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Exploring the dynamics of safety culture: analyzing attitudes, practices, and perceptions among chemical laboratory employees in Sri Lanka. 探索安全文化的动态:分析斯里兰卡化学实验室员工的态度、做法和看法。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-04-30 DOI: 10.2486/indhealth.2024-0187
P L Sanduni Wasana, S D N A M Amila Madhushanka Weerasinghe, Seung-Cheol Hong

This study explores the safety culture among chemical laboratory workers in Sri Lanka's academic, industrial, and government sectors, examining how attitudes, practices, and perceptions influence safety practices, mitigate risks, and promote worker well-being. A cross-sectional survey of 267 laboratory workers was conducted between March 14 and July 14, 2024, using the Laboratory Safety Culture Survey. Data analysis involved t-tests, ANOVA, Tukey's post hoc tests, and chi-square tests to evaluate differences in safety culture components and participant characteristics. The findings revealed significant variations in safety attitudes and practices across the three sectors. Industrial laboratories exhibited stronger safety practices, including higher compliance with personal protective equipment (PPE) protocols, while academic and government sectors faced challenges due to limited resources and inconsistent safety practices. The study highlighted the need for sector-specific safety training, effective risk communication, and enhanced adherence to safety protocols, particularly in academic and government settings. Additionally, the importance of leadership in fostering a strong safety culture was emphasized, with active involvement from principal investigators and supervisors contributing to better safety outcomes. The results suggest that tailored interventions, adequate resource allocation, and increased leadership engagement are crucial for improving safety practices and sustaining a culture of safety across laboratories.

本研究探讨了斯里兰卡学术、工业和政府部门化学实验室工作人员的安全文化,研究了态度、实践和观念如何影响安全实践、减轻风险和促进工人福祉。在2024年3月14日至7月14日期间,使用实验室安全文化调查对267名实验室工作人员进行了横断面调查。数据分析包括t检验、方差分析、Tukey事后检验和卡方检验,以评估安全文化成分和参与者特征的差异。调查结果显示,三个部门在安全态度和做法上存在显著差异。工业实验室表现出更强的安全实践,包括更高程度地遵守个人防护装备(PPE)协议,而学术和政府部门由于资源有限和安全实践不一致而面临挑战。该研究强调了针对特定部门的安全培训、有效的风险沟通以及加强对安全协议的遵守的必要性,特别是在学术和政府环境中。此外,还强调了领导在培养强大的安全文化方面的重要性,主要研究人员和主管的积极参与有助于更好的安全结果。结果表明,量身定制的干预措施、充足的资源分配和加强领导参与对于改善安全实践和维持实验室的安全文化至关重要。
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引用次数: 0
The cost of collectivism: the role of workaholism and exploitation in the psychosocial mechanisms of overwork. 集体主义的代价:工作狂和剥削在过度工作的心理社会机制中的作用。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-03-05 DOI: 10.2486/indhealth.2024-0193
Ryunosuke Takagi, Anna Dalla Rosa, Sophie Gerdel, Junko Araki, Atsuko Kanai, Michelangelo Vianello

Over 10,000 Japanese people are estimated to die annually from overwork. Yet, the reasons why some employees in certain cultures persist in exploitative work environments remain unclear. This study investigates psychosocial factors that prevent exploited employees from leaving their organisations, with a specific emphasis on the role of collectivism. We hypothesise that perceptions of an overwork climate and elevated levels of workaholism contribute to employees' feelings of exploitation, subsequently increasing turnover intentions. Additionally, we predict that collectivism exacerbates the effect of overwork climate on workaholism and weakens employees' intentions to leave their exploitative work environment. Data from 147 Japanese employees were collected via online surveys using snowball sampling. Factor score path analysis and mediation tests (5,000 bootstrap samples) were employed to test our hypotheses. Results suggested that feelings of exploitation are positively linked to turnover intentions, which are driven by the perception of an overwork climate and employees' compulsive orientation towards work. Importantly, collectivism weakened the link between perceived exploitation and turnover intentions. This study provides an account of the complex interplay between organisational climate, culture, and the impact of feeling exploited on employees' intentions to quit, highlighting the potential adverse effects of collectivism on employees.

