Highlights
- •Safety climate plays a critical role in nurses' safety behaviors.
- •Few know the sub-dimensions of the safety climate related to safety behavior.
- •Managers should allow nurses to share their views on workplace safety.
- •Managers can purchase PPE that can be used easily and comfortably.
Abstract
Purpose
Safety climate plays a critical role in nurses' safety behaviors. However, few are
aware of the safety climate sub-dimensions associated with safety behavior. This study
aimed to investigate the relationship between nurses’ perception of the workplace
safety climate and their safety behavior regarding the handling of chemotherapy upon
intravenous administration.
Methods
This study included a cross-sectional survey of nurses recruited by purposive sampling
at three hospitals in Taiwan. A total of 484 self-administered questionnaires were
returned. Each participant had to complete the questionnaire that was developed by
the authors, including the Taiwanese Safety Climate Instrument and Chemotherapy Safety
Precautions Questionnaire. Exploratory factor analysis and Confirmatory factor analysis
was conducted to verify the psychometric properties. We used the samples (N = 247)
for confirmatory factor analysis to verify the model using partial least squares structural
equation modeling.
Results
We found that nurses’ perceptions of workplace safety climate can explain and predict
their safety behavior regarding administration chemotherapy, particularly the dimension
of “perception of interaction with colleagues,” “experience of clinical jobs hindering
the use of personal protective equipment,” “perception of comfort using personal protective
equipment,” and “easy usage of personal protective equipment.” The study further revealed
that the dimensions of the Taiwanese Safety Climate Instrument were moderate predictors
of the Chemotherapy Safety Precautions.
Conclusions
Nurses have a positive perception of the workplace safety climate and frequently implement
behaviors regarding the safe handling of chemotherapy. Organizational managers should
enable nurses to share their perceptions of workplace safety with their colleagues
and purchase easy-to-use and comfortable personal protective equipment.
Keywords
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Article info
Publication history
Published online: October 06, 2022
Accepted:
October 3,
2022
Received in revised form:
September 26,
2022
Received:
February 27,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
