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Policy and Practice in Health and Safety最新文献

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Violence in a U.S. Veterans Affairs healthcare system: worker perspectives on prevalence, causes, and contributors 美国退伍军人事务部医疗保健系统中的暴力:工人对流行率、原因和贡献者的看法
Q2 Social Sciences Pub Date : 2017-01-02 DOI: 10.1080/14773996.2016.1266439
Natalie Purcell, Eric Shovein, C. Hebenstreit, Michael D. Drexler
Abstract Worldwide, violence in healthcare settings is a common occurrence, causing stress, injury, and burnout among healthcare workers, and impacting their ability to provide safe, effective care for patients. Using focus group data from a large, public veterans’ healthcare system in the United States, this article examines how Veterans Affairs (V.A.) workers experience violence and aggression on the job, and how they describe the causes of and contributors to violence in their workplace. Across seven focus groups, 65 workers reported regular experiences of verbal aggression and less frequent exposure to physical violence. Perceived institutional contributors to violence included internal processes that are frustrating and difficult to navigate, workload concerns that increase stress, and safety deficits in the physical environment. Perceived cultural contributors included an absence of consequences for low-level patient aggression against healthcare workers and the need for a stronger ethos of teamwork. Many workers felt that the broader U.S. political context, including critical news media coverage and the public perception that the V.A. system is failing veterans, amplifies their vulnerability to abuse at work. Their experiences illustrate how broader sociopolitical and cultural dynamics can impact how safe workers feel and whether they feel supported in addressing and preventing workplace violence.
摘要在世界范围内,医疗环境中的暴力行为很常见,会在医护人员中造成压力、伤害和倦怠,并影响他们为患者提供安全、有效护理的能力。本文利用来自美国一个大型公共退伍军人医疗系统的焦点小组数据,研究了退伍军人事务部(退伍军人事务部)工作人员在工作中如何经历暴力和侵犯,以及他们如何描述工作场所暴力的原因和诱因。在七个重点小组中,65名工人报告说,他们经常遭受言语攻击,较少遭受身体暴力。人们认为造成暴力的体制因素包括令人沮丧和难以驾驭的内部流程、增加压力的工作量问题以及物理环境中的安全缺陷。感知到的文化贡献者包括缺乏对医护人员的低水平患者攻击的后果,以及需要更强的团队精神。许多工人认为,更广泛的美国政治背景,包括批评性的新闻媒体报道,以及公众认为退伍军人管理局制度辜负了退伍军人,加剧了他们在工作中受到虐待的脆弱性。他们的经历表明,更广泛的社会政治和文化动态如何影响员工的安全感,以及他们在解决和预防工作场所暴力方面是否感到得到支持。
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引用次数: 12
Corrigendum 勘误表
Q2 Social Sciences Pub Date : 2017-01-02 DOI: 10.1080/14773996.2017.1305704
Drake, C., Haslam, R. and Haslam, C. (2017). Facilitators and barriers to the protection and promotion of the health and safety of older workers, Policy and Practice in Health and Safety. http://dx.doi.org/10.1080/14773996.2017.1289453 The abstract of this article has been reformatted from the original version which was published online. The change will be visible in both the print and online versions of the article.
Drake,C.、Haslam,R.和Haslam(2017)。保护和促进老年工人健康与安全的促进者和障碍,健康与安全政策和实践。http://dx.doi.org/10.1080/14773996.2017.1289453这篇文章的摘要是从网上发布的原始版本重新格式化的。这一变化将在文章的印刷版和在线版中都可见。
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引用次数: 0
Due diligence: a panacea for health and safety risk governance? 尽职调查:健康和安全风险治理的灵丹妙药?
Q2 Social Sciences Pub Date : 2017-01-02 DOI: 10.1080/14773996.2016.1275497
Christopher Peace, V. Mabin, C. Cordery
Abstract The failure of boards and individual directors to engage with and accept accountability for work health and safety (WH&S) has frequently been commented on as a contributory cause of high injury and fatality rates. New Zealand has been no exception to this record, having poor fatal accident rates when compared with other OECD countries. One mining accident in New Zealand in 2010 triggered the introduction of new legislation in New Zealand, requiring ‘due diligence’ of ‘officers’ of workplace health and safety. This paper reviews the background to the law change, highlights its focus on due diligence, and explores the meaning of ‘officer’. A decision tree is presented to help show the relationship of the due diligence requirement to companies’ legislation and other requirements. The wider duties of directors are briefly analysed before presenting a range of ‘reasonable steps’ that might enable an officer to claim they had exercised due diligence to ensure compliance with the WH&S responsibilities of a business or undertaking. The relationship of these options to knowledge management and potential for application of management by objectives is described before discussing compliance problems arising for officers in smaller businesses.