据估计,每年有超过1万名日本人死于过度劳累。然而,在某些文化中,一些员工坚持从事剥削性工作环境的原因尚不清楚。本研究调查了防止被剥削员工离开组织的社会心理因素,特别强调了集体主义的作用。我们假设,过度工作的氛围和高水平的工作狂会导致员工产生被剥削的感觉,从而增加离职意愿。此外,我们预测集体主义加剧了过度工作氛围对工作狂的影响,并削弱了员工离开剥削性工作环境的意愿。通过滚雪球抽样的在线调查收集了147名日本员工的数据。采用因子得分路径分析和中介检验(5000个bootstrap样本)来检验我们的假设。结果表明,被剥削的感觉与离职意向呈正相关,而离职意向是由过度工作氛围的感知和员工对工作的强迫性取向驱动的。重要的是,集体主义削弱了感知剥削和离职意图之间的联系。本研究提供了一个复杂的相互作用之间的组织气候,文化,和感觉剥削对员工辞职的意图的影响,突出集体主义对员工的潜在不利影响的帐户。
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引用次数: 0
The association between workplace telework guidance, self-management behaviors, and health outcomes among teleworkers: a cross-sectional study in collaboration with labor union. 工作场所远程工作指导、自我管理行为与远程工作者健康结果的关系:一项与工会合作的横断面研究。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-16 DOI: 10.2486/indhealth.2025-0012
Junko Tanaka, Takashi Shimazaki, Takashi Yamauchi, Yumiko Shimizu, Junko Shimasawa, Machi Suka

This study examined the associations between workplace telework guidance, self-management behaviors, and health outcomes-specifically ocular and musculoskeletal symptoms and subjective health perception-among Japanese teleworkers in the post-COVID-19 era. A web-based cross-sectional survey was conducted between October and November 2023, targeting full-time employees in Japan who began teleworking after January 2020. Participants were recruited in collaboration with the Tokyo Federation of the Japan Trade Union Confederation (RENGO Tokyo), a major labor organization representing a wide range of industries. Health status was assessed based on the presence of ocular and musculoskeletal symptoms and subjective health perception, measured using an item from the Comprehensive Survey of Living Conditions by Japan's Ministry of Health, Labour and Welfare. Among 1,666 valid responses, 48.1% of participants reported receiving telework-related guidance from their workplaces. Those who received guidance were more likely to engage in self-management behaviors, such as taking adequate breaks and obtaining sufficient sleep, which were significantly associated with better health outcomes. These findings underscore the importance of workplace guidance in promoting self-management practices and reducing health risks in telework environments, highlighting the necessity of implementing evidence-based occupational health strategies.

本研究调查了后covid -19时代日本远程工作者的工作场所远程工作指导、自我管理行为和健康结果(特别是眼部和肌肉骨骼症状以及主观健康感知)之间的关系。一项基于网络的横断面调查于2023年10月至11月进行,调查对象是2020年1月以后开始远程办公的日本全职员工。与会者是与代表各行各业的主要劳工组织日本工会联合会东京联合会(东京联总)合作征聘的。健康状况的评估基于眼部和肌肉骨骼症状的存在以及主观健康感知,使用日本厚生劳动省《生活条件综合调查》中的一个项目进行测量。在1666份有效回复中,48.1%的参与者表示从他们的工作场所接受了远程工作指导。那些接受指导的人更有可能从事自我管理行为,比如充分休息和获得充足的睡眠,这些都与更好的健康结果显著相关。这些调查结果强调了工作场所指导在促进自我管理做法和减少远程工作环境中的健康风险方面的重要性,强调了实施循证职业健康战略的必要性。
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引用次数: 0
Fractures from same-level falls among workers in the transportation sector: a retrospective analysis of the national open database of occupational injuries in Japan. 交通运输业工人同一水平跌落造成的骨折:对日本国家职业伤害公开数据库的回顾性分析。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-15 DOI: 10.2486/indhealth.2025-0099
Basilua Andre Muzembo, Chisato Hayashi, Tadashi Okano, Hiromitsu Toyoda

