this factor is not taken into consideration.The modified apparatus therefore gives a laboratory method for assessing the effect of turbulence in dust explosions.     

Structural equation model of the influence of noise annoyance on miners’ unsafe behavior in coal mines

Miners' unsafe behavior (UB) is the main cause of coal mine accidents. Previous research has suggested that excessive noise in tunnels impacts miners' temperaments and safe production behavior. To explore the influence of noise on UB, four different dimensions of noise annoyance were identified: cognitive, emotional, communication, and physical mechanism annoyance. The coal mine noise annoyance scale, miners' unsafe behavior intention (UBI) scale, and miners’ UB scale were developed according to different dimensions. In the first survey, a total of 200 questionnaires were distributed in the two coal mines, and 193 valid questionnaires were recovered. Exploratory factor analysis was conducted, and invalid items were removed according to the analysis results to form the final scale. Then, 500 final scales were distributed in two Chinese coal mines, and 482 valid questionnaires were collected. Confirmatory factor analysis was conducted by collating the data of the second questionnaire. Based upon the structural equation model (SEM), the SEM of the influence of noise annoyance degree on UB and the path analysis with latent variable path analysis with the latent variables (PA-LVs) mediating model of the effect of UBI on UB were established, and the path coefficients with fitting data of the model were analyzed. The results indicated that the four dimensions of coal mine noise annoyance had a strong positive impact on UB, which was reduced by less noise annoyance. In addition, the Bootstrap method was used to verify the mediating method among the four dimensions of noise annoyance, cognitive annoyance, emotional annoyance, with communication annoyance indirectly affecting UB through UBI. The research results provide theoretical support for reducing the UB of miners and improving coal mine safety levels.     

Pedestrian distraction: The effects of road environment complexity and age on pedestrian’s visual attention and crossing behavior

Introduction: Little is known about how characteristics of the environment affect pedestrians’ road crossing behavior. Method: In this work, the effect of typical urban visual clutter created by objects and elements in the road proximity (e.g., billboards) on adults and children (aged 9–13) road crossing behavior was examined in a controlled laboratory environment, utilizing virtual reality scenarios projected on a large dome screen. Results: Divided into three levels of visual load, results showed that high visual load affected children’s and adults’ road crossing behavior and visual attention. The main effect on participants’ crossing decisions was seen in missed crossing opportunities. Children and adults missed more opportunities to cross the road when exposed to more cluttered road environments. An interaction with age was found in the dispersion of the visual attention measure. Children, 9–10 and 11–13 years old, had a wider spread of gazes across the scene when the environment was highly loaded—an effect not seen with adults. However, unexpectedly, no other indication of the deterring effect was found in the current study. Still, according to the results, it is reasonable to assume that busier road environments can be more hazardous to adult and child pedestrians. Practical Applications: In that context, it is important to further investigate the possible distracting effect of causal objects in the road environment on pedestrians, and especially children. This knowledge can help to create better safety guideline for children and assist urban planners in creating safer urban environments.     

Worker influence on voluntary OHS management systems – A review of its ends and means

Voluntary management systems (MS) might improve occupational health and safety (OHS). MSs, as with any OHS management, requires worker influence (and management commitment) to reduce risks at work. Influence through union backed safety representatives (or similar) achieves the best OHS results. However, a MS guarantees neither effective OHS management nor strong worker influence. Systematic violations of legal requirements have repeatedly caused accidents at workplaces with certified MSs. Why employers introduce MS’s can affect their implementation and outcomes. Internal objectives, of productivity and/or work-related health, require upstream prevention and a genuine influence by workers and their safety representatives. However, managers with external objectives for a MS, such as brand images or low reported accident figures, may pursue such objectives through downstream control of safe behaviour – sometimes suppressing accident reporting – and with little attention to more serious long-term diseases. Worker consultation may then be a limited means of enhancing safety, or to one-way communication on safety rules. Such consultation may even be used for union busting. Many trade unions welcome MSs as possible improvement instruments, but they are also wary of what MSs employers are actually trying to implement. Unions try to support their safety representatives’ influence in a MS by enhancing their rights and their competences. If the motives for MSs are mainly external and the opportunities for influence too limited, it may be better for unions not to cooperate with management in a MS that may lead more to manipulation than to safe and sound work.     

Back injuries among nursing personnel — identification of work conditions with cluster analysis

The aim of the present study was to identify work conditions that are typical for nursing personnel and relevant for the risk of back injuries, and to analyse how individual characteristics contribute to the risk of injuries in these situations. Six well-defined clusters were identified by cluster analysis. Two clusters had an over-representation of injuries and they were characterised by a combination of full-time work, work on a rolling schedule, regular patient transfers and a high proportion of assistant nurses. In the three clusters with a lower proportion of injuries the nurses worked part-time. In the cluster with the lowest rate of injuries no one performed regular patient transfers. Working part-time seemed to be a preventive factor for back injury, even when regular patient transfers were performed. The decreased risk of injury among the general registered nurses may thus be a joint effect of fewer working hours, fixed working schedule and less patient handling. The advantages of cluster analysis for detecting the pattern of interacting risk indicators and modifiers are discussed.     

