Background: Prior research suggests leader-based interventions are considered to have a much stronger influence on worker safety behavior and climate than worker-based interventions. However, no prior research has evaluated training effectiveness of safety-specific leadership skill development for front-line supervisors on dairy farms. A tailored safety leadership training program targeting dairy farm supervisors was developed, delivered, and evaluated for its training effect on the supervisor's safety leadership behavior.
Methods: A 12-module safety leadership training program was developed and delivered in an asynchronous format using e-learning methods to 73 dairy farm supervisors, representing 30 farms across five western U.S. states. We employed the Kirkpatrick Model to evaluate different levels of training effectiveness.
Findings: Evaluation of knowledge gained among participants revealed significant differences between pre- and post-test scores with medium to very large learning effect sizes across all training modules, particularly with training modules addressing safety culture, workplace conflict, and safety meetings. Safety leadership behavior change evaluation revealed significant pre-post training effects across most training modules, particularly regarding safety dialogue, hazard assessment, safety modeling, and conducting safety meetings.
Conclusions: Our findings suggest that safety leadership training can result in essential leadership behavior change among front-line dairy farm supervisors.
Application To Practice: This study provides many insights into the successful implementation of a safety leadership training program in a challenging industrial sector (rural/remote workplaces, immigrant workforce), as well as training effectiveness evaluation using novel data collection methodology. Additional research is needed on the effectiveness and sustainability of safety leadership training in high-risk industrial sectors such as agriculture.
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http://dx.doi.org/10.1177/21650799241302817 | DOI Listing |
Respir Res
December 2024
National Jewish Health, Denver, USA.
Background: We sought consensus among practising respiratory physicians on the prediction, identification and monitoring of progression in patients with fibrosing interstitial lung disease (ILD) using a modified Delphi process.
Methods: Following a literature review, statements on the prediction, identification and monitoring of progression of ILD were developed by a panel of physicians with specialist expertise. Practising respiratory physicians were sent a survey asking them to indicate their level of agreement with these statements on a binary scale or 7-point Likert scale (- 3 to 3), or to select answers from a list.
Background: Allied health professionals (AHPs) in inpatient mental health, learning disability and autism services work in cultures dominated by other professions who often poorly understand their roles. Furthermore, identified learning from safety incidents often lacks focus on AHPs and research is needed to understand how AHPs contribute to safe care in these services.
Methods: A rapid literature review was conducted on material published from February 2014 to February 2024, reporting safety incidents within adult inpatient mental health, learning disability and autism services in England, with identifiable learning for AHPs.
Am J Crit Care
January 2025
Peter Dodek is a professor emeritus, Division of Critical Care Medicine and Center for Advancing Health Outcomes, St Paul's Hospital and University of British Columbia, Vancouver.
Background: Moral distress affects the well-being of health care professionals and can lead to burnout and attrition. Assessing moral distress and taking action based on this assessment are important. A new moral conflict assessment (MCA) designed to prompt action was developed and tested.
View Article and Find Full Text PDFThromb Haemost
December 2024
Department of Brain Sciences, Imperial College London, London, United Kingdom.
Adequate secondary prevention in survivors of intracerebral hemorrhage (ICH) who also have atrial fibrillation (AF) is a long-standing clinical dilemma because these patients are at increased risk of recurrent ICH as well as of ischemic stroke. The efficacy and safety of oral anticoagulation, the standard preventive medication for ischemic stroke patients with AF, in ICH patients with AF are uncertain. PRESTIGE-AF is an international, phase 3b, multi-center, randomized, open, blinded end-point assessment (PROBE) clinical trial that compared the efficacy and safety of direct oral anticoagulants (DOACs) with no DOAC (either no antithrombotic treatment or any antiplatelet drug).
View Article and Find Full Text PDFJ Relig Health
December 2024
College of Social Work, University of Kentucky, Lexington, KY, 40506, USA.
Healthcare chaplains may be at heightened risk of encountering potentially morally injurious events. The purpose of the current study was to explore potentially morally injurious events for healthcare chaplains and to identify strategies to enhance health and well-being. Semi-structured interviews were conducted with healthcare chaplains (n = 26) across Texas.
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