董事会和个人董事未能参与并接受工作健康和安全(WH&S)的责任,经常被评论为造成高伤害和死亡率的一个原因。新西兰也不例外,与其他经合组织国家相比,新西兰的致命事故率很低。2010年新西兰发生的一起矿难促使新西兰出台了新的立法,要求对工作场所健康和安全的"官员"进行"尽职调查"。本文回顾了法律变更的背景,强调了其对尽职调查的关注,并探讨了“官员”的含义。提出了一个决策树,以帮助显示尽职调查要求与公司立法和其他要求的关系。简要分析董事的更广泛职责,然后提出一系列“合理步骤”,这些步骤可使高级人员声称他们已进行尽职调查,以确保遵守业务或企业的卫生与安全责任。在讨论小型企业管理人员出现的遵从性问题之前,描述了这些选择与知识管理的关系以及应用目标管理的可能性。
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引用次数: 7
What should we publish in PPHS? 我们应该在公共卫生服务中发表什么?
Q2 Social Sciences Pub Date : 2017-01-02 DOI: 10.1080/14773996.2017.1323460
P. Waterson
Shortly after taking over as Editor of PPHS, IOSH carried out a small-scale survey of its members in March 2016. The aim of the survey was to provide us with a better idea of the type of content that IOSH members wanted to see in the journal. We received just over 2,000 responses from a spectrum of categories of IOSH members (CFIOSH, CMIOSH, Graduate, Technical, Associate and Affiliate members) working across a broad range of industries. The results of the survey indicated a roughly equal split between material focusing on policy (50% of participants) and practical (52%) aspects of OSH, with a slightly smaller percentage (44%) wanting more scientific contributions. Survey participants were also asked about specific types of content. The top five categories in this case were content covering: legal cases and legislation; good practice; industry-specific topics; construction; and health and well-being. Finally, we asked about topics that might be suitable for a PPHS special issue. In this case the top five topics were: construction; legislation; safety behaviour and culture; health and well-being; and risk management and assessment. At the beginning of this year I carried out a similar exercise, this time with our editorial board members. I asked them to suggest topics for the journal, alongside developments in the wider world of OSH that they viewed as potentially important to cover within PPHS in the next few years. A number of themes and research questions emerged from this consultation exercise. These included:
在接任PPHS编辑后不久,IOSH于2016年3月对其成员进行了一次小规模调查。调查的目的是让我们更好地了解IOSH成员希望在期刊上看到的内容类型。我们收到了来自不同类别的IOSH成员(CFIOSH、CMIOSH、研究生、技术、准会员和附属会员)的2000多份回复,这些成员来自各行各业。调查结果表明,关注职业安全与卫生政策方面的材料(50%的参与者)和实际方面的材料(52%)之间的比例大致相等,希望获得更多科学贡献的比例略小(44%)。调查参与者还被问及具体的内容类型。该案例中排名前五的内容包括:法律案例和立法;良好的实践;特定于行业的主题;建设;还有健康和幸福。最后,我们询问了可能适合PPHS特刊的主题。在这种情况下,排名前五的主题是:建筑;立法;安全行为和文化;健康和福祉;以及风险管理和评估。今年年初,我和我们的编辑委员会成员进行了类似的练习。我请他们为杂志提出主题,以及他们认为未来几年在公共卫生服务中可能重要的职业安全与卫生领域的发展。这次磋商产生了若干主题和研究问题。这些包括:
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引用次数: 5
A reflection on the current local authority-led regulation model: views from small- and medium-sized businesses 对当前地方政府主导的监管模式的反思:来自中小企业的观点
Q2 Social Sciences Pub Date : 2016-07-02 DOI: 10.1080/14773996.2016.1255442
L. Borley, A. Page
Abstract Background: Health and safety regulation has been identified by the UK government as an area of over-regulation; a burden to business; and hindering economic growth. In response, recommendations have been made to government to reduce this regulation. While this seems to be the view held by government, many sources indicate that health and safety regulation has a role to play in supporting business and that ‘good regulation’ can actually help businesses and aid in their growth and economic prosperity. Guidance issued by the Health and Safety Executive (HSE) to Local Authorities has left Local Authority regulatory departments unable to undertake proactive inspections in medium- and low-risk workplaces, relying on intelligence to trigger reactive investigative visits. Such visits effectively only allow the prevention of future repetitions rather than preventing harm in the first place. At the same time, spending cuts have seen reductions of 28% to Local Authority funding that has forced a re-examination of how to deliver services including health and safety