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.

查看原文本刊更多论文

提升工作场所幸福感：通过心理安全和工作满意度揭示领导-成员交换和员工安全行为的动态

在医疗保健领域，确保安全对于高质量的护理和患者的治疗效果至关重要。虽然研究将领导-成员交换（LMX）质量与安全行为联系起来，但这在医疗保健领域仍未得到充分研究。本研究探讨了LMX对安全行为的长期影响，提出了一个包含心理安全和工作满意度在LMX与安全行为的关系中的调节中介作用的模型，包括依从性（SCB）和参与性（SPB）。通过确定LMX影响安全行为的机制，本研究可以为促进工作场所安全和提高医护人员福祉的干预措施的发展提供见解。方法：我们在三个地点从三家公立医院的325名阿尔及利亚医护人员中收集数据。通过SmartPLS分析，我们使用了偏最小二乘结构方程建模（PLS-SEM）的高级特征以及过程分析来评估我们提出的模型中的关系。结果研究发现，高工作满意度与高工作满意度之间存在显著的正相关关系，并介导了工作满意度与工作满意度之间的关系。这种关系在心理安全感高的情况下得到加强。我们的研究强调了LMX质量在塑造阿尔及利亚医护人员安全行为方面的关键作用，为在医疗环境中培养安全文化提供了见解，强调了优先考虑LMX、JS和PS以改善工作场所安全和支持医护人员福祉的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.