Safety and Health at Work最新文献

{"title":"Development of the Quality of Life Scale for Shift-working Nurses","authors":"Soner Berşe ,&nbsp;Hüseyin Çapuk ,&nbsp;Ali Ağar","doi":"10.1016/j.shaw.2024.11.004","DOIUrl":"10.1016/j.shaw.2024.11.004","url":null,"abstract":"<div><h3>Background and aim</h3><div>Shift work is known to have a significant impact on the health and well-being of nurses, and there is a need for practical tools to assess this impact. This study introduces the “Quality of Life Scale for Shift-Working Nurses” (QoLS-SWN), which was developed to provide a reliable and valid tool for assessing the effects of shift work on nurses' health and well-being.</div></div><div><h3>Methods</h3><div>This study employed a methodological research design to develop and validate a new scale for assessing the quality of life of shift-working nurses. Data were collected from two samples of nurses working in various hospitals. The first sample (<em>n</em> = 202) was used for exploratory factor analysis (EFA) to identify the scale's underlying factor structure. The second sample (<em>n</em> = 246) was used for confirmatory factor analysis (CFA) to validate the identified structure. The development process included an extensive literature review, expert consultations, and pilot testing. Factor analysis and reliability tests were conducted to ensure that the scale is highly reliable.</div></div><div><h3>Results</h3><div>The QoLS-SWN demonstrated excellent reliability, with a Cronbach's alpha of 0.95, and factor loadings ranging from 0.56 to 0.90. The scale comprises three dimensions: physical and mental exhaustion, health risks and job safety, and social and psychological interactions, explaining 71.89% of the total variance. CFA affirmed the structural validity of the scale, with fit indices indicating a good model fit (CMIN/df = 2.33, GFI = 0.86, IFI = 0.95, TLI = 0.94, CFI = 0.95, RMSEA = 0.07).</div></div><div><h3>Conclusion</h3><div>The QoLS-SWN is a reliable and valid tool for measuring the impact of shift work on nurses' quality of life. By providing insights into the multifaceted consequences of shift work, the scale may guide the development of targeted interventions to enhance nurses' quality of life. This scale can inform nursing practice and policy, ultimately improving nurse well-being and patient care outcomes.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 46-52"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Short-Term Improvements in Activities of Daily Living and Instrumental Activities of Daily Living Have Association With Return to Work in Workers With Occupational Injury? From an Occupational Injury Cohort in Taiwan","authors":"Fa-Chen Lin ,&nbsp;Chia-Pin Lin ,&nbsp;Hung-Yi Chuang ,&nbsp;Tse-Wei Wu ,&nbsp;Peng-Ju Huang ,&nbsp;Chen-Cheng Yang ,&nbsp;Chao-Hung Kuo","doi":"10.1016/j.shaw.2024.12.003","DOIUrl":"10.1016/j.shaw.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Rates of return to work (RTW) after an occupational injury vary considerably according to a range of factors. Limited studies have been conducted on the specific correlation between RTW and functional assessments, including activities of daily living (ADL) and instrumental activities of daily living (IADL). This prospective cohort study aims to determine if a relationship exists between ADL/IADL and RTW among injured workers in Taiwan.</div></div><div><h3>Methods</h3><div>We recruited 162 workers who reported work-related injuries from January 2023 to May 2024. The assessment of ADL was evaluated using the Barthel Index, whereas IADL was evaluated using the Lawton Instrumental Activities of Daily Living scale. ADL/IADL were assessed immediately after the injury, at 3 and 6 months postinjury. Logistic regression models were used for the connections between ADL, IADL, and RTW while considering various confounding factors.</div></div><div><h3>Results</h3><div>The mean ADL and IADL improved significantly at both 3 and 6 months postinjury. Logistic regression analysis indicated that IADL scores at 3 and 6 months postinjury were significantly linked to RTW. ADL scores lost significance after adjustment. Age was negatively associated with RTW, whereas sex and labor insurance status showed no significant association.</div></div><div><h3>Conclusion</h3><div>Short-term improvements in IADL are linked to successful RTW, rather than ADL for occupationally injured workers. Evaluations of IADL should be incorporated into rehabilitation plans to predict and improve RTW. Thorough rehabilitation approaches that address various aspects of functional abilities may be crucial to support successful RTW. Further studies are required to validate these results.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 90-96"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of Barriers and Facilitators to Healthy Eating in UK Truck Drivers","authors":"Katharina B. Ruettger ,&nbsp;Elizabeth Stamp ,&nbsp;James A. King ,&nbsp;Stacy A. Clemes","doi":"10.1016/j.shaw.2024.12.001","DOIUrl":"10.1016/j.shaw.