Safety and Health for Medical Workers
AAt Safety and Health for Medical Workers (SHMW; P-ISSN: 3048-3786, E-ISSN: 3047-9460), we measure the value of research not by indexation alone, but by credible novelty, methodological rigor, and demonstrable benefit to frontline practice. High indexing can amplify dissemination, yet it is secondary to evidence that reduces exposure, strengthens infection prevention, improves ergonomics, and supports psychosocial well-being across healthcare settings. We therefore prioritize manuscripts that propose bold, testable ideas; report transparent methods and reproducible analyses; and translate findings into implementable solutions for workers, institutions, and policymakers. We welcome implementation studies, mixed-methods designs, replications, and well-documented null or negative results, alongside open data/code and stakeholder co-design. Our commitment is simple: if research does not meaningfully improve safety and health at work, it remains incomplete regardless of ranking. We invite authors who share this purpose to advance actionable science with SHMW.
Articles
20 Documents
<![CDATA[Patient Safety and Health Workforce Training: Identifying Curriculum Gaps and Development Needs ]]>
<![CDATA[Fatima Shumayleh]]>;
<![CDATA[Rafique Othman]]>;
<![CDATA[Shaukat Waseem]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 3 (2024): October ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i3.152
<![CDATA[Objective: This study aims to explore the association of healthcare workforce training with patient safety in public and private hospitals of Pakistan. In particular, it needs to determine any gap in curricula and the necessary development in training programs that could enhance patient safety practices.Methods: Survey conducted on 500 healthcare professionals working in Pakistan tested PATH through Structural Equation Modeling (SEM) analyzing six variables likely to impact patient safety outcomes.Findings: The findings indicate that training quality, worker preparedness, and organizational support measure as strong predictors of improved patient safety outcomes. In addition, workforce readiness was a complete mediator between other independent variables and patient safety enhancements. Two issues identified as keys to more effective patient safety practices were both curriculum gaps between patient safety knowledge and training standardization.Novelty: The research illuminates the areas of curriculum deficits in the healthcare workforce training systems across Pakistan that limit the extent to which patients are safe. For example, this research emphasises the importance of workforce readiness to addressing these gaps and ultimately achieving better safety outcomes. Finally, the application of SEM to assess complex relationships between variables represents another methodological contribution of this study.Research Implications: These findings suggest that there is a need in Pakistan for quality improvement of curricula, standardization of training programs, and better work readiness among new graduates of healthcare training programs. Closing these curriculum gaps with deliberate intention will pave the way for creating a culture of safety within healthcare organizations and ultimately to better patient care outcomes]]>
<![CDATA[Advice for chief nurses on integrating LGBTQ+ inclusive practices into the healthcare system through centred qualitative exploration ]]>
<![CDATA[Nguyen Cheirard]]>;
<![CDATA[Labrag Gretha]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 3 (2024): October ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i3.153
<![CDATA[Objective: This research aims to uncover effective strategies for fostering an equitable environment for LGBTQ+ individuals as well as potential barriers to achieving this and classifies these strategies based using the Expert Recommendations for Implementing Change (ERIC) framework.Methods: We conducted a qualitative exploration using in-depth interviews with chief nurses at a selected sample of healthcare organizations throughout Thailand. Thematic analysis was performed to identify recurring themes and classify strategies according to the ERIC framework.Findings: The study highlighted five factors that influenced the application of LGBTQ+-inclusive practices: corporate training programs, clarity in organization policy and directives, support from management, tackling culture in the organization, and (5) staff participation in continuous education. Training programs, as well as clear policy implementation, had the largest hits amongst these. The accessibility of information, combined with cultural and behavioral changes, could be contributing to the recent increase in segregation, the authors argue, and cultural resistance continues to be a significant barrier, suggesting that targeted efforts are needed to address underlying biases. Moreover, through community engagement and a digital learning tocreate breaking routes for inclusivity emerged as one of the innovative ways.Novelty: The study uniquely integrates qualitative exploration and the ERIC-framework to yield actionable recommendations for chief nurses. It draws attention to other seemingly overlooked barriers including cultural resistance and suggests creative solutions customized to the socio-cultural setting of Thailand, not mentioned in other literature.Research Implications: The insights provide practical advice for healthcare executives who want to foster inclusive settings for LGBTQ+ patients. The study highlights many of the necessary conditions tailored strategy, staff training, and policy implementation for achieving equity in health-care delivery.” These themes will provide guidance to chief nurses in Thailand as well as other areas where socio-cultural behaviours can govern clinical activity, and they provide a pathway to wider adoption of inclusive behaviours in global healthcare systems.]]>