We investigated the occurrence of fractures caused by same-level falls resulting from occupational accidents in the transportation sector, utilizing data on occupational deaths and injuries (2012-2016) collected by Japan's Ministry of Health, Labour and Welfare. We analyzed injury cases requiring four or more days of work absence, focusing on same-level falls. Multiple logistic regression was performed to assess differences in fracture occurrence across occupations. Fractures occurred in 27.8% of workers in the hired taxi business, 23.0% in general cargo transportation, 21.9% in other road freight forwarding businesses, 18.3% in the railroad and orbital sector, 16.5% in the bus line industry, and 7.5% in the airline industry. After adjusting for covariates, hired taxi businesses showed a 1.76-fold higher fracture occurrence (95% confidence interval [CI]: 1.04-2.95) compared to the railroad and orbital sector, and 1.4-fold higher occurrence (CI: 1.08-1.85) compared to general cargo transportation. Over 60% of falls in taxi and bus lines involved temporary structures. Taxi drivers experience a high occurrence of fractures, following same-level falls, indicating a significant occupational hazard. This study emphasizes targeted interventions, including measures to prevent falls and lifestyle modifications to mitigate fracture susceptibility, to improve worker safety.

我们利用日本厚生劳动省收集的2012-2016年职业死亡和伤害数据,调查了交通运输部门职业事故导致的相同水平跌倒导致的骨折发生率。我们分析了需要四天或四天以上缺勤的受伤案例,重点是相同水平的跌倒。采用多元逻辑回归来评估不同职业间骨折发生率的差异。在出租汽车行业中,27.8%的工人出现了骨折,在一般货物运输行业中,23.0%的工人出现了骨折,在其他道路货运代理行业中,21.9%的工人出现了骨折,在铁路和轨道运输行业中,18.3%的工人出现了骨折,在公交行业中,16.5%的工人出现了骨折,在航空行业中,7.5%的工人出现了骨折。在调整协变量后,出租汽车行业的骨折发生率比铁路和轨道运输业高1.76倍(95%置信区间[CI]: 1.04-2.95),比普通货物运输业高1.4倍(CI: 1.08-1.85)。超过60%的出租车和公交线路的坠落与临时建筑有关。出租车司机在同一高度跌倒后骨折的发生率很高,这表明这是一项重大的职业危害。本研究强调有针对性的干预措施,包括预防跌倒和改变生活方式以降低骨折易感性,以提高工人的安全性。
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引用次数: 0
Working Time Traffic Light recommendations: development, use, and implementation in the Finnish social and healthcare. 工作时间交通灯建议:芬兰社会和医疗保健的发展、使用和实施。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-15 DOI: 10.2486/indhealth.2025-0082
Mikko Härmä, Kati Karhula, Jarno Turunen, Aki Koskinen, Rahman Shiri, Mikael Sallinen, Päivi Vanttola, Olli Haavisto, Tarja Hakola, Annina Ropponen

The Working Time Traffic Light (WTTL) recommendations are detailed guidelines aimed at mitigating the health and safety effects of shift work. This paper reviews the development, implementation, and effects of the WTTL recommendations in social and healthcare. Based on the payroll-based Working Hours in the Finnish Public Sector (WHFPS) cohort of over 300,000 employees, we analysed many dose-response associations of different working hour characteristics with health and safety and developed cut-off levels and evaluation tools for the traffic light-based WTTL recommendations. The recommendations were implemented in the social and healthcare sector by embedding the recommendations into shift scheduling software in co-operation with commercial software producers, and by giving feedback on the working hour characteristics to the healthcare organizations and policymakers. Based on a 5-year follow-up, the WTTL recommendations were well-known, and used regularly by 20% of the shift planners. Compared to the non-users, the regular use of the evaluation tool was associated with improved working hour patterns, a lower number of occupational accidents, and a decrease in psychological distress. Based on the established use of the recommendations and their effects on health and safety, the development and implementation of the WTTL recommendations can be regarded as successful.

