<p> Home care nurses (HCNs) have reported a high rate of exposure to work-related injuries (WRIs). Nurses are challenged by the multidimensional problems associated with home care safety. These contextual risk factors increase the physical and social health problems of health care workers and of community suffering as a whole. This quantitative, cross-sectional study was designed to examine the relationship between the organization-related factors (ORFs) and the environment-related factors (ERFs) and their influences on safety behaviors (SBs) and the WRIs of HCNs. The PRECEDE framework was used to guide the study. Self-reported data were obtained from 74 home health care (HHC) nurses using the Safety Home Care Nursing questionnaire. A linear regression model was applied to determine the nature of the association between the independent variables and dependents variables. Findings showed the ORFs demonstrate a stronger effect on the SBs than the impact of the ERFs. The management commitment and the home-based care significantly affected the SBs. The supervisory support and safety access to a client's home were decreasing the WRIs. Therefore, the integration of efforts: The management and leadership of the health organization, the health care providers, and the clients&rsquo; family would improve safety of HHC. This study is expected to help develop safety strategies for home care and thus attempt to minimize WRIs among HCNs. Nurses free of injuries are able to provide a quality of care and improve patients&rsquo; health outcomes that in turn have an effect on reducing community suffering and financial costs.</p><p>

For people aged 44 and under, the primary cause of loss of life in the U.S. is not due to heart disease or cancer, but to something as common as injuries (U. S. Bureau of Labor Statistics, 1998). As such, injuries kill an average of 142,000 Americans and require an estimated 62.5 billion dollars in medical attention each year (U. S. Bureau of Labor Statistics, 1998). This is close to three people dying and over 170 people sustaining a disabling injury every 10 minutes (National Safety Council, 1999). Every year more than 80,000 Americans are permanently disabled as a result of injury to the brain or spinal cord. Thus, unintentional injury represents a serious public health concern, and a theory-driven community, school, and organizational injury prevention technology is needed to improve the health and safety of individuals. / Ph. D.

This research aim to develop a framework to evaluate critically the effectiveness of health and safety strategies in supply chains in the UK was achieved through a range of objectives which included a review of literature on health and safety management in supply chains and small and medium-sized enterprises, an explanation of the effect of poor health and safety performance on organisations and analysis of factors that inspire health and safety management in organisations. Other objectives are the analysis of health and safety improvement strategies, an establishment of a basis for the development of a framework, the establishment of the perception and attitude to supply chain health and safety management, and the development of a conceptual framework based on ideal and best practices as well as theory that may be used to evaluate critically health and safety strategies in supply chains in the UK. The study adopted a triangulated research approach which used a questionnaire survey to ascertain the views of respondents on some health and safety issues. These views were combined with observations of a case study organisation to underpin the basis for the framework. It was established that the reliance on regulatory measures as means of improving health and safety standards in organisations is no longer advisable. An alternative and best strategy is the use of the influences inherent in supply chain relationships. There were noticeable improvements in the relationship of the case study organisation with its suppliers, and in the general awareness of supply chain health and safety management, when the framework that was developed was tried in their supply chain.

The safety literature describes senior managers as crucially influencing organisational safety. Yet, it is not fully understood, what contributes to their influence. This thesis investigated senior managers’ characteristics in relation to their impact on safety in air traffic management organisations. A review of the safety literature indicated research in this area would benefit from the introduction of a research model as a theoretical basis. The skills-based leadership model by Mumford and colleagues was proposed as a suitable model for senior managers’ influence on organisational safety. A safety–specific version of the model was devised, consisting of traits (Big Fives, regulatory focus), skills (problem solving, social competence) and safety knowledge as antecedents of safety commitment and organisational safety outcomes. Study 1 explored the relevance of these characteristics for senior managers’ work on safety using semi-structured interviews with senior managers (N = 9). Responses were coded into the characteristics with sufficient reliability using qualitative content analysis. The characteristics were found to be relevant for senior managers’ influence on safety and their content was refined based on the findings. Safety knowledge and social competence were frequently indicated. Interpersonal leadership emerged as additionally relevant. Study 2 investigated the characteristics’ relevance for safety managers’ and CEOs’ influence on safety with questionnaires consisting of open questions (N = 49). Responses were coded using qualitative content analysis with acceptable reliability. The results re-confirmed the relevance of the characteristics. As in the previous study, interpersonal leadership emerged. Furthermore, problem-solving, leadership and safety knowledge were found more frequently for CEOs than for safety managers, whereas personality was more frequently indicated for safety managers than for CEOs. Finally, Study 3 tested the characteristics’ influence on safety commitment, which was conceptualised as indicated through behaviours that reflect a positive attitude towards safety. Interview questions, scenarios and questionnaires were used to measure characteristics and safety commitment in a sample of senior managers (N = 60). Interview and scenario responses were quantified with acceptable reliability. The results indicated that not all characteristics that were previously found to be relevant for senior managers’ influence on organisational safety were also related to safety commitment. Mainly, problem solving was shown to influence safety commitment, with the ability to understand problems, to identify useful information-sources and to generate ideas that relate to changes in the organisation’s culture as most influential. The findings can inform guidance and training for senior managers. Future research in this area could benefit from a focus on the conceptualisation of safety commitment, the role of interpersonal leadership style, as well as safety knowledge and the skills included in the research model.

Source: Masters Abstracts International, Volume: 47-01, page: 0335. Adviser: Arch I. Carson. Includes bibliographical references.

The thesis contains a literature review findings and quotes from literature and other sources from the employee self-assessment, self-assessment of organization and occupational safety and health (H&S). The practical part describes the current state of safety and health in the selected organization, possibilities of H&S self-assessment in the selected organization, analysis and evaluation of H&S self-assessment and specific suggestions to improve the current state of H&S in the selected organization.

The thesis is focused on the identification, analysis and assessment of risks in three key areas (quality, environment, occupational safety and health). The paper made a risk analysis according to ISO 31000: 2010 Risk Management - Principles and guidelines. The risk assessment of selected construction technologies were chosen following methods - analysis methods and consequences of failures (FMEA), Pareto diagram, analysis of the causes and consequences (Ishikawa) and analysis of the type of butterfly. Using these methods are evaluated selected risks to propose action to reduce its value and impact. The aim of this thesis is to identify, assess and analyze the risks and handle simple tools for the management and elimination.

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Thesis (M.T.S.C.)--Miami University, Dept. of English, 2004. / Title from first page of PDF document. Includes bibliographical references (p. 31).