<![CDATA[Exploring the Societal Impact of Death Anxiety on Mental Health Among Nurses: A Positive Psychology Perspective ]]>
<![CDATA[Grazcea Lisa]]>;
<![CDATA[Elizabet Macle]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 3 (2024): October ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i3.154
<![CDATA[Objective: This study aimed to determine the relationship between death anxiety and mental health of nurses and the moderating effects of coping strategies, work engagement (WE), humility, and empirical norms on mental health.Methods: A cross-sectional survey was conducted to gather information from nurses in diverse care settings. The study utilized validated measures of death anxiety, coping strategies, work engagement, and mental health outcomes, with subsequent regression analysis elucidating significant relationships.Findings: The results indicate complex interrelationships between death anxiety and well-being, and demonstrate the importance of specific coping styles and personality factors in the maintenance of emotional health. Work engagement, and the influence of the society on workers spontaneity seem to have a major role in combating stress and enhancing well-being.Novelty: This study is original in that it weaves concepts from positive psychology throughout its examination of death anxiety in nurses to provide new insights into the interplay of internal and external forces shaping nurses' well-being.Research Implications: Supporting the emergence of healthy psychological workspace with demanding intervention can boost coping mechanism and directly increase the quality of care as well as nurse’s happiness.]]>
<![CDATA[Impact of Work Demands on Burnout and Mental Health Among Frontline Nurses During COVID-19 ]]>
<![CDATA[Ecker Albert]]>;
<![CDATA[Anne Clare]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 3 (2024): October ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i3.155
<![CDATA[Objective: To investigate the impact of quantitative and emotional work demands on burnout and mental health outcomes among frontline nurses during the COV19 pandemic in Australia.Methods: A cross-sectional survey was conducted with a sample of frontline nurses in Australia to analyse the effects of work demands on burnout, emotional exhaustion and depersonalisation, and the mental health indices of anxiety, depression and stress. Data were collected through self-report surveys and linear and quantile regression analyses were used to assess the relationships between work demands and mental health outcomes.Findings: Increased quantitative and emotional work demands were found to significantly exacerbate burnout and mental health problems. This was particularly true for nurses with pre-existing mental health problems. The severity of these effects was more pronounced in those individuals who reported higher levels of anxiety, depression and stress.Novelty: This study contributes to understanding the heterogeneity of the impact of work demands on the mental health of frontline health workers during a global health crisis, focusing in particular on the differential impact according to the severity of pre-existing mental health conditions.Research Implications: The findings highlight the need for healthcare organizations to implement targeted mental health support and workload management strategies to mitigate burnout and support frontline staff well-being during and after crises such as the COVID-19 pandemic. Future research should investigate the long-term effects and effectiveness of workload reduction and mental health improvement interventions for nurses.]]>
<![CDATA[Workplace Bullying Among Senior Medical Staff in Africa: Prevalence, Impact, and Contributing Factors ]]>
<![CDATA[Katrien Lodhe L]]>;
<![CDATA[Alleksand Montes]]>;
<![CDATA[Zachari Diallofd Diallofd]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 3 (2024): October ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i3.156
<![CDATA[Objective: This cross-sectional quantitative study aimed to establish the prevalence, antecedents, and outcomes of workplace bullying among senior medical staff in Africa. It will look at how workplace demands, peer and managerial support and bullying affects personal and professional outcomes.Methods: We used a mixed methods approach with quantitative surveys and qualitative interviews in several African healthcare settings. The prevalence of bullying was measured using the Negative Acts Questionnaire (NAQ-r), and the level of workplace demands and support for individuals was assessed using the Health and Safety Executive Management Standards Analysis Tool.Findings: The new study found that 38% of senior doctors reported experiencing bullying on a weekly basis and even higher rates in emergency medicine and related specialties. Bullying was significantly associated with high workplace demands and low peer and managerial support. So far-reaching were the ramifications of his bullying that they undermined both individual welfare and organizational efficacy. In other words, 69.6% of responses did not indicate bullying because of alleged reasons of barriers for reporting like fear of retaliation, and lack of trust in management whatsoever.Novelty: This study offers unprecedented insights into a hitherto neglected area workplace bullying in African healthcare. It showcases novel contributing aspects, including workload and support systems, while shedding light on the barriers to reporting, providing a new lens of contention in African contexts.Research Implications: Its findings highlight the importance of schools' implementing interventions to reduce workplace bullying, including promoting supportive infrastructures, managing demands and stressors in the workplace, and creating environments for safe reporting, to protect the well-being of Africa's senior medical professionals.]]>
