The interrelationship of value orientations and security culture of workers of medical organization

Abstract

The purpose of the study is to identify relationship between value orientations and safety culture of workers of medical organization. The sampling consisted of 284 workers (66 men, 218 women) of medical clinic. To identify system of personal values the "Value Orientations" questionnaire by Sch. Schwartz was applied. The mean values and ranks were calculated for each value indicator. To assess safety culture the "Safety Attitudes Questionnaire" by K. N. Tsaranov et al. was applied. The data statistical processing of the data was carried out using variance analysis and correlation analysis (Pearson coefficient). The largest differences in the indicators in the group with a low level of value-intentional coherence indicator were observed in relation to values "conformity" (rank difference 2.16), "stimulation" (1.73), "universalism" (0.9), "achievement" (0.83), "independence" (0.77), "traditions" (0.61) For other values difference was less than 0.5. The largest differences in indicators in the group with high level of value-intentional coherence indicator (IVC) were observed for values "universalism" (1.01), "stimulation" (0.64), "achievement" (0.5). For the remaining values difference was less than 0.5. Assessment of safety culture revealed that below threshold of agreement (75%) were results on the scale "Recognition (understanding) of stress" in all groups of respondents. On indicator "Working conditions" below level of agreement were results of groups with low and high levels of value-intentional consistency indicator. Below threshold of agreement (75%) were results of responses to the question about the relationship with clinical pharmacologists in all groups of respondents. The value-intentional coherence index can be applied only concerning each single worker. The qualitative analysis of IVC indicator should both include its comparison at the level of normative ideals and behavioral priorities of values and to consider the spread between ranks. The values "stimulation" and "achievement" have no effect on manifestation of attitude to safety culture of medical organization. The key personal values associated with manifestations of safety culture are "power", "autonomy" and "conformality".