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Cultural influences on workplace safety: An example of hospital workers' adoption of patient lifting devices

机译：文化对工作场所安全的影响：医院工作人员采用患者起重设备的示例

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Aims: A sociological and anthropological view of culture was used to investigate how work culture, independent of "safety culture", may affect safety in the workplace. We explored how work cultures of nurses and physical/occupational therapists (PT/OTs) in two acute care hospitals are related to the adoption of patient lifting devices. Methods: Focus groups were conducted between 2006 and 2009, seven with nurse staff (n = 39) and two with PT/OT staff (n = 17), to explore issues concerning a Minimal Manual Lift Environment policy, initiated in 2004, and subsequent use of patient lift equipment. Audio recordings of the sessions were transcribed; text data were analyzed using N6-QSR. Cultural facilitators and barriers to the adoption of patient lift equipment were examined. Results: Data revealed cultural similarities and differences between these healthcare professions. Both displayed a "patient first" approach to care-giving which may promote lift device use for patients' benefits, not necessarily for staff safety. Also, the implied purpose of patient lifting devices clashes with the nurses' cultural emphasis on compassion, and with PT/OTs' cultural emphasis on independence except when use increases patients' independence. Conclusions: Cultural expressions regarding the nature of care-giving among healthcare professionals may affect the propensity to adopt safety measures in complex ways. The workers' understanding of the purpose of their work, and acceptable means of conducting it, should be understood before implementing safety interventions. The utilization of lift assist teams, who are not socialized into the cultures of nursing or PT/OT, may be one means of circumventing cultural barriers to lift equipment use.
机译：目的：使用文化的社会学和人类学视角来研究独立于“安全文化”的工作文化如何影响工作场所的安全。我们探讨了两家急诊医院的护士和物理/职业治疗师（PT / OT）的工作文化与采用患者起重设备的关系。方法：在2006年至2009年之间进行了焦点小组讨论，其中七个由护士人员（n = 39）和两个与PT / OT人员（n = 17）进行了探讨，以探讨与2004年启动的最低手动升降环境政策有关的问题使用患者升降设备。会议的录音被转录;使用N6-QSR分析文本数据。检查了文化促进因素和采用患者升降设备的障碍。结果：数据揭示了这些医疗保健专业之间的文化相似性和差异。两者都显示了“患者至上”的护理方式，这可能会促进使用升降机以使患者受益，而不一定是为了员工安全。而且，患者抬举装置的隐含目的与护士对同情心的文化强调，以及PT / OTs对独立性的文化强调相冲突，除非使用时会增加患者的独立性。结论：有关医疗保健人员护理性质的文化表达可能会影响以复杂方式采取安全措施的倾向。在实施安全干预措施之前，应了解工人对其工作目的的理解以及可接受的实施方法。尚未与护理或PT / OT的文化交往的升降辅助团队的使用，可能是规避升降设备使用的文化障碍的一种方法。

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