<![CDATA[Preventing Violence and Harassment Through Leadership, Policy, and Safety Culture in Emergency Healthcare Settings ]]>
<![CDATA[Arjun Bhandari Thapa]]>;
<![CDATA[Pratiksha Priya Shakya]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 4 (2025): January ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i4.293
<![CDATA[Objective: This article investigates the effects of leadership commitment, organizational policies, training, reporting mechanisms, and workplace culture in reducing harassment and violence in work organizations.Methods: Quantitative cross-sectional survey design of employees in various industries. Responses were analyzed by structural equation modeling to investigate direct and indirect relationships between factors. Findings: The findings indicate that leadership support, sound policy implementation, and strong response are effective in minimizing workplace harassment and violence. Training and education programs develop the resiliency and awareness of employees to inappropriate behaviors. What’s more, a supportive organizational culture is a powerful driver in preventing misbehavior and suggests that societal approaches are more effective when they’re combined instead of working in isolation. Novelty: This study adds to the literature by combining several organizational-level initiatives as part of one comprehensive framework, creating a comprehensive view of how structural and cultural interventions intersect to reduce workplace harassment. Unlike past research concentrating on single variables, the present work highlights how leadership, policy, and culture act as additive mechanisms. Research Implications: The results have implications for the necessity of taking a multi-level and systems-oriented perspective to organizational governance. Policy makers and managers are recommended to integrate harassment-prevention measures into broader cultural change efforts for an impact that lasts. This analysis also has implications for international labor standards in a practical sense, as it offers evidence-based guidance to organizations within different cultural and legal frameworks.]]>
<![CDATA[Machine Learning Based Prediction of Burnout in Nurses During the COVID-19 Pandemic ]]>
<![CDATA[Wei Chen Yeu]]>;
<![CDATA[Na Zu Yin]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 4 (2025): January ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i4.294
<![CDATA[Objective: The study looks at what causes nurse burnout and the part played by resilience and the support offered by the organisation in healthcare settings.Methods: A predictive burnout model was developed. This was done using machine learning and structural equation modelling. The aim was to analyse data collected through validated psychometric instruments.Findings: The predominant predictors of burnout have been identified as workload, psychological stress and extended shift duration. Resilience plays a key role as a mediator, helping to understand how these risk factors lead to symptoms of burnout. Organisational support is crucial in this respect, as it has been found to have a buffering effect that significantly reduces the negative impact of job demands. The model that is part of the study gets the results right most of the time when it comes to working out the risk of someone burning out, which shows that using a mix of machine learning and theories is a good idea.Novelty: This research presents a new way of doing things by combining machine learning predictive analytics with well-known psychological theories to create a complete assessment framework for burnout. It provides new information about the way in which the strength of individuals and the support they get from their organisations can influence the process of "burnout".Research Implications: The findings support interventions at two levels: individual resilience training combined with organisational support systems. People who run hospitals should introduce ways to predict and prevent problems, and support programs that look at the psychological needs of workers and the way work is organised. This will help to stop people from becoming exhausted and stressed.]]>
<![CDATA[The Social Amplification of Risk: Perceived Threats to Medical Workers in War Zones ]]>
<![CDATA[Shahin Farzaneh]]>;
<![CDATA[Nasrin Abdul Golshani]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 4 (2025): January ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i4.295
