ABSTRACT

Guided by structurational divergence (SD) theory, this study examined the presence and impact of unresolved tensions surrounding safety issues among hospital workers. Using a two-study design, data were gathered for Study 1 from focus groups and interviews involving 40 hospital employees at two hospitals. Thematic analysis indicated workers experienced SD-cycles marked by unresolved conflict, immobilization, and erosion of development. Study 2 surveyed (N = 303) workers within the same hospital network to examine the impact of unresolvable safety issues as both the outcome of SD and the antecedent to workers’ intent to leave. The conceptual model tested shows the destructive outcomes of SD on safety climate, where higher levels of SD lead to lower perceptions of safety climate.

摘要

本研究以结构分歧 (SD) 理论为指导，考察了围绕医院工作人员安全问题的未解决紧张局势的存在和影响。使用两项研究设计，研究 1 的数据来自焦点小组和涉及两家医院的 40 名医院员工的访谈。专题分析表明，工人经历了以未解决的冲突、停滞不前和发展受到侵蚀为特征的可持续发展周期。研究 2 对同一医院网络内的 ( N  = 303) 名员工进行了调查，以检查作为 SD 的结果和员工离开意图的先决条件的无法解决的安全问题的影响。测试的概念模型显示了可持续发展对安全气氛的破坏性结果，其中较高水平的可持续发展会导致对安全气氛的看法较低。