RESUMO
Objectives: This review aimed to integrate previous research to gain a deeper understanding of which individual factors are associated with reduced accident involvement, and which factors may be linked to success during emergency situations when they do occur. Better understanding how the human will react in these situations, combined with technological enhancements is vital to risk mitigation and ensuring successful performance. This review will also identify gaps in the literature that have yet to be addressed. Method: A systematic literature review was undertaken, beginning with 18,319 articles from three multidisciplinary databases. After careful review and exclusion, a final sample of 22 relevant articles were retained. This analysis was spread across various high risk, sociotechnical industries, including aviation, rail, mining, nuclear power, etc. Findings: The findings show that previous research has identified cognitive ability, leadership, situation awareness, personality, and risk perception as the most prominently considered factors in reducing accident involvement. Training, skill, situation awareness, and emotional stability were the most commonly associated factors to success through emergencies. Conclusion: While the research around individual differences impacting success during emergencies is scarce, this review provides future direction on potential factors influencing reduced accident involvement and/or potential factors that could influence a person's success through a disaster or emergency. This information could be implemented in recruitment and training of front-line workers in high-reliability organisations to reduce risk, increase safety and work towards reducing the number of accidents.
RESUMO
OBJECTIVES: This study aimed to investigate the safety attitudes of surgeons and nurses working in Australian operating rooms and establish a baseline of their general safety attitudes, as well as to compare the safety attitudes of surgeons and nurses working in operating room settings. METHODS: A modified version of the Safety Attitudes Questionnaire (Operating Room version) was distributed to operating room personnel across Australia via their relative colleges and unions. A total of 261 surgeons and registered nurses completed the online survey. RESULTS: An above-average safety focus was reported, with participants tending to be more positive on all subscales of the Safety Attitudes Questionnaire (Operating Room version) than reported by previous studies, which measured those working in intensive care units, ambulatory settings, and operating rooms. Participants had the most positive attitudes toward Teamwork Climate and Job Satisfaction, and the least positive attitudes toward Perceptions of Management and Work Conditions. There were some occupational differences in attitudes toward the various aspects of safety, with surgeons having more positive attitudes toward all aspects of safety except in relation to stress recognition, compared with nurses. CONCLUSIONS: This study provides a baseline of general safety attitudes for Australian surgeons and nurses against which the effectiveness of future interventions can be interpreted. The occupational differences found in this study support the notion that safety interventions should be occupationally tailored. Interventions should target individual professional groups, taking into account the specific differences within each occupation to maximize their impact and effectiveness.
