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Safety professionals' primary job is to execute safety control measures towards frontline personnel, and previous studies focus on the effectiveness of such controls. Rare research efforts, however, have been devoted to the effectiveness of management control measures towards safety professionals themselves. This study aimed to fill up this knowledge gap by examining whether safety professionals under differing management control configurations differ in their work attitudes, including affective commitment, job satisfaction, career commitment and intention to quit.

Drawing on a holistic view of control, five forms of management control, i.e. outcome control, process control, capability control, professional control and reinforcement, were investigated. A cross-sectional questionnaire survey targeting at construction safety professionals was conducted. The latent profile analysis approach was employed to identify how the five forms of management control are configured, i.e. identifying the distinctive patterns of control profiles. The Bolck–Croon–Hagenaars method was then used to examine whether safety professionals' work attitudes were different across the identified control profiles.

Seven distinct control profiles were extracted from the sample of 475 construction safety professionals. The overall test of outcome means showed that mean levels of affective commitment, job satisfaction and intentions to quit were significantly different across the seven profiles. The largest that was also the most desirable subgroup was the high control profile (n = 161, 33.9%). The least desirable subgroups included the low control profile (n = 75, 15.8%) and the low capability and professional control profile (n = 12, 2.5%). Pairwise comparison suggested that capability, professional and process controls were more effective than outcome control and reinforcement.

In theory, this study contributes to the burgeoning literature on how to improve the effectiveness of control measures targeted at safety professionals. The results suggested that effective management controls involve a fine combination of formal, informal, process and output controls. In practice, this study uncovers the ways in which managers leverage the efforts of safety professionals in achieving safety goals. Particularly, it informs managers that the control configurations, instead of isolated controls, should be executed to motivate safety professionals.

Using the example of medication safety, this paper aims to explore the impact of three managerial interventions (adverse incident reporting, ward‐level support by pharmacists, and a medication safety subcommittee) on different professional communities situated in the English National Health Service (NHS).

Semi‐structured interviews were conducted with clinical and managerial staff from two English NHS acute trusts, supplemented with meeting observations and documentary analysis.

Attitudes toward managerial intervention differ by professional community (between doctors, nurses and pharmacists) according to their existing norms of safety and perceptions of formal governance processes.

The heterogeneity of social norms across different professional communities and medical specialties has implications for the design of organisational learning mechanisms in the field of patient safety.

The paper shows that theorisation of professional “resistance” to managerialism privileges the study of doctors' reactions to management with the consequent neglect of the perceptions of other professional communities.

Adverse events in health care became more evident at the beginning of the 21st century, being an emerging problem worldwide and impacting the lives of people receiving health care, contributing to preventable injuries and deaths. This evidence has motivated the development of specific training in the area of patient safety with a strong focus on the education and training of health professionals, and, more recently, it also aimed at patient, informal caregiver and all citizens. In this sense, the use of digital technology for patient safety training has been an important challenge and proves to be a good solution for training and continuous learning, both for professionals and people in general. The use of multimedia, videos, games, simulators, among others, are effectively essential resources to improve people’s health literacy and safety of care.

This chapter presents a narrative review on patient safety training and the contributions of digital technology. The experience report will also be used, presenting some examples of quality improvement projects developed by Portuguese and Brazilian entities, in training contexts, highlighting the importance of investing in the health literacy of professionals, patients/informal caregivers and civil society, through applying specific techniques and using digital technology.

The purpose of this study is to consider the potential use of social marketing to enhance safety compliance in a biomedical research laboratory.

This project used focus group discussions (n = 32) and semi-structured interviews (n = 10) to gather information on occupational health and safety professionals’ perceptions of safety culture, knowledge of barriers and facilitators of safety at the worksite and insights on how to effectively communicate safety information to employees through a campaign effort.

Results outlined the barriers (e.g. structural obstacles, lack of awareness of policies, perception of occupational safety and health professionals as safety police) and facilitators (e.g. rapport building, partnering with formal leadership and demonstrating the value of services) of safety and safety communication.

Results from this work add to theoretical and practical knowledge regarding how risk may be effectively addressed by using social marketing and health behavior theories to promote voluntary adherence to existing rules and recommendations.

This article explores the growing rise of behaviour‐based safety programmes in the workplace as a means of preventing on‐the‐job injuries. In it, the authors delve into the history of both incentive‐based and behaviour based safety programmes, exploring the administrative, political, and practical issues involved with each. The authors then present an analysis of a survey conducted of over a hundred practicing safety executives in the United States. While no significant differences were found between survey respondents based on the size or nature of their organisation, the authors did find that tenure on the job was positively correlated with increased receptiveness to the efficacy of behaviour‐based programmes. In the end, it was concluded that success with both behaviour‐based and incentive‐based safety efforts are dependent on top management’s support of such efforts, both through personal involvement and example setting and through provision of the necessary organisational resources to promote workplace safety.

This research aims to examine the practice of design for safety (DfS) in the construction industry of Saudi Arabia.

The study has adopted a mixed-method approach through the use of questionnaire surveys administered to professionals in architecture and engineering firms, as well as follow-up interviews with selected participants. The participants consisted of architects, structural engineers and electromechanical engineers. The study investigated dimensions related to knowledge and awareness, attitude toward DfS implementation and critical success factors for DfS implementation. These various dimensions have been assessed accordingly through the mean ratings in the relevant section of this paper. The thematic responses obtained from the follow-up interviews have been summarized and presented.