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>The working environment of truck drivers promotes unhealthy lifestyle behaviours including physical inactivity and poor dietary choices. This leads to high levels of chronic diseases and a reduced life expectancy compared to other occupational groups. However, little is known about how drivers in the UK perceive their working environment and how this affects their food choices. This study aimed to gain a better understanding of long-haul (8–10-hour shifts) truck drivers’ needs regarding healthy food choices whilst on the road to better inform future health promotion programmes and policy needs.</div></div><div><h3>Methods</h3><div>Individual semi-structured interviews were conducted, allowing an in-depth exploration of truck drivers’ experiences. The interview guide was grounded within the COM-B model and theoretical domains framework. Audio recordings were anonymised and transcribed verbatim and data analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Ten drivers (8 male) were interviewed with a mean age of 49 years (SD 9.7). Frequently mentioned barriers to healthy eating were limited availability of affordable healthy food options at truck stops, food storage limitations, and limited time for food preparation. Commonly reported facilitators to improve drivers' diet were flexible break times, shorter shifts, secure parking places and/or better-equipped vehicles.</div></div><div><h3>Conclusions</h3><div>Limited availability of healthy food options, high costs, poor facilities within rest areas, long working hours/shifts, and lack of food storage and preparation time, negatively impacts UK truck drivers’ eating behaviours. This study highlights that multi-component interventions targeting the individual, environment and policy, are ultimately needed to improve truck drivers’ working conditions and health.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 75-82"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status of Processes and Hazardous Chemicals of Lithium-ion Battery Industries in the Republic of Korea","authors":"Miyeon Jang ,&nbsp;Gwangyong Yi ,&nbsp;Hyeonjin Jeon ,&nbsp;Chungsik Yoon","doi":"10.1016/j.shaw.2024.10.005","DOIUrl":"10.1016/j.shaw.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>With global trends of carbon neutrality and ecofriendliness, the demand for lithium-ion batteries (LIBs) has been rapidly increasing. However, occupational health research within this sector is significantly lacking. Thus, this study aimed to understand the industrial value chain, processes, and current status of hazardous chemicals associated with LIBs.</div></div><div><h3>Methods</h3><div>Through a literature review and a survey of business sites, the LIB industry was categorized into 10 industrial groups. We visited 32 workplaces in the Republic of Korea, and conducted on-site surveys.</div></div><div><h3>Results</h3><div>Primary mineral raw materials used in LIBs include lithium (Li), nickel (Ni), cobalt (Co), manganese (Mn), and aluminum (Al) often in compound forms, alongside graphite, posing significant challenges in management due to their micrometer-sized particles. Furthermore, metals used in a salt form (such as LiOH or sulfate salts) can irritate the skin or respiratory system, particularly Ni and Co known to be toxic substances designated as human carcinogens by the International Agency for Research on Cancer. Acids, bases, and various solvents are also used to improve batteries' electrical properties. Dichloromethane classified as carcinogenic 2A by the International Agency for Research on Cancer is widely used in the separator industry. Carbonate-based solvents are widely used in electrolytes with potential for exposure in battery cell manufacturers and recycling industries. However, they are not classified as regulated substances, leading to inadequate management practices.</div></div><div><h3>Conclusion</h3><div>This study identified processes of each industry and chemical substances utilized in the LIB industry in the Republic of Korea. Based on this study, it is necessary to implement appropriate management measures tailored to industrial processes and types of harmful factors.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 1-12"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an Enhanced Risk Assessment Model for Human–Robot Collaboration and its Application","authors":"Kangdon Lee ,&nbsp;Jae-Yong Lim","doi":"10.1016/j.shaw.2024.12.002","DOIUrl":"10.1016/j.shaw.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Collaborative robots have emerged as a solution for complex and precision-driven tasks. However, there is no comprehensive risk assessment model for collaborative robotic work in the Republic of Korea. Thus, we aim to develop a risk assessment model tailored to the unique characteristics of human-robot collaboration.</div></div><div><h3>Methods</h3><div>In this study, we examine the risk assessment factors in three key fields: worker, robotic systems, and work environment. The items adopted in the existing models of HFACS, USUS, and human–robot trust were initially selected to extract items for the risk assessment model. The analytic hierarchy process methodology was applied to refine and prioritize the evaluation items. Score scales were constructed for the six checklists. A five-level score ranging from one to five was given to each question in the checklist, and the average score was used to quantitatively evaluate each area.