Examining the dimensions of hospital safety climate and psychosocial risk factors among Japanese nurses.

PURPOSE: The purpose of this study was to examine the dimensions, reliability, and main loading factors associated with a Japanese safety climate and psychosocial risk factor scale. DESIGN: The authors used a cross-sectional survey of nurses from a university teaching hospital in Japan during 2008 (N = 996). The survey tools were based on components previously identified in a variety of international studies, including the Hospital Safety Climate Scale (HSCS) originally developed by Gershon et al. in 2000. RESULTS: Factor analysis of the Japanese HSCS demonstrated key themes in the areas of workplace-related issues, protective devices or mechanisms, and managerial dimensions (Cronbach's α = .887). Factor analysis of the psychosocial scale revealed key themes comprising individually related items and group dynamics (Cronbach's α = .882). CONCLUSIONS: This study revealed high internal consistency in the Japanese-language safety climate and psychosocial risk factor scales. The authors also identified various factors and themes consistent with previous international research. IMPLICATIONS FOR PRACTICE: Transcultural research using standard psychosocial tools can reveal important and reliable findings if carefully translated and adapted for the host environment.

Hospital safety climate, psychosocial risk factors and needlestick injuries in Japan.

To investigate the interactions between safety climate, psychosocial issues and Needlestick and Sharps Injuries (NSI), a cross-sectional study was undertaken among nurses at a university teaching hospital in Japan (89% response rate). NSI were correlated with various aspects of hospital safety climate including supporting one another at work, the protection of staff against blood-borne diseases being a high management priority, managers doing their part to protect staff from blood-borne disease, having unsafe work practices corrected by supervisors, having the opportunity to use safety equipment to protect against blood-borne disease exposures, having an uncluttered work area, and having minimal conflict within their department. In conclusion, this study has demonstrated the importance of hospital safety climate in Japanese health care practice, particularly its relationship with NSI. Although the provision of safer devices remains critical in preventing injuries, ensuring a positive safety climate will also be essential in meeting these important challenges for nurses' occupational health.

Examining the dimensions and correlates of workplace stress among Australian veterinarians.

BACKGROUND: Although stress is known to be a common occupational health issue in the veterinary profession, few studies have investigated its broad domains or the internal validity of the survey instrument used for assessment. METHODS: We analysed data from over 500 veterinarians in Queensland, Australia, who were surveyed during 2006-07. RESULTS: The most common causes of stress were reported to be long hours worked per day, not having enough holidays per year, not having enough rest breaks per day, the attitude of customers, lack of recognition from the public and not having enough time per patient. Age, gender and practice type were statistically associated with various aspects of work-related stress. Strong correlations were found between having too many patients per day and not having enough time per patient; between not having enough holidays and long working hours; and also between not enough rest breaks per day and long working hours. Factor analysis revealed four dimensions of stress comprising a mixture of career, professional and practice-related items. The internal validity of our stress questionnaire was shown to be high during statistical analysis. CONCLUSION: Overall, this study suggests that workplace stress is fairly common among Australian veterinarians and represents an issue that occupies several distinct areas within their professional life.

Folate nutritional genetics and risk for hypertension in an elderly population sample.

BACKGROUND/AIMS: 118 elderly participants (65-90 years) were assessed for any relationship between folate, related genes and hypertension. METHODS: Six B-vitamin-related SNPs were genotyped in 80 normotensive and 38 hypertensive subjects. RESULTS: Of six polymorphisms (677C>T-MTHFR, 1298A>C-MTHFR, 80G>A-RFC, 2756A>G-MS, 66A>G- MSR, 19bpDHFR and 1561C>T-GCPII), only 677C>T-MTHFR was a significant risk for hypertension: OR 1.89; 95% CI 1.07-3.32 (chi2 p = 0.038). Additionally, hypertensive subjects had a significantly lower intake of dietary folate than normotensive individuals (p = 0.0221), although this did not markedly alter blood metabolite levels. Several significant linear associations between dietary folate and related blood metabolites were found in normotensive subjects (p < 0.001 for Hcy, red cell and serum folate) and were as predicted on an a priori basis -- generally weaker associations existed in hypertensive subjects (p < 0.05 for serum folate). This was true for data examined collectively or by genotype. Multiple-regression analysis for diastolic or systolic blood pressure showed significant interaction for gender and folate intake (p = 0.014 and 0.019, respectively). In both cases this interaction occurred only in females, with higher folate intake associated with decreased blood pressure. Regressing diastolic blood pressure and 677C>T-MTHFR genotype showed significance (males; p = 0.032) and borderline significance (all subjects). CONCLUSION: Dietary folate and 677C>T-MTHFR genotype may modify blood pressure.