The findings from this study reveal a high level of awareness of DfS in Saudi Arabia. It also revealed that the most influential critical success factors are legislation and awareness of stakeholders, whereas the major barrier is the fear of cost overruns by the clients and their representatives.

The design stage of construction projects is crucial to enhancing the safety performance of projects through effective control of hazardous situations. The concept of DfS is, however, immature in many countries, such as Saudi Arabia, due to lack of awareness, enabling policies and other barriers. The value of this study is that it shows the current level of knowledge and practice of DfS in architecture and engineering firms in Saudi Arabia and consequently triggers the interest of stakeholders in its adoption and implementation.

The purpose of this paper is to consider design engineers’ perception of health and safety and its impact on their behaviour during design activity. The study presents three types of design engineers each, exhibiting particular tendencies when faced with health and safety considerations during design. The discovery of these tendencies pose important implications for education and professional institutions and practical measures are suggested to help design engineers manage their tendencies to be more conducive to ensuring improved health and safety performance.

An exploratory design method was used – grounded theory, to include 13, in-depth, one-to-one interviews with design engineers, representing junior staff, middle and senior management.

The paper provides empirical insights about how designers think and behave when asked to consider health and safety issues during the design process. It identifies three group types of designers: doers, receivers and givers, who will exhibit their particular tendencies based on how they view and understand the term health and safety.

The data obtained were from design engineers only, and therefore the research results may lack generalisability. Therefore, researchers are encouraged to test the proposed propositions.

The paper includes implications for those involved in the creation and development of designers e.g., educators and professional bodies. The data forms the basis for helping designers to manage their perceptions towards the term health and safety and thus, their tendencies exhibited in their behaviour.

This paper contributes to new understanding of designers’ behaviour and considers the significance of how designers’ views of health and safety will influence their behaviour.

The purpose of this study is to identify individual and contextual influences on in-house safety trainers’ role orientation toward the transfer of training (TT).

The authors tested a model where felt-responsibility for TT mediates the influence of job resources (i.e. autonomy, access to resources, access to information and organizational support) on trainers’ definition of their role and where training safety climate exerts a moderator effect. Data were collected from 201 Occupational Health and Safety (OHS) professionals, all in-house safety trainers, of large public and private companies. Structural equation modeling was used to test the hypotheses.

The model highlighted the mediating influence of felt-responsibility in the interplay between job resources and role orientation, the moderating influence of safety climate on the relationship of autonomy and organizational support on role definition, but not access to resources and access to information on role definition in the TT. Results suggest that how much safety trainers consider supporting the TT as a part of their overall role is affected by autonomy and organizational support through a sense of responsibility regarding training results, and these effects are influenced by the perceived importance of safety training to the organization.

The study is cross-sectional and used self-reported data, meaning that causal inferences should be carefully drawn. Further studies should explore other sources of influence over felt-responsibility, for example, supervisors’ support for transfer, the relationship between how in-house safety trainers define their role in the transfer process and trainees’ effective application of their new knowledge and skills.

Companies should overtly signal the importance of safety training to in-house safety trainers because it will elicit, by reciprocity, a greater sense of personal responsibility and increased efforts concerning training success.

No previous research looked at how in-house trainers define their role in the TT, as well as the individual and contextual factors that influence their efforts toward the efficacy of training.

To explore the perceptions of surgical team members in a tertiary hospital in Jordan toward the factors influencing patient safety culture (PSC).

This was a qualitative descriptive study intended to characterize the factors that influence PSC. Interviews were conducted with health-care providers in the operation room (OR) in a tertiary Jordanian hospital. Participants included surgeons, anesthetists, nurses and senior surgical residents who had worked for three years minimum in the OR. Thematic analysis was used to analyze the data.

A total of 33 interviews were conducted. Thematic analysis of the content yielded four major themes: (1) operational factors, (2) organizational factors, (3) health-care professionals factors and (4) patient factors. The respondents emphasized the role of the physical layout of the OR, implementing new techniques and new equipment, and management support to establish a safety culture in the operating room setting.

The present research study will have implications for hospitals and health-care providers in Jordan for developing organizational strategies to eliminate or decrease the occurrence of adverse events and improve patient safety in the OR.

Supporting and nurturing effective communication between healthcare professionals is vital to protect patients from harm. However, not all forms of employee voice are effective. Fear can lead to defensive voice, while the role of other emotions to drive voice behaviour is less well understood. This paper aims to understand what role the broader range of emotions, including compassion and shame, experienced by healthcare professionals following patient safety incidents (PSI) play in the subsequent enactment of prosocial voice, a positive and other-oriented form of communication.

This study is based on data from a single English NHS hospital: interviews with healthcare professionals involved in PSIs (N = 40), observations at quality and risk committees and meetings (N = 26 h) and review of investigative documents (N = 33). Three recent PSIs were selected for cross-case analysis based upon organisational theory related to professional hierarchy, employee voice and literature on emotions.

Among three cases, the authors found variance in context, emotional experience and voice behaviour. Where professionals feared blame and repercussion, voice was defensive. Meanwhile where they experienced shame and compassion, prosocial voice was enacted to protect patients.

Healthcare organisations seeking to foster prosocial voice should: (1) be more considerate of professionals' emotional experiences post-PSI and ensure adequate support for recovery (2) establish norms for professionals to share their struggles with others (3) reward professionals who demonstrate caring behaviour (4) buffer professionals from workplace pressures.

The authors’ study highlights how emotional experiences, such as shame and compassion, can mediate blame and defensiveness and lead to the enactment of prosocial voice in the professional hierarchy.