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Teamwork and Safety Climate in Homecare: A Mixed Method Study.

Agneta Larsson1, Mats Westerberg2, Lena Karlqvist3

  • 1Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden. agneta.larsson@ltu.se.

International Journal of Environmental Research and Public Health
|November 11, 2018
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Summary
This summary is machine-generated.

Homecare staff face safety challenges due to sector changes. Improving safety climate requires clear criteria, leadership focus, and management support, impacting staff well-being and reducing adverse events.

Keywords:
health services researchinjurymental strainquality improvementrisk managementsafety climateteamwork

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Area of Science:

  • Healthcare Management
  • Occupational Safety and Health
  • Homecare Services Research

Background:

  • The homecare sector faces rapid changes, creating challenges in managing staff safety and health risks.
  • Ensuring standardized service delivery to recipients is difficult amidst these changes.

Purpose of the Study:

  • To describe homecare staff perceptions of safety climate and practices.
  • To identify areas for improvement in homecare safety.
  • To examine the relationship between safety climate appraisals, perceived safety, mental strain, and adverse events/injuries.

Main Methods:

  • Convergent parallel mixed methods design.
  • Survey and focus group interviews with 133 nursing assistants and care aides across 11 work teams.
  • Analysis using ANOVA for inter-team differences and qualitative content analysis.

Main Results:

  • Significant diversity in safety climate dimensions was found across teams.
  • Key improvement areas include defining safe working environment criteria, prioritizing safety leadership, and enhancing management trust, support, and time allocation.
  • Improved authority and communication are prerequisites for these improvements.

Conclusions:

  • Safety climate dimensions are linked to individual perceptions of safety and mental strain.
  • These dimensions also show a partial relationship with adverse events/injuries in homecare settings.