Risk Perception and Ethnic Background in Construction Workers: Results of a Cross-Sectional Study in a Group of Trainees of a Vocational School in Italy.

Risk perception can be influenced by cultural background. The study aims to evaluate risk perception, considering different ethnicities of construction workers from vocational schools in Italy. We administered a questionnaire investigating four different dimensions: Perceived behavioral control (PBC), Danger perception (DP), Safety climate (SC), and Attitude towards safe actions (ATSA). 562 workers answered: 72.4% from Italy, 14.2% from eastern Europe, 9.4% from Balkans, and 3.9% from North Africa. The participants indicated quite low control, attributable to the haste in performing the job. The workers perceived their specific job tasks as riskier compared to the tasks of their colleagues. They reported as fundamental the respecting of safety rules, but indicating that supervisors do not adequately promote safety behaviors. Finally, construction workers judged as "brave" the colleagues working without protective equipment. When compared to Italians, North Africa workers showed a lower perception of the possibility to control their safe behaviors (p = 0.040), while both eastern Europeans and Balkan obtained higher scores at the ATSA dimension, indicating a kind of fatalistic acceptance of the risky situations at work. Eastern Europeans also showed a lower perception of the dangers (p = 0.002), while Balkan demonstrated a perception of SC even better than the Italian group (p = 0.005).

Ethnic background and risk perception in construction workers: development and validation of an exploratory tool.

OBJECTIVES: Among occupational sectors, construction is still one of the branches with the highest reported numbers of work-related injuries and diseases, which can even lead to death and in many cases induce permanent health consequences. The vast majority of these occupational injuries and diseases are preventable; accordingly, an improvement in preventive strategies, also through a better knowledge of the main factors involved in these events, is one of the most important objectives for better occupational health and safety in the construction sector. Considering the individual factors associated with a higher risk of work-related adverse health effects in workers, an inadequate perception of occupational risks is among the most relevant issues. Risk perception can vary according to different cultural backgrounds, highly influenced by ethnicity, and it affects the relations between workers in the work environment, and the way by with they undergo the specific occupational tasks and manage risky situations frequently occurring on construction sites. Accordingly, the aim of the authors was to develop a new tool for the assessment of risk perception in construction workers with different ethnic backgrounds. MATERIAL AND METHODS: A team of health and safety experts involved in the training of construction workers from various ethnic backgrounds and in different regions of Italy developed and validated a questionnaire-based tool for the evaluation of their risk perception. Furthermore, through a factor analysis, a reference model defining various dimensions of occupational risk perception, relevant for the different ethnicities, was identified. RESULTS: The final tool included 12 items aimed to assess the associations between the ethnic background and occupational risk perception of construction workers. The authors identified 4 relevant dimensions: behavioral control, work conditions, safety climate and personal attitude. CONCLUSIONS: The proposed tool should be considered to explore the appropriate ways for the development of effective preventive strategies for construction workers with different ethnic backgrounds in Italy. Int J Occup Med Environ Health. 2020;33(2):163-72.

Nurses as seen by patients: a phenomenological study.

OBJECTIVE: during the various periods of the history of the nursing profession, many differing representations of nurses have emerged in the collective imagination. The main purpose of this study, based on a qualitative approach, has been to discover the images of the nurse that patients retain in their minds when receiving care. METHODS: 6 sound-recorded focus groups were created, made up of patients and caregivers. These persons were members of 6 associations. The recordings and observations made were then analysed by adopting a hermeneutic phenomenological approach. RESULTS: 6 themes characterising nurses emerged: Training; Between flexibility and personalisation; Organisation and nursing; Continuity in caregiving; Professional maturity; and Relations. While these themes do not provide a uniform definition for the figure of the nurse they do present the profiles that had the greatest impact on persons receiving care. CONCLUSIONS: From the experiences collected among the participants in the focus groups, no pre-defined "image" of nurses emerged, and the stereotypes and prejudices described in the literature were also not to be found. Important indications did, in any case, emerge as to the type of nurse these people want, and concerning areas which must be worked on. These indications provide valuable information that, if acted upon, might contribute to the profession's growth and improvement. In brief, there are various planes of activity upon which nurses should concentrate their efforts: training (greater specialisation), organisation (greater flexibility), and the profession (consideration of professional identity in the light of the task of meeting patients' needs).

[Don't see, don't hear, and don't speak: the silence as an obstacle to the caring process. Phenomenological investigation among health staff working in an emergency department]. / Non vedere, non sentire, non parlare: il silenzio come ostacolo al processo di cura. Indagine fenomenologica fra personale sanitario che opera in area critica.

Many health professionals show their concerns about the "professional misconduct"committed by their colleagues. Such concerns are sometimes referred to colleagues or superiors, but they are rarely communicated directly to the persons concerned. Starting from these assumptions we wanted to investigate whether in the setting of italian intensive care unit, you have the same perception. A phenomenological study was performed, aiming at collecting the experiences of health care professionals about the professional mistake question. As a means of detection we used a semi-structured, audio-recorded and transcribed in full interview. The analysis was done using the Giorgi method. Six units of meaning have been identified, expression of the most important and recurring experiences. They are: the climate / alliance and sense of belonging, the meaning of mistake: tolerable and not tolerable, the incident, the emotions / feelings; the mistakes / reasons; communication. The research highlights that the "culture of silence" is not widespread so when a mistake occurs the professional is usually faced by a colleague However, there are two exceptions:when the mistake is not serious, or when the professional to be faced is higher in the hierarchy. Those who committed a mistake, usually don't admit it because they don't want to damage their "image" or because they are afraid of the consequences.