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Assessment of Workplace Safety Climate among Healthcare Workers during the COVID-19 Pandemic in Low and Middle Income Countries: A Case Study of Nigeria

Haruna Musa Moda, Fabian M. Dama, Christopher Nwadike, Basim Sulaiman Alatni, Solomon Olayinka Adewoye, Henry Olawale Sawyerr, Pauline J. S. Doka, Mela Danjin

2021Healthcare20 citationsDOIOpen Access PDF

Abstract

The COVID-19 pandemic has presented several organizations with the opportunity to review their operational strategies, as well as the existing safety climate within their establishments. The healthcare sector is not an exception, especially those in Low and Middle Income Countries (LMICs), where most safety systems are not robust when compared with developed countries. The study aim is to assess the occupational safety climate among healthcare workers (HCWs) in LMICs using Nigeria as a case study. A cross-sectional study was adopted to measure safety climate perception among professionals working in healthcare establishment during the COVID-19 pandemic using a validated Nordic Safety Climate Questionnaire (NOSACQ-50). At the end of the survey period, 83% (433) of the responses were adjudged to have met the threshold criteria and were used to inform the study outcome. Worker safety commitment within the healthcare facilities (M = 3.01, SD = 0.42) was statistically significantly higher than management safety priority, commitment, and competence (M = 2.91, SD = 0.46), t(130.52), p < 0.001. A significant effect of the management role was found in regards to management safety priority, commitment, and competence (F(1, 406) = 3.99, p = 0.046, η2 = 0.010). On the contrary, the managerial position does not have a significant effect on worker safety commitment (F(1, 417) = 0.59, p = 0.440, η2 = 0.001). The outcome from the study showed that, where there is active promotion of a positive safety climate in healthcare sectors in LMICs, employees are more likely to engage in positive safety behaviour. To help address the identified gaps, there is the need for more effort to be made towards promoting an effective and positive safety climate across the establishment, including management and healthcare worker commitments.

Topics & Concepts

Health careOccupational safety and healthPandemicLow and middle income countriesPersonal protective equipmentCompetence (human resources)Safety climateBusinessHealthcare workerPatient safetyCoronavirus disease 2019 (COVID-19)MedicineNursingEnvironmental healthDeveloping countryPsychologyEconomic growthDiseasePathologyInfectious disease (medical specialty)EconomicsSocial psychologyOccupational Health and Safety ResearchSupply Chain Resilience and Risk ManagementInsurance and Financial Risk Management
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