<![CDATA[Objective: The objective of this study is to examine the determinants of public perception regarding the safety of medical workers in conflict zones.Methods: We employed a quantitative cross-sectional design, using a structured questionnaire that we distributed to a diverse sample. Regression and moderation analyses were performed on the data to test the hypothesised relationships.Findings: The results demonstrate that the perceived threat to medical workers' safety is significantly influenced by media exposure intensity, belief in international humanitarian law, and public trust in healthcare institutions. Furthermore, political affiliation moderates these relationships. It does so by strengthening the effect of media exposure. At the same time, it weakens the influence of humanitarian law beliefs. The filter used to select media sources also moderates the relationship between public trust and perceived threat. The integrated model sheds light on significant differences in public opinion, highlighting the intricate relationship between information exposure, societal standards, institutional trust, and personal filters.Novelty: This research proffers a pioneering integrated framework that concurrently evaluates the immediate consequences of pivotal determinants and the incidental functions of political affiliation and media source filter. It provides new information about how ideas and thinking affect how people see humanitarian rules in places where there is conflict, and it does this in a new way that is different from the usual ways of thinking.Research Implications: The findings offer crucial theoretical contributions by validating an integrated model of perception formation. In practice, they help humanitarian organisations develop communication strategies that are nuanced and take into account political affiliations and media consumption patterns. The aim is to effectively advocate for the protection of medical workers.]]>
<![CDATA[How Does Psychological Capital Buffer Job Stress in Dental Healthcare Workers? ]]>
<![CDATA[Desi Andriyani]]>;
<![CDATA[Lies Elina Prasetiowati]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 4 (2025): January ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i4.309
<![CDATA[Objective: The influence of organisational factors and psychological resources on occupational well-being in dental healthcare is examined in this study. It looks at how work engagement, safety climate and transformational leadership directly impact job burnout, and whether psychological capital strengthens these protective factors. Methods: To measure the key concepts, we used scales that had been shown to be valid. Information was examined via structural equation modelling and hierarchical regression to evaluate direct and moderating impacts, with measurement models confirmed for reliability and validity. Findings: The analysis shows that work engagement, safety climate and transformational leadership can all play a key role in preventing job burnout. Also, good mental health can make these bad relationships much better. Individuals with high levels of psychological capital demonstrate a greater ability to convert supportive work conditions into sustained well-being. Novelty: This research is pioneering because it shows how organisational resources and personal capabilities work together. Psychological capital is established not just as a complementary factor, but as a catalytic resource that optimises the impact of workplace conditions on professional health. Research Implications: The study provides a theoretical advancement by integrating organisational and positive psychology perspectives. Psychological capital is identified as a strategic leverage point for the purpose of practice. This suggests that interventions targeting this resource can maximise the effectiveness of organisational support systems. The result of this is that sustainable professional practice and enhanced care quality are promoted.]]>
<![CDATA[Visual-Based Communication Training: Reducing Pediatric Induced Practitioner Stress and Enhancing Clinical Ergonomics ]]>
<![CDATA[Ade Elza Buana]]>;
<![CDATA[Desi Andriyani]]>
<![CDATA[ Safety and Health for Medical Workers Vol. 1 No. 4 (2025): January ]]>
Publisher : <![CDATA[Inovasi Analisis Data ]]>
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DOI: 10.69725/shmw.v1i4.311
<![CDATA[Objective: Drawing on psychology and cognitive theories, the current study explores visual-based communication training in order to alleviate stress among practitioners provoked by pediatric clinical experiences, and to improve clinical ergonomics. Methods: The research adopted a quantitative, theory-based design using a structured survey and variance-based structural equation modelling to explore the links between visual communication characteristics, practitioner self-efficacy and work-related stress. The project was nested in Cognitive Load Theory, Social Cognitive Theory and the Transactional model of stress and coping to describe how ergonomic communication tools influence practitioner outcomes. Findings: Results indicate that visual language doesn’t significantly reduce the level of work- related stress; but on the other hand, it has an indirect effect which improves practitioners’ self-efficacy. Communication interactivity and narrative depth, closely related to the practitioners' perceived ability of successfully handling pediatric clinical demands are a key factor in stress reduction. Self-efficacy is the major psychological process by which ergonomic communication design leads to well-being at work. Novelty: This research contributes to the ergonomics and occupational health literature by combining visual communication theory with psychological self-regulation mechanisms, while promoting ‘self-efficacy’ as a proximal mediator as opposed to considering the tools of communication as direct interventions on stress modification. Research Implications: These results provide direction for the development of practitioner-focused communication training and ergonomic interventions to enhance occupational well-being and sustained clinical performance.]]>