工作时间交通灯(WTTL)建议是旨在减轻轮班工作对健康和安全影响的详细指导方针。本文综述了WTTL建议在社会和医疗保健领域的发展、实施和效果。基于芬兰公共部门(WHFPS)超过30万名雇员的基于工资的工作时间队列,我们分析了不同工作时间特征与健康和安全之间的许多剂量反应关联,并为基于交通灯的WTTL建议开发了截止水平和评估工具。通过与商业软件生产商合作,将这些建议嵌入到排班软件中,并向医疗保健组织和决策者提供关于工作时间特征的反馈,在社会和医疗保健部门实施了这些建议。基于5年的随访,WTTL的建议是众所周知的,并且被20%的轮班计划者定期使用。与不使用评估工具的人相比,经常使用评估工具的人可以改善工作时间模式,减少职业事故数量,减少心理困扰。根据各项建议的既定使用情况及其对健康和安全的影响,《世界卫生准则》各项建议的制定和实施可被视为是成功的。
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引用次数: 0
Mental health status and its associations with psychosocial working conditions among platform delivery workers in China: comparative analyses of migrant status. 中国平台送货员的心理健康状况及其与社会心理工作条件的关系:移民身份的比较分析
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-09 DOI: 10.2486/indhealth.2025-0075
Mengling He, Ming-Wei Lin, Yawen Cheng

The rapid expansion of delivery labor platforms in China has driven many people to move from rural to urban areas. Previous studies indicated that platform-based delivery work can be demanding, subject to algorithmic control, and lacking employment protections. While migrant workers are more likely to be exposed to adverse psychosocial working conditions and more vulnerable due to limited social services, few studies have examined the role of migrant status in mental health and its associations with psychosocial working conditions among platform delivery workers. This study employed a cross-sectional online survey to compare the mental health status of platform delivery workers in China and the associations with psychosocial working conditions by migrant status. Of the 923 delivery workers surveyed, 492 (53.3%) were rural-to-urban migrants. The findings indicated that rural-to-urban migrant delivery workers experienced high levels of mental disorders and burnout. Regression analyses revealed that workplace violence and high job demands were significantly associated with mental disorders and high burnout, and these associations were more pronounced among rural-to-urban migrant workers. Greater attention should be paid to this growing urban workforce, and context-specific interventions are essential to protect their mental health and wellbeing.

中国接生平台的快速扩张促使许多人从农村转移到城市地区。先前的研究表明,基于平台的交付工作可能要求很高,受到算法控制,并且缺乏就业保护。虽然移徙工人更有可能面临不利的社会心理工作条件,并且由于社会服务有限而更容易受到伤害,但很少有研究审查移徙身份在平台交付工人的心理健康中的作用及其与社会心理工作条件的关联。本研究采用横断面在线调查,比较了中国平台快递员的心理健康状况以及移民身份与社会心理工作条件的关系。在接受调查的923名快递员中,492名(53.3%)是农村到城市的移民。研究结果表明,农村到城市的流动送货工人经历了高水平的精神障碍和倦怠。回归分析显示,工作场所暴力和高工作要求与精神障碍和高倦怠显著相关,且这些关联在农民工中更为明显。应更多地关注这一不断增长的城市劳动力,针对具体情况的干预措施对于保护他们的心理健康和福祉至关重要。
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引用次数: 0
VOCs and PAHs exposure in asphalt paving: measurement by PTR-ToF-MS, Monte Carlo-based risk evaluation, and recommendations for risk reduction. 沥青路面中挥发性有机化合物和多环芳烃的暴露:PTR-ToF-MS测量,蒙特卡洛风险评估,以及降低风险的建议。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-09 DOI: 10.2486/indhealth.2025-0022
Boo Wook Kim, Yong Chul Shin, Jungah Shin