</div></div><div><h3>Results</h3><div>The six evaluation checklists coalesced to constitute a comprehensive risk assessment model was adjusted for collaborative robot operations. Implementing the proposed model in six robot-operated workplaces yielded consistent results. Companies involved in previous robot-related accidents exhibited deficiencies in these risks than accident-free robot workplaces. Thus, comprehensive risk assessments encompassing the necessary factors are crucial to prevent accidents in robot-related work environments.</div></div><div><h3>Conclusion</h3><div>The proposed risk assessment model can offer a robust foundation for guiding the future development of diverse risk assessment models for collaborative robot environments and facilitate the safe coexistence of humans and robots in the Industry 4.0 era.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 83-89"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Workplace Well-being: Unveiling the Dynamics of Leader–Member Exchange and Worker Safety Behavior Through Psychological Safety and Job Satisfaction","authors":"Aida Bennouna ,&nbsp;Assia Boughaba ,&nbsp;Salim Djabou ,&nbsp;Mohamed Mouda","doi":"10.1016/j.shaw.2024.11.003","DOIUrl":"10.1016/j.shaw.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"16 1","pages":"Pages 36-45"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asthma Among Manitoba Workers: Results from the Manitoba Occupational Disease Surveillance System","authors":"Elizabeth Rydz ,&nbsp;Randy Walld ,&nbsp;Mieke W. Koehoorn ,&nbsp;Christopher B. McLeod ,&nbsp;Paul A. Demers ,&nbsp;Cheryl E. Peters ,&nbsp;Allen Kraut","doi":"10.1016/j.shaw.2024.07.002","DOIUrl":"10.1016/j.shaw.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><div>This study characterized the risk of new-onset asthma among workers in Manitoba, Canada.</div></div><div><h3>Methods</h3><div>Accepted time loss claims from the Workers' Compensation Board of Manitoba from 2006 to 2019, containing workers' occupations and industries, were linked with administrative health data from 1996 to 2020. After restricting the cohort to the first claim per person in an occupation and applying age and coverage exclusions, the cohort comprised 142,588 person–occupation combinations. Asthma cases were identified if workers had at least two medical records for asthma (International Classification of Diseases, Ninth Revision, 493) within a 12-month period, within the 2 years before 3 years after cohort entry. New-onset asthma was identified using a 3-year washout period. Asthma hazard ratios by occupation and industry were estimated using Cox proportional hazard models, adjusted for age, and stratified by sex.</div></div><div><h3>Results</h3><div>Increased asthma risk was observed among workers with known asthmagen exposure, including male veterinary and animal health technologists and technicians (hazard ratio 3.97, 95% CI 1.78–8.86), male fish processing workers (3.40, 1.53–7.57), and male machining tool operators (2.91, 1.72–4.92). Increases were also observed for occupations with unknown or suspected allergens, including gas station attendants, drivers, mail/postal and related workers, public works and maintenance laborers, mine laborers and crane operators, and some indoor worker groups. Decreased risks were observed among nurses and residential and commercial installer and servicers.</div></div><div><h3>Conclusion</h3><div>This database linkage study successfully identified occupations and industries with known sensitizing agents or irritants, and several occupation and industries not typically associated with work-related asthma, warranting further investigation.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 412-418"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142206141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of Stress Among Recruit and Incumbent Women Firefighters","authors":"Brittany S. Hollerbach ,&nbsp;Nattinee Jitnarin ,&nbsp;Maria D.H. Koeppel ,&nbsp;Michelle Valenti ,&nbsp;Shawn Beitel ,&nbsp;Jaclyn M. Goodrich ,&nbsp;Jefferey L. Burgess ,&nbsp;Sara A. Jahnke","doi":"10.1016/j.shaw.2024.10.003","DOIUrl":"10.1016/j.shaw.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Firefighting is risky and impacts the mental and physical health of personnel. While most research focuses on men firefighters, recent work has highlighted mental health concerns among women including depression, anxiety, and post-traumatic stress disorder (PTSD). Social support is a known protective factor for mental health; however, women may be excluded from the supportive peer network of the firehouse.</div></div><div><h3>Methods</h3><div>This cross-sectional study compared the prevalence of perceived stress, peer (functional) support, anxiety, depression, PTSD, chronic work discrimination and harassment, resilience, and job satisfaction in recruit (n=184) and incumbent (n=200) career women firefighters.</div></div><div><h3>Results</h3><div>While depression and perceived stress did not differ between recruits and incumbents, recruits were more likely to score in the range of concern for anxiety (26.1% and 15.5%, respectively). Incumbents were more likely to score at risk for PTSD (16.5% and 10.3%, respectively) and more likely to report sex discrimination, sexual harassment, and sexist behaviors in the workplace. Compared to the low stress group, those who reported moderate or high stress were more likely to score in the range of concern for anxiety (OR=3.86, CI=1.76-8.89) and PTSD (OR=1.30, CI=1.15-1.47), and report poor organizational cohesion (OR=1.13, CI=1.02-1.25).