The Occupational Risks, organizational climate perception and Self-rated health of Chinese Nurses in Tertiary hospital: A large-scale Cross-Sectional Survey

Objective This study aimed to investigate occupational risk, organizational climate perception and self-rated health among Chinese nurses working in tertiary hospitals and explore the correlation between occupational risk, organizational climate perception and self-rated health . Design and method This paper described a large cross-sectional study involving 5178 nurses working in tertiary hospitals across 14 provinces in China. The research was conducted through an online cross-sectional survey in which participants completed a questionnaire between July 10th and October 10th, 2018, via an access link or Quick Response QR code. Data were analyzed using descriptive statistics, Pearson’s correlation, and a hierarchical multiple regression analysis. This cross-sectional study adhered to the STROBE reporting guidelines. Results Chinese nurses in tertiary hospitals faced the greatest occupational risks from psychosocial and organizational factors, leading to severe consequences. Nurses' years of service, education, position, hours, and department affected their risk levels. Occupational risk was linked to poorer organizational climate, less self-protection awareness, and worse self-rated health. Nurses at high risk and lacking self-protection awareness faced heightened danger. Conclusions It is imperative to prioritize occupational risks arising from psychosocial and organizational factors. Improving self-protection awareness, especially for high-risk nurses, is also crucial. Efforts are needed to create a supportive work environment, enhance risk education, provide stress workshops, add protective gear, strengthen risk management, improve job security, and offer counseling and emotional support. Clinical trial number not applicable