Research on worker exposure to volatile organic compounds (VOCs) during asphalt paving operations remains significantly limited, and regulatory frameworks governing such exposures are also insufficient. Previous studies have primarily focused on a limited number of major VOCs. However, this study employs high-resolution, high-performance Proton Transfer Reaction Time-of-Flight Mass Spectrometry (PTR-ToF-MS) to comprehensively evaluate exposure levels to 25 different VOCs. Additionally, Monte Carlo simulations were utilized to assess both non-carcinogenic and carcinogenic risks, thereby providing foundational data for future risk mitigation strategies. During asphalt paving operations, the concentrations of most VOCs increased by a factor of 2 to 10 compared to background levels. Nevertheless, none of these compounds exceeded the Occupational Exposure Limits. However, the concentration of acrolein exceeded the Ceiling Threshold Limit Value established by the American Conference of Governmental Industrial Hygienists by approximately tenfold, highlighting the critical need for peak exposure management. The non-carcinogenic risk assessment revealed that the maximum Hazard Quotient (HQ) values for acetaldehyde, 1,3-butadiene, and acrolein exceeded 1, indicating potential adverse health effects. Furthermore, the Lifetime Cancer Risk (LCR) values for benzene and 1,3-butadiene surpassed established safety thresholds, confirming a significant increase in carcinogenic risk. Furthermore, this study proposes measures to reduce exposure to hazardous substances.

关于工人在沥青铺路过程中暴露于挥发性有机化合物(VOCs)的研究仍然非常有限,管理这种暴露的监管框架也不足。以前的研究主要集中在有限数量的主要挥发性有机化合物上。然而,本研究采用高分辨率、高性能的质子转移反应飞行时间质谱(PTR-ToF-MS)来综合评估25种不同挥发性有机化合物的暴露水平。此外,还利用蒙特卡罗模拟来评估非致癌性和致癌性风险,从而为今后的风险缓解战略提供基础数据。在沥青铺路作业期间,与背景水平相比,大多数挥发性有机化合物的浓度增加了2至10倍。然而,这些化合物都没有超过职业暴露限值。然而,丙烯醛的浓度超过了美国政府工业卫生学家会议确定的上限阈值约十倍,突出了对峰值暴露管理的迫切需要。非致癌性风险评估显示,乙醛、1,3-丁二烯和丙烯醛的最大危害商(HQ)值超过1,表明可能对健康产生不利影响。此外,苯和1,3-丁二烯的终生癌症风险(LCR)值超过了既定的安全阈值,证实了致癌风险的显著增加。此外,本研究还提出了减少接触有害物质的措施。
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引用次数: 0
An occupational group with multiple musculoskeletal trauma and precarious employment: jockeys. 一个有多重肌肉骨骼创伤和不稳定工作的职业群体:骑师。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-08 DOI: 10.2486/indhealth.2025-0058
Özlem Melis Korkmaz Özgüngör, Duygu Lüleci, Süleyman Çağrı Ergençoğlu, Mualla Elif Bayindir, Ramazan Kizil, Canan Demir, Ayşe Coşkun Beyan

Jockeys endure considerable physical and psychological demands, rendering them vulnerable to occupational injuries such as fractures, concussions, and soft tissue damage. This descriptive case series presents the medical and occupational histories of three professional jockeys with long-term disabilities following work-related accidents. Each individual commenced their jockey career in early adolescence. All sustained head trauma from horse falls and had histories of hospitalization due to injuries incurred while riding. Documented injuries included rib, vertebral, clavicular, and upper extremity fractures, adhesive capsulitis of the shoulder, and ligament rupture in the lower extremity. Two of the cases underwent extended periods of physical therapy but reported minimal functional recovery. These findings highlight the insufficient preventive strategies and limited long-term support available to injured jockeys. Enhanced occupational safety measures, regular medical evaluations, and access to physical and mental rehabilitation are essential to address the occupational hazards in this profession. Further studies are warranted to develop targeted interventions for injury prevention and long-term care.

骑师承受着相当大的身体和心理要求,使他们容易受到职业伤害,如骨折、脑震荡和软组织损伤。这个描述性的案例系列介绍了三个职业骑师的医疗和职业历史与工作有关的事故长期残疾。每个人在青春期早期就开始了他们的骑师生涯。所有患者均因骑马摔倒而遭受头部创伤,并有因骑马受伤而住院的病史。记录在案的损伤包括肋骨、椎体、锁骨和上肢骨折、肩关节粘连性囊炎和下肢韧带断裂。其中两例接受了长时间的物理治疗,但功能恢复甚微。这些发现强调了预防策略的不足和对受伤骑师的长期支持的有限。加强职业安全措施、定期医疗评估以及获得身心康复对解决这一职业的职业危害至关重要。进一步的研究是必要的,以制定有针对性的干预措施,以防止伤害和长期护理。
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引用次数: 0
Occupational exposure to welding fume in Australian workplaces. 澳大利亚工作场所的焊接烟雾职业暴露。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-01 DOI: 10.2486/indhealth.2025-0048
Tim R Driscoll, Scott Paine, Lin Fritschi, Ha Nguyen, Renee N Carey