regulation. Method: An empirical qualitative methodology was applied to test the health and safety compliance advice required by SMEs. Semistructured interviews (n-10) were carried out with selected SME owners/managers across a range of sectors with varying exposures to health and safety regulatory interventions, in the City of Peterborough. The interviews were conducted face-to-face at the business premises, recorded and transcribed. The data were coded in order to establish themes that were used to develop emergent theory. Results: Ten themes emerged from the data. One of the strongest themes that emerged was that businesses did not feel deregulation or reduced inspection would be beneficial either at the individual business level or across the sector. Of significant note was that participants wanted to continue to have inspections on a frequent basis. They felt that fewer inspections would lead to lower compliance levels and increased accidents. In addition, SMEs indicated that they do not have the skills or capacity to self-regulate and thus wish for tailored business advice to aid in protecting their workforce. Recommendations: The presumption, which regulatory visits are negative, is questioned by the research and indeed all interviewees welcomed the support that they gain from such visits. With this in mind, it is suggested that a more business advisory approach is adopted to meet SME needs and aid growth while still protecting the workforce. A number of recommendations are made including a risk-based proactive intervention strategy based on responsive regulation principles, improvement of communication and business engagement and focus on advice provision for SMEs. The recommendations are designed to meet businesses needs and also to contribute to business growth.
摘要背景:健康和安全监管已被英国政府确定为过度监管的领域;累赘:对生意的负担;阻碍了经济增长。作为回应,已经向政府提出了减少这一规定的建议。虽然这似乎是政府的观点,但许多消息来源表明,健康和安全监管在支持企业方面发挥着作用,“良好的监管”实际上可以帮助企业,帮助它们的增长和经济繁荣。健康与安全执行局(HSE)向地方当局发布的指导意见,使地方当局的监管部门无法对中、低风险工作场所进行主动检查,只能依靠情报触发被动调查访问。这样的探视实际上只能防止今后的重复,而不是从一开始就防止伤害。与此同时,开支削减导致地方政府资金减少了28%,这迫使政府重新审视如何提供包括健康和安全监管在内的服务。方法:采用实证定性方法对中小企业健康安全合规咨询进行检验。在彼得伯勒市,对受健康和安全监管干预措施影响程度不同的一系列部门的选定中小企业所有者/管理人员进行了半结构化访谈(n-10)。面谈在营业场所面对面进行,并有录音和文字记录。对数据进行编码是为了建立用于发展涌现理论的主题。结果:从数据中得出十个主题。出现的最强烈的主题之一是,企业不认为放松管制或减少检查将有利于个人业务层面或整个行业。值得注意的是,与会者希望继续经常进行视察。他们认为,减少检查将导致更低的合规水平和更多的事故。此外,中小企业表示,它们不具备自我监管的技能或能力,因此希望获得量身定制的商业建议,以帮助保护其员工。建议:监管访问是负面的假设受到了研究的质疑,事实上,所有受访者都欢迎他们从此类访问中获得的支持。考虑到这一点,建议采取更多的商业咨询方法来满足中小企业的需求,并在保护劳动力的同时帮助增长。报告提出了一系列建议,包括基于响应性监管原则的基于风险的主动干预策略、改善沟通和商业参与以及专注于为中小企业提供咨询。这些建议旨在满足业务需求并促进业务增长。
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引用次数: 0
Learning from successful operations – opportunities, challenges and a paradox 从成功的运营中学习——机遇、挑战和悖论
Q2 Social Sciences Pub Date : 2016-07-02 DOI: 10.1080/14773996.2016.1255443
R. Rosness, T. Haavik, T. Steiro, R. Tinmannsvik
Abstract Learning from successful operations has received less attention than learning from accidents and near misses, both among practitioners and researchers. The article reports intermediate results from a project aimed at reducing this gap. We discuss (1) criteria to identify an operation as successful with regard to safety, (2) implications concerning successful operations that can be derived from current organizational theories of safety, (3) how learning from successful operations can take place in practice and (4) challenges related to learning from successful operations. The article is based on qualitative interviews with personnel in two drilling companies, document studies, observations on an offshore drilling rig, observations in a well-control simulator, and from a workshop in an oil company. Learning from successful operations can take place either through spontaneous mechanisms or through mechanisms deliberately put in place by management. We have identified several challenges related to learning from successful operations.
