Enhancing Workplace Well-being: Unveiling the Dynamics of Leader–Member Exchange and Worker Safety Behavior Through Psychological Safety and Job Satisfaction

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work Pub Date : 2025-03-01 DOI:10.1016/j.shaw.2024.11.003

Aida Bennouna , Assia Boughaba , Salim Djabou , Mohamed Mouda

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引用次数: 0

Abstract

Background

In healthcare, ensuring safety is crucial for quality care and patient outcomes. While research links leader–member exchange (LMX) quality to safety behavior, this remains understudied in healthcare. Our study explores LMX's long-term impact on safety behavior, proposing a model that includes the moderated mediating role of psychological safety and job satisfaction in the relationship between LMX and safety behaviors, regarding compliance (SCB) and participation (SPB). By identifying the mechanisms through which LMX influences safety behavior, this study can provide insights into the development of interventions that promote workplace safety and enhance the well-being of healthcare workers.

Methods

We collected data from 325 Algerian healthcare workers across three public hospitals at three points. Through SmartPLS analysis, we used advanced features of Partial Least Squares Structural Equation Modeling (PLS-SEM) alongside PROCESS analysis to evaluate the relationships within our proposed model.

Results

Our analysis found a significant association between higher LMX and increased job satisfaction that positively correlated with enhanced SCB adherence and mediated the LMX–SCB relationship. This relationship was strengthened with high psychological safety.

Conclusion

Our study emphasizes the crucial role of LMX quality in shaping safety behavior among Algerian healthcare workers, providing insights for cultivating a safety culture in healthcare settings, highlighting the significance of prioritizing LMX, JS, and PS to improve workplace safety and support healthcare worker well-being.

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来源期刊

Safety and Health at Work Social Sciences-Safety Research

CiteScore

6.40

自引率

5.70%

发文量

1080

审稿时长

38 days

期刊介绍： Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.