This study aimed to provide information on exposure to welding fume in workplaces in Australia, and the use of control measures in these workplaces. Personal and static samples of welding fume particulates and gases were collected at 20 workplaces whilst welding was being undertaken. Study personnel also recorded observations of the workplace. Total welding fume particulate concentration in the breathing zone was above 1 mg/m3 (the newly established workplace exposure standard). Peak concentrations of ozone were above the peak limitation standard of 0.1 ppm for most workers when they had their head over the welding area. Very few workplaces had active ventilation in place and functioning at the time of the worksite visits, most workplaces relying on natural ventilation coming from the large workspaces, high ceilings and open doors. The use of respiratory protective equipment was sub-optimal; about a quarter of participants used no respiratory protection while welding. This study provides the first comprehensive information on concentration of welding fume particulate and gases in Australian workplaces and the use of relevant control measures. The findings suggest there is considerable scope for improvement in the control of exposure to welding fume.

本研究旨在提供有关在澳大利亚工作场所暴露于焊接烟雾的信息,以及在这些工作场所使用控制措施。在20个工作场所进行焊接时收集了焊接烟尘颗粒和气体的个人和静态样本。研究人员还记录了对工作场所的观察。呼吸区总焊烟颗粒浓度大于1mg /m3(新制定的工作场所暴露标准)。当大多数工人的头在焊接区域上方时,臭氧的峰值浓度超过了0.1 ppm的峰值限制标准。很少有工作场所在工作现场访问时有主动通风,大多数工作场所依靠来自大工作空间、高天花板和敞开的门的自然通风。呼吸防护设备的使用不理想;大约四分之一的参与者在焊接时没有使用呼吸保护装置。这项研究首次提供了有关澳大利亚工作场所焊接烟尘颗粒和气体浓度以及相关控制措施的综合信息。研究结果表明,在控制焊烟暴露方面还有相当大的改进余地。
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引用次数: 0
Influencing factors of clinical belonging among Chinese nurses in training. 影响培训护士临床归属感的因素。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-08-08 DOI: 10.2486/indhealth.2025-0050
Qing Ou, Pei Tong, Shengying Shi, Xuehua Li, Yucheng Li, Dan He, Hongyun Wei

This study evaluates the sense of belonging and its determinants among standardized training nurses in China. A survey of 133 nurses was conducted using convenience sampling, incorporating the Belongingness Scale-Clinical Placement Experience, Turnover Intention Scale, and Self-Rating Anxiety Scale. Data were analyzed with T-tests, ANOVA, Pearson correlation, and multiple linear regression. The average belongingness score was 3.47 ± 0.43, indicating moderate levels. Alarmingly, 94.0% reported high turnover intentions, and 42.9% experienced anxiety. Significant variations in belongingness were linked to health status, work stress, colleague relationships, preceptor satisfaction, and training benefits (p<0.05). Negative correlations were found between belongingness and turnover intention (rs=-0.195, p<0.05) and anxiety (rs=-0.412, p<0.01). Moderate belonging levels were observed, with recommendations for enhanced preceptorship and psychological support.

本研究旨在评估规范化培训护士的归属感及其影响因素。采用方便抽样法对133名护士进行问卷调查,包括归属感量表-临床实习经历量表、离职意向量表和焦虑自评量表。数据分析采用t检验、方差分析、Pearson相关和多元线性回归。平均归属得分为3.47±0.43,属中等水平。令人震惊的是,94.0%的人表示有很高的离职意愿,42.9%的人感到焦虑。归属感的显著差异与健康状况、工作压力、同事关系、导师满意度和培训福利有关(第394页)
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引用次数: 0
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Industrial Health
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