The influence of supportive and ethical work environments on work-related accidents, injuries, and serious psychological distress among hospital nurses

Maki Tei-Tominaga, Miharu Nakanishi

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)

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.

Original languageEnglish
Article number240
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number2
DOIs
Publication statusPublished - 2018 Feb

Keywords

  • Ethical climate
  • Nurse
  • Occupational health and safety
  • Psychological distress
  • Social capital
  • Work environment
  • Work-related accident or injury

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