1. Examining the pathways by which work–life balance influences safety culture among healthcare workers in Taiwan: path analysis of data from a cross-sectional survey on patient safety culture among hospital staff
- Author
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Jeffrey Braithwaite, Louise A. Ellis, En-Hui Yeh, Yvonne Tran, Hsun-Hsiang Liao, and Robyn Clay-Williams
- Subjects
leadership ,Mediation (statistics) ,Safety Management ,patient care management ,Attitude of Health Personnel ,media_common.quotation_subject ,Applied psychology ,Taiwan ,Patient safety ,Intensive care ,Surveys and Questionnaires ,patient safety ,Medicine ,Humans ,Safety culture ,Emotional exhaustion ,media_common ,Teamwork ,burnout ,business.industry ,Work–life balance ,Work-Life Balance ,General Medicine ,Moderation ,Organizational Culture ,Medical Management ,Personnel, Hospital ,Cross-Sectional Studies ,business - Abstract
ObjectiveThe aim of this study is to examine the pathways by which work–life balance influences safety climate in hospital settings.DesignA national cross-sectional survey on patient safety culture.SettingsHealthcare workers from 56 hospitals in Taiwan, covering three work settings: intensive care units, operation rooms and emergency departments.Participants14 345 healthcare workers took part in the survey and were included in the present analysis.Primary and secondary outcome measuresThe Safety Attitudes, Maslach’s Burn-out Inventory and Work–life balance questionnaires were used to measure patient safety culture, teamwork, leadership, emotional exhaustion and work–life balance. Path analysis was conducted to determine the relationship between work–life balance and safety climate. We tested for mediating and moderating factors influencing this relationship.ResultsThe path between work–life balance and safety climate was found to be significant (b=0.32, pConclusionWe found work–life balance to be associated with safety climate through a fully mediated model. The mediation pathways are moderated by self-identified leadership and perceptions of leadership. Understanding the pathways on how work–life balance influences safety climate provides an explanatory model that can be used when designing effective interventions for implementation in system-based approaches to improve patient safety culture in hospital settings.
- Published
- 2021