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 6 Testing the reliability and validity of a measure of safety climate
Authors Anderson-E; McGovern-PM; Kochevar-L; Vesley-D; Gershon-R 
Source J Healthc Qual 2000 Mar-Apr; 22(2):19-24 
Link http://www.nahq.org/journal/online/TOC.html 
NIOSHTIC No. 20024585 
AbstractThe lack of compliance with universal precautions (UP) is well documented across a wide variety of healthcare professions and has been reported both before and after the enactment of the Occupational Safety and Health Administration's Bloodborne Pathogens Standard. Gershon, Karkashian, and Felknor (1994) found that several factors correlated significantly with healthcare workers' lack of compliance with UP, including a measure of organizational safety climate (e.g., the employees' perception of their organizational culture and practices regarding safety). We conducted a secondary analysis using data from a cross-sectional survey of a convenience sample of 1,746 healthcare workers at risk of occupational exposure to bloodborne pathogens to assess the validity and reliability of Gershon's measure of safety climate. Findings revealed no relationship between safety climate and employees' gender, age, education, tenure in position, profession, hours worked per day, perceived risk, attitude toward risk, and training. An association was demonstrated between safety climate and (1) healthcare worker compliance with UP and (2) the availability of personal protective equipment, providing support for the construct validity of this measure of safety climate. These findings could be used by occupational health professionals to assess employees' perceptions of the safety culture and practices in the workplace and to guide the institution's risk management efforts in association with U.P. 
KeywordsSafety-climate; Risk-analysis; Risk-factors; Bloodborne-pathogens; Health-care; Health-care-personnel; Safety-measures; Occupational-exposure; Demographic-characteristics; Age-factors; Racial-factors; Sex-factors 
Publication Date20000301 
Document TypeJournal Article 
Email Addresseanders2@fairview.org 
Funding Amount148530 
Funding TypeGrant 
Fiscal Year2000 
NTIS Accession No. 
NTIS Price 
Identifying No.Grant-Number-R01-OH-003459 
Issue of Publication
ISSN1062-2551 
Source NameJournal for Healthcare Quality 
StateMD 
Performing OrganizationJohns Hopkins University, Baltimore, Maryland 
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