从成功的手术中学习比从事故和未遂事故中学习受到的关注要少,无论是在从业者还是研究人员中。本文报告了一个旨在减少这一差距的项目的中间结果。我们将讨论(1)在安全方面确定成功操作的标准,(2)从当前的安全组织理论中推导出的成功操作的含义,(3)如何从成功操作中学习,以及(4)与从成功操作中学习相关的挑战。本文基于对两家钻井公司人员的定性访谈、文献研究、对海上钻井平台的观察、在井控模拟器中的观察以及在一家石油公司的车间中的观察。从成功的行动中学习既可以通过自发的机制,也可以通过管理层故意设置的机制。我们已经确定了与学习成功运营相关的几个挑战。
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引用次数: 3
Occupational safety in a globalized construction industry: a study on Polish workers in Norway* 全球化建筑行业的职业安全:对挪威波兰工人的研究*
Q2 Social Sciences Pub Date : 2016-07-02 DOI: 10.1080/14773996.2016.1256553
K. Wasilkiewicz, E. Albrechtsen, S. Antonsen
Abstract Polish workers are the largest group of migrant workers in Norway and are particularly well represented in the construction industry. According to several studies, migrant workers are more prone to occupational accidents than the native workers are. This difference is often attributed to poor communication and lack of linguistic skills. We explored factors affecting occupational safety related to migrant workers with an emphasis on communication, culture and language through interviews with Polish and Norwegian workers. The study shows that the construction industry in Norway mainly focuses on language as an issue. Culture is seen as a contributing factor, but is somewhat neglected. Fewer measures to cope with challenges related to migrant workers were found for cultural issues as compared to linguistic. However, the study shows that cultural aspects are at least as important. This gives implications for safety management in the construction industry. This paper suggests considering cultural aspects more in safety management related to migrant workers to achieve the desired safety focus at construction sites.
波兰工人是挪威最大的移民工人群体,在建筑行业尤其有代表性。根据几项研究,农民工比本地工人更容易发生职业事故。这种差异通常归因于沟通不良和缺乏语言技能。通过对波兰和挪威工人的访谈,我们探讨了影响农民工职业安全的因素,重点是沟通、文化和语言。研究表明,挪威的建筑行业主要关注语言作为一个问题。文化被视为一个促成因素,但在某种程度上被忽视了。与语言问题相比,针对文化问题采取的应对移徙工人挑战的措施较少。然而,研究表明,文化因素至少同样重要。这为建筑行业的安全管理提供了启示。本文建议在与农民工相关的安全管理中更多地考虑文化方面的因素,以达到预期的建筑工地安全重点。
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引用次数: 10
Bridging the gap between research, policy and practice in health and safety 弥合健康和安全方面的研究、政策和实践之间的差距
Q2 Social Sciences Pub Date : 2016-07-02 DOI: 10.1080/14773996.2016.1261814
P. Waterson
This issue of the journal represents the second one since I took over as Editor-in-Chief of Policy and Practice in Health and Safety (PPHS) at the beginning of 2016. Some readers will have noticed some changes to the journal including the appointment of new editorial board members, as well as a revised set of aims and scope. One of my ambitions for the journal is we expand the journal to four issues a year at some stage in the near future. Another goal is to publish material which increases the engagement and interest of the diverse range of stakeholders which make up the Occupational Safety and Health (OSH) community. Finally, I would like to see an increase in the number of papers in PPHS written by OSH practitioners and policy experts. If we believe the evidence from other disciplines and scientific journals, then achieving these aims is unlikely to be easy. In the last few years within my own fields of expertise (work psychology and human factors/ergonomics) for example, there has been a great deal of discussion centred on the so-called ‘academic-practitioner’ divide and ‘research-practice gaps’ (e.g. Anderson, Herriot, & Hodgkinson, 2001; Chung & Shorrock, 2011). Much of this focuses on the perception that academic research findings rarely transfer into changes to practice or shape wider decision-making about policy. Similar criticisms have been made about the degree to which researchers address questions which are important to researchers (Cascio & Aguinis, 2008). Finally, there is a concern that practitioners do not read or place a high value on research (Brown & Spencer, 2004). Some of these issues, perhaps all of them, may well be lurking within the field of OSH and part of my role as Editor-in-Chief for PPHS is to facilitate dialogue between researchers, practitioners and policy makers. In many respects I believe PPHS is well placed to do this within OSH. Some of that optimism comes from the impressions I got when attending the ‘International Strategy Conference on Safety and Health at Work’ held in Dresden in March this year, as well as the IOSH Conference in June 2016. Both conferences contained a wide range of presentations covering topics such as ‘Demographic Change’, ‘Work in a Digital World’ and ‘Safety Culture’. As a full-time academic these proved to be real eye-opener. The presentations not only made use of some of the latest research findings, but were also supported by sets of ‘real-world’ case studies, many of which could translate into material suitable for publication in PPHS. One session in Dresden on ‘Vision Zero’ inspired a call for a special issue of PPHS on the topic (http://explore.tandfonline.com/cfp/est/tphs-call-for-expression-of-interest). I also expect to receive a number of submissions from other conference participants on a range of other topics within OSH. One idea I have for future issues of the journal is that we include a section explicitly devoted to practitioner viewpoints and case studies (provisionally
自2016年初我担任《健康与安全政策与实践》(Policy and Practice in Health and Safety, PPHS)总编辑以来,这期杂志已经是第二期了。一些读者会注意到期刊的一些变化,包括任命新的编辑委员会成员,以及修订了一套目标和范围。我对杂志的抱负之一是在不久的将来将杂志扩展到每年四期。另一个目标是出版材料,增加构成职业安全与健康(OSH)社区的各种利益攸关方的参与和兴趣。最后,我希望看到职业安全卫生从业人员和政策专家撰写的关于公共卫生服务的论文数量有所增加。如果我们相信来自其他学科和科学期刊的证据,那么实现这些目标就不太可能容易。在过去的几年里,在我自己的专业领域(例如工作心理学和人因/人体工程学)中,有大量的讨论集中在所谓的“学术-实践”鸿沟和“研究-实践差距”上(例如Anderson, Herriot, & Hodgkinson, 2001;Chung & Shorrock, 2011)。这在很大程度上集中在一种看法上,即学术研究成果很少转化为实践的变化,或影响更广泛的政策决策。类似的批评也出现在研究人员解决对研究人员重要的问题的程度上(Cascio & Aguinis, 2008)。最后,还有一种担心,即从业者不阅读或不重视研究(Brown & Spencer, 2004)。其中一些问题,也许是所有问题,很可能潜伏在职业安全与卫生领域,作为PPHS总编辑,我的部分职责是促进研究人员、从业者和政策制定者之间的对话。在许多方面,我相信PPHS在职业安全与卫生中处于有利地位。这种乐观情绪部分来自我参加今年3月在德累斯顿举行的“工作安全与健康国际战略会议”以及2016年6月的IOSH会议时的印象。两场会议均有专题演讲,包括“人口变化”、“数码世界的工作”及“安全文化”等。作为一名全职学者,这些都让我大开眼界。这些演讲不仅利用了一些最新的研究成果,而且还辅以了一系列“现实世界”的案例研究,其中许多案例研究可以转化为适合在PPHS上发表的材料。在德累斯顿举行的一次关于“零愿景”的会议激发了关于该主题的公共卫生服务特刊的呼吁(http://explore.tandfonline.com/cfp/est/tphs-call-for-expression-of-interest)。我还希望收到其他与会者就职业安全与卫生领域的一系列其他主题提交的一些意见。我对未来期刊的一个想法是,我们将包括一个明确致力于从业者观点和案例研究的部分(临时标题为“来自职业安全与卫生实践的观点”)。这种类型的提交将受到与期刊其他论文相同的同行评审过程和审查,然而,期望它们将更多地关注职业安全与健康政策和实践中的主题问题和辩论,而不是职业安全与健康的“纯科学”。请随时与我联系,如果你有一个想法的提交。我非常乐意帮助从初稿到最终出版的想法,并欢迎期刊读者对我们应该涵盖的主题或期刊应该委托的特别问题提出建议。
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引用次数: 6
Exploiting data from safety investigations and processes to assess performance of safety management aspects 利用安全调查和过程的数据来评估安全管理方面的表现
Q2 Social Sciences Pub Date : 2016-07-02 DOI: 10.1080/14773996.2016.1255444