Socio-demographic and experience factors affecting drivers’ runoff risk along horizontal curves of two-lane rural highway

Introduction: An improper driving strategy is one of the causative factors for a high probability of runoff and overturning crashes along the horizontal curves of two-lane highways. The socio-demographic and driving experience factors of a driver do influence driving strategy. Hence, this paper explored the effect of these factors on the driver’s runoff risk along the horizontal curves. Method: The driving performance data of 48 drivers along 52 horizontal curves was recorded in a fixed-base driving simulator. The driving performance index was estimated from the weighted lateral acceleration profile of each driver along a horizontal curve. It was clustered and compared with the actual runoff events observed during the experiment. It yielded high, moderate, and low-risk clusters. Using cross-tabulation, each risk cluster was compared with the socio-demographic and experience factors. Further, generalized mixed logistic regression models were developed to predict the high-risk and high to moderate risk events. Results: The age and experience of drivers are the influencing factors for runoff crash. The high-risk event percentage for mid-age drivers decreases with an increase in driving experience. For younger drivers, it increases initially but decreases afterwards. The generalized mixed logistic regression models identified young drivers with mid and high experience and mid-age drivers with low-experience as the high-risk groups. Conclusions: The proposed index parameter is effective in identifying the risk associated with horizontal curves. Driver training program focusing on the horizontal curve negotiation skills and graduated driver licensing could help the high-risk groups. Practical applications: The proposed index parameter can evaluate driving behavior at the horizontal curves. Driving behavior of high-risk groups could be considered in highway geometric design. Motor-vehicle agencies, advanced driver assistance systems manufacturers, and insurance agencies can use proposed index parameter to identify the high-risk drivers for their perusal.     

Investigation and identification of factors affecting migrating peasant workers’ usage of safety footwear in the Chinese construction industry

A sample of 300 migrating peasant workers from 15 Chinese building construction sites completed a demographic questionnaire to investigate the usage of safety footwear. The survey form was constructed based on the theory of planned behaviour, and a total of 12 questions focusing on the workers’ past experience, attitudes, subjective norms and perceived behavioural control were included in the survey. It was found that 92% of the participants did not wear safety footwear while working on construction sites, although more than 91% of them believed that safety footwear would protect the foot from injury; none of the participants had been provided free safety footwear by their employer. Regression analysis shows that employers’ attitude is the most important factor affecting their usage of safety footwear, ‘providing free safety footwear’ and ‘comfortability of the safety footwear’ ranking second and third respectively.     

The effect of an active steering system on city bus drivers’ muscle activity

City bus drivers spend hours driving under time pressure, in congested traffic and in a monotonous sitting position. This leads to unhealthy working conditions, especially in terms of physical and psychological stress. The aim of this study is to investigate whether an active steering system can alleviate the musculoskeletal stress involved in manoeuvring a bus. Twenty bus drivers drove a city bus equipped with the Volvo dynamic steering (VDS) support system in real traffic. Steering effort was evaluated with electromyography and with a questionnaire. Compared to baseline, VDS significantly reduced the required muscle activity by on average 15–25% while turning, and up to 68% in the part of the manoeuvre requiring maximum effort. The bus drivers believed that VDS will help reduce neck and shoulder problems, and they expressed a desire to have VDS installed in their own bus.     

Assessment of the effect of welding fumes on welders’ cognitive failure and health-related quality of life

Introduction. This study examined whether cognitive symptoms and health-related quality of life can be affected by welding fume exposure. Method. Participants consisted of welders (n?=?40) and welder assistants (n?=?25) from welding units as the exposed group, and office workers (n?=?44) as the non-exposed group. All participants were studied using ambient air monitoring and two types of questionnaires: the Cognitive Failures Questionnaire (CFQ) and the 36-item Short Form Health Survey (SF-36). Results. Welders and welder assistants were exposed to higher concentrations of all airborne metals than office employees, except for aluminum and chromium (p?p?M (SD)?=?54.84 (17.88)). The relationships between total CFQ score and the measured concentration of nickel at peak work rate was significant for welders. Conclusion. Cognitive symptoms and health-related quality of life were not related to the measures of welding fume exposure and further research should be performed to find other influencing factors.     

The effect of motorcyclists’ age on injury severities in single-motorcycle crashes with unobserved heterogeneity

Introduction: Due to the myriad of unique characteristics associated with motorcycle operation, motorcycle safety is a public health concern as complex as it is serious. National crash data suggest motorcyclists are 28 times more likely to be killed when compared to passenger car occupants. In the state of Florida, motorcycle crashes are 1.5 times more likely to result in the death of the rider, placing Florida among the top deadliest states for motorcyclists in the nation. Using police-reported data from 2016, this study addresses the complex and interconnected nature of the many characteristics associated with motorcycle operation by investigating the effect of age on motorcyclists’ riding behavior as it relates to injury severity for single-motorcycle crashes in the state of Florida. Method: To account for unobserved heterogeneity in the crash data, mixed logit models with heterogeneity in means and variances were estimated to model three injury severity outcomes (non-visible, severe, and fatal) for three age groups (under 30, 30–49, and 50 and above). Results: Model results indicate that age affects motorcyclists’ safety perception and ability to assess risks, thereby influencing their involvement in risky behaviors. Characteristics unique to motorcycle operation—spatial characteristics, speed, motorcycle type, time of day, helmet usage, alcohol consumption, ejection from motorcycle, passenger presence, endorsement status, and lighting—are further complicated by their dependency on the characteristics of the individual motorcyclist. Age of motorcyclist indicates a relationship between motorcyclists’ behavior and perceived safety. Conclusion: The model results indicated that statistically significant parameters constituted different models and they were not equal across the age groups of motorcyclists: aged under 30, aged 30–49, and aged 50 and above. Through advanced econometric modeling, this study fills a gap in the existing literature and assists the safety professionals, motorcycle trainers, policymakers, law enforcement agencies, and roadway designers in developing countermeasures.     

The dyadic level of conceptualization and analysis: A missing link in multilevel OB research?

Despite burgeoning multilevel research in organizational behavior over the past two decades, our understanding of dyadic relationships at work remains underdeveloped. Focusing on leader–member exchange, we discuss conceptual and methodological challenges that have hampered research at this level and illustrate how and why such analysis might provide new insights. Copyright © 2015 John Wiley & Sons, Ltd.