Safety Culture Promotion Intervention Program (SCPIP) in an oil refinery factory: An integrated application of Geller and Health Belief Models

Abstract As the most of work-related accidents results from unsafe behaviors, there is clearly a need for research in this area. The purpose of this study was to assess safety culture among operation personnel of an Oil Refinery Company (ORC) in Tehran and design and implement a Safety Culture Promotion Intervention Program (SCPIP) based on an integration of Geller and HBM models. In this quasi-experimental study, as the first phase, 190 operational employees of an ORC were recruited. The data were analyzed and the SCPIP was designed. In the second phase, 90 employees were elected for the intervention (45 for the experimental group and 45 for the control group). The evaluation of SCPIP was conducted 2 months after intervention. The environmental factors were in a good condition. About 44% of the behavioral factors and about two thirds of the cognitive factors were rated as moderate/weak. Before intervention, there was no significant difference between the two groups by the total cognitive factors and the HBM constructs. After intervention these differences were significant ( p  ⩽ 0.001). After implementing the intervention in the experimental group, the HBM total score was remarkably improved (Mean Difference = 11.25, t = 10.100, p  = 0.001). The integrative application of the Geller and HBM Models was helpful in assessing the cognitive predictors of safety culture among the personnel of the ORC. SCPIP was useful in improving the employees’ perceptions on safety culture in the occupational setting. HBM may be utilized to promote the human component of Geller model.

[1]  Michael D Scott,et al.  Randomized Trial Testing a Worksite Sun Protection Program in an Outdoor Recreation Industry , 2005, Health education & behavior : the official publication of the Society for Public Health Education.

[2]  Farshad Ali Asghar,et al.  A STUDY ON RELATIONSHIP BETWEEN PRODUCTION LINK WORKER'S SAFETY ATTITUDE AND THEIR SAFE ACT IN OF ARAK METAL INDUSTRY , 2007 .

[3]  Rick S Zimmerman,et al.  Health Behavior Theory and cumulative knowledge regarding health behaviors: are we moving in the right direction? , 2005, Health education research.

[4]  I. Alimohammadi,et al.  ASSESSMENT OF RELIABILITY AND VALIDITY OF A NEW SAFETY CULTURE QUESTIONNAIRE , 2010 .

[5]  Yue Chen,et al.  Health belief model based evaluation of school health education programme for injury prevention among high school students in the community context , 2014, BMC Public Health.

[6]  I. Rosenstock Health Belief Model. , 2000 .

[7]  Lars Harms-Ringdahl,et al.  Safety Analysis: Principles and Practice in Occupational Safety , 2001 .

[8]  E. H. Sukadarin,et al.  Preliminary Study of the Safety Culture in a Manufacturing Industry , 2012 .

[9]  K. Glanz,et al.  Health behavior and health education : theory, research, and practice , 1991 .

[10]  T H McQuiston,et al.  Empowerment-based health and safety training: evidence of workplace change from four industrial sectors. , 2000, American journal of industrial medicine.

[11]  D. Gaba,et al.  How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? , 2009, American journal of surgery.

[12]  THE EFFECT OF SAFETY EDUCATION BASED ON HEALTH BELIEF MODEL (HBM) ON THE WORKERS PRACTICE OF BORUJEN INDUSTRIAL TOWN IN USING THE PERSONAL PROTECTION RESPIRATORY EQUIPMENTS , 2008 .

[13]  Urban Kjellen,et al.  Prevention of accidents through experience feedback , 2000 .

[14]  Dong-Chul Seo,et al.  An explicative model of unsafe work behavior , 2005 .

[15]  Scott Schneider,et al.  Effects of Safety and Health Training on Work-Related Injury Among Construction Laborers , 2004, Journal of occupational and environmental medicine.

[16]  James E. Roughton,et al.  Developing an Effective Safety Culture: A Leadership Approach , 2002 .

[17]  Tsung-Chih Wu,et al.  Developing Measures for Assessing the Causality of Safety Culture in a Petrochemical Industry , 2009 .

[18]  Ali Khavanin,et al.  The Effect of Composed Precede-Proceed Model, Social Cognitive and Adult Learning Theories to Promote Safety Behaviors in Employees , 2008 .

[19]  C. Powell,et al.  Health promotion in nursing practice. , 1991, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[20]  B. Mullan,et al.  An examination of the demographic predictors of adolescent breakfast consumption, content, and context , 2014, BMC Public Health.

[21]  S. Bodur,et al.  A survey on patient safety culture in primary healthcare services in Turkey. , 2009, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[22]  J. Harris Using the Health Belief Model to Explore And Describe Central Georgia African American Small Family Farmers Perceptions of Production Agriculture Safety: An Applied Qualitative Study , 2016 .

[23]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[24]  K. Dalal,et al.  Injury Related Risk Behaviour: A Health Belief Model-Based Study of Primary School Students in a Safe Community in Shanghai , 2013, PloS one.

[25]  S Salminen,et al.  Human errors in fatal and serious occupational accidents in Finland. , 1996, Ergonomics.

[26]  Edwin Zalewski,et al.  Reduce injuries with proper technique. , 2005, Occupational health & safety.

[27]  Douglas A. Wiegmann,et al.  A review of safety culture theory and its potential application to traffic safety , 2007 .

[28]  E. M. Murphy,et al.  The Health Belief Model , 2014, The Wiley Encyclopedia of Health Psychology.

[29]  J. Poorolajal,et al.  Effect of educating mothers on injury prevention among children aged <5 years using the Health Belief Model: a randomized controlled trial. , 2014, Public health.

[30]  Rhona Flin,et al.  Measuring safety culture in healthcare: A case for accurate diagnosis , 2007 .

[31]  H. Nadrian,et al.  Determinants of Skin Cancer Preventive Behaviors Among Rural Farmers in Iran: an Application of Protection Motivation Theory , 2016, Journal of Cancer Education.

[32]  B. E. Davies,et al.  The distribution of heavy metal contaminated soils in Northeast Clwyd, Wales , 1978, Water, Air, and Soil Pollution.

[33]  M. A. Gerend,et al.  Predicting Human Papillomavirus Vaccine Uptake in Young Adult Women: Comparing the Health Belief Model and Theory of Planned Behavior , 2012, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[34]  F. Guldenmund The nature of safety culture: a review of theory and research , 2000 .

[35]  E. Scott Geller,et al.  The psychology of safety : how to improve behaviors and attitudes on the job , 1996 .

[36]  Mehri Ali,et al.  Determinants of Seat Belt Use Among Drivers in Sabzevar, Iran: A Comparison of Theory of Planned Behavior and Health Belief Model , 2011, Traffic injury prevention.

[37]  Richard N. Van Eck,et al.  HIV/AIDS education among incarcerated youth , 2000 .

[38]  M H Taghadosi,et al.  EFFECTS OF EDUCATION INTERVENTIONS ON THE COKE WORKERS' IMMUNE PERFORMANCES ON BAZNEF MODEL BASIS AT ISFAHAN MELTING FACTORY, 2005 , 2008 .

[39]  Sharon Clarke,et al.  Safety climate in an automobile manufacturing plant: The effects of work environment, job communication and safety attitudes on accidents and unsafe behaviour , 2006 .

[40]  Christopher J. Carpenter,et al.  A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior , 2010, Health communication.

[41]  Margaret Virgina Stringfellow Accident analysis and hazard analysis for human and organizational factors , 2010 .