</div></div><div><h3>Conclusion</h3><div>Addressing mental health in the context of women firefighters requires a comprehensive and multi-faceted approach including collaboration between fire departments, mental health professionals, advocacy groups, and the broader community.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 452-457"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determination of Medical Faculty Clinical Students' Attitudes Towards Patient Safety: A Mixed Design Study","authors":"Yasemin Güner ,&nbsp;Kübra Yilmaz ,&nbsp;Dilan Yurtseven ,&nbsp;Tuğçe Mümin","doi":"10.1016/j.shaw.2024.09.006","DOIUrl":"10.1016/j.shaw.2024.09.006","url":null,"abstract":"<div><h3>Background</h3><div>The study was planned to determine the attitudes of medical faculty students in clinics toward patient safety.</div></div><div><h3>Methods</h3><div>It is a mixed-design study using quantitative and qualitative methods. The “student information form” and the “Attitudes toward Patient Safety Culture Questionnaire (APSQ)” created using “Google Forms” were e-mailed to clinical students of the medical faculty. Quantitative data were collected from 125 students. Then, semi-structured focus group interviews were conducted with six students from each class. The data were obtained through video and audio recordings of the 45-minute interviews through the Zoom program.</div></div><div><h3>Results</h3><div>According to the results, 86% of the 125 students did not receive any training on patient safety. The total score of the students on the APSQ was 94.87 ± 14.32. Six main themes and twenty sub-themes emerged from the qualitative data. The main themes are students' awareness of patient safety, students' misconceptions about “patient safety,” students' knowledge about the scope of patient safety, students' experiences with medical errors, deficiencies in educational processes on patient safety, and suggestions for educational approaches to patient safety.</div></div><div><h3>Conclusions</h3><div>After completing undergraduate medical education, physicians typically assume roles as general practitioners in various healthcare settings, such as hospital’s emergency departments, home care, or community health centers. The lack of awareness among medical students about patient safety is a significant concern that needs to be addressed. As stakeholders in their education, students recognize the importance of being well-prepared to provide safe and effective patient care in their future roles as physicians.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 404-411"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-level Hierarchical Structure Analysis of Influencing Factors of Coal Mine Managers' Blame Avoidance Behavior","authors":"Li Wang ,&nbsp;Wenyi Zeng ,&nbsp;Ziyan Jing ,&nbsp;Yonghui Xu ,&nbsp;Jiang Li","doi":"10.1016/j.shaw.2024.08.001","DOIUrl":"10.1016/j.shaw.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>In the Chinese coal industry, widespread blame avoidance behavior (BAB) greatly impacts coal mine accidents. Therefore, it is necessary to stop the BAB of coal mine managers and raise the management level of coal mine enterprises for the safe development of Chinese coal industry.</div></div><div><h3>Methods</h3><div>Based on the semi-structured interviews and questionnaire surveys (20 middle-level managers in coal mines), this paper used the Grounded Theory and Nvivo Software qualitative research methodology to open, spindle, and selectively encode the interview data. Then, an index system of factors influencing BAB of coal mine managers was constructed. The influence degree, affected degree, centrality degree, cause degree of each influencing factor were calculated and the hierarchical model of influencing factors of BAB of coal mine managers was established by the DEMATEL-ISM method which is a decision support tool used to evaluate and analyze the interdependencies between influencing factors.</div></div><div><h3>Results</h3><div>Index system of factors influencing BAB of coal mine managers included four levels and 12 influencing factors: individual, organizational, institutional environmental, and situational factors. The hierarchical model identified eight causal factors and four consequential factors, of which safety management (15.355), work attitude (14.380), and work group performance (14.281) in the top three of the centrality rankings are the key factors affecting the avoidance behavior of coal mine managers; A 3-level multilevel structure was constructed to reflect the interactions among the factors influencing the BAB of coal mine managers in terms of direct, indirect, and root causes, and corresponding improvement measures were proposed.</div></div><div><h3>Conclusion</h3><div>This study offers a theoretical complement and practical guidance for stopping BAB of coal mine managers.</div></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 4","pages":"Pages 396-403"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142206140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}