影響職業安全與衛生成效之研究－以某醫療院所為例

目的：近幾年來，整合職業安全與衛生及健康促進，以提升職場安全健康的呼聲高漲。本研究係以整合式取向為出發，結合安全氣候、健康促進作為前因變項，並納入社會心理的脈絡因素：社會影響，探討對於預防行動及安全滿意的影響。方法：本研究以台灣醫療院所員工為收案對象，共收集392位有效樣本，採用結構方程模式驗證研究架構。結果：（1）本研究經驗證後整體模式配適度甚佳；（2）除社會影響對安全滿意未具有顯著正向影響之外，其餘假設均獲支持；（3）在安全滿意之直接與間接效果分析方面，總效果分析顯示，以安全氣候為最高，其他依序為預防行動、健康促進、社會影響；（4）中介效果分析顯示，預防行動同時為三個前因變項：安全氣候、健康促進、社會影響，與後果變項：安全滿意之間的中介變項，且均具有部分中介效果。結論：本研究希冀能提供學術理論與實務臨床上之實徵結論與建議，予研究學者及實務工作者後續研究或方案推動之參考，共同打造健康職場更美好之願景。

關鍵字

職業安全與衛生；安全氣候；健康促進；社會影響

並列摘要

Purpose: To integrate occupational safety and health with health promotion to improve workplace safety is gradually valued by researchers and practitioners. Based on the integrative approach, the study aims to include three antecedents: safety climate, health promotion, and social influence, and to explore the effects of the three antecedents on preventive activities and safety satisfaction. Methods: Structural equation modeling (SEM) was used to assess the causal relationships that were hypothesized in the proposed model. The proposed model was validated with 392 respondents from one hospital in Taiwan. Results: (1) The structural model showed a good fit. (2) As predicted, all proposed hypotheses except for H3b (Social influence has a positive effect on safety satisfaction.) were supported. (3) Safety climate, followed by preventive activities, health promotion, and social influence in order, has the strongest total effects on safety satisfaction relative to the other factors. (4) This study also confirmed that preventive activities partially mediate the effects of three antecedents (safety climate, health promotion, and social influence) on consequence (safety satisfaction). Conclusion: This study provided conclusions and practical implications to practitioners and scholars of occupational safety and health and health promotion to achieve better work-life of employees of hospitals in future.

並列關鍵字

occupational safety and health ； safety climate ； health promotion ； social influence

國際替代計量

影響職業安全與衛生成效之研究－以某醫療院所為例

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