N. Karanikas
Abstract This paper presents an alternative way to use records from safety investigations as a means to support the evaluation of safety management (SM) aspects. Datasets from safety investigation reports and progress records of an aviation organization were analyzed with the scope of assessing safety management’s role, speed of safety communication, timeliness of safety investigation processes and realization of safety recommendations, and the extent of convergence among SM and investigation teams. The results suggested an interfering role of the safety department, severe delays in safety investigations, timely implementation of recommendations, quick dissemination of investigation reports to the end-users, and a low ratio of investigation team recommendations included in the final safety investigation reports. The results were attributed to non-scalable safety investigation procedures, ineffective resource management, lack of consistent bidirectional communication, lack of investigators’ awareness about the overall organizational context, and a weak commitment of other departments to the realization of safety recommendations. The set of metrics and the combination of quantitative and qualitative methods presented in this paper can support organizations to the transition towards a performance-based evaluation of safety management.
摘要本文提出了一种利用安全调查记录作为支持安全管理(SM)方面评价的手段的替代方法。对某航空组织安全调查报告和进度记录中的数据集进行分析,评估安全管理的作用、安全沟通的速度、安全调查过程的及时性和安全建议的实现情况,以及安全管理人员和调查团队之间的趋同程度。结果表明,安全部门干预作用明显,安全调查延误严重,建议落实及时,调查报告向最终用户传播迅速,最终安全调查报告中调查组建议的比例较低。造成这一结果的原因是安全调查程序不可扩展、资源管理效率低下、缺乏一致的双向沟通、调查人员缺乏对整体组织背景的认识,以及其他部门对实现安全建议的承诺不力。本文提出的一套度量标准以及定量和定性方法的结合可以支持组织向基于绩效的安全管理评估过渡。
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引用次数: 2
Interdisciplinary research for occupational safety and health knowledge 职业安全与健康知识的跨学科研究
Q2 Social Sciences Pub Date : 2016-01-02 DOI: 10.1080/14773996.2016.1235832
S. Pink, P. Waterson, A. Dainty, A. Cheyne, R. Haslam, A. Gibb, J. Morgan, R. Hartley, A. Finneran, P. Bust
Abstract In this article, we argue for an interdisciplinary and pluralistic account of how occupational safety and health (OSH) is enacted in practice, informed by a critical understanding of OSH management and flow knowledge in organizations. We compare how in human factors and ergonomics, organization studies, and safety science this question is approached through different theoretical ‘lenses’, and with different analytical consequences. These approaches work with different concepts (systems, practices and behaviours) that situate human agency, and possibilities for practical intervention differently. To demonstrate this we draw on interdisciplinary research in to ‘Management of OSH in Networked Systems’, showing how mobilizing the concept of knowledge through different disciplinary frameworks can have implications for understanding safe working in networked organizations.
摘要在本文中,我们通过对职业安全卫生管理和组织流动知识的批判性理解,论证了职业安全卫生(OSH)在实践中是如何制定的跨学科和多元化的解释。我们比较了在人因学、人体工程学、组织学和安全科学中,这个问题是如何通过不同的理论“透镜”来解决的,并产生了不同的分析结果。这些方法适用于不同的概念(系统、实践和行为),这些概念将人的能动性和实际干预的可能性置于不同的位置。为了证明这一点,我们借鉴了“网络系统中职业安全卫生管理”的跨学科研究,展示了如何通过不同的学科框架调动知识概念,从而对理解网络组织中的安全工作产生影响。
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引用次数: 8
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Policy and Practice in Health and Safety
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