Knowledge, attitudes and practices of occupational health and safety measures among nurses at Bolgatanga Regional Hospital of Ghana

Knowledge, attitudes and practices of occupational health and safety measures among nurses at Bolgatanga Regional Hospital of Ghana | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Knowledge, attitudes and practices of occupational health and safety measures among nurses at Bolgatanga Regional Hospital of Ghana Gilbert Ti-enkawol Nachinab, John Ndebugri Alem, George Bernard Coffie This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8329801/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 14 You are reading this latest preprint version Abstract Introduction: Occupational health and safety are major concerns for health workers worldwide. Nurses especially those working in resource constrained areas are at risk of occupational hazards. The purpose of the study was to assess the knowledge, attitudes and practices of nurses in a regional hospital in a resource constrained area towards occupational health and safety. Methods A descriptive cross-sectional survey was conducted using questionnaires that were self-administered among nurses in a regional hospital in Ghana. The nurses were recruited from five units in the hospital. The data were analysed using SPSS, where descriptive and inferential statistics were applied. The level of statistical significance was set at 0.05. Results The findings show that the participant had high level of knowledge (91.4%) and positive attitude (80.9%) towards occupational health and safety measures. However, practice was very low with only 30.9% of the nurses demonstrating good occupational health and safety practices. The correlation analysis revealed a statistically significant positive relationship between knowledge and attitude (r = 0.507, p < 0.01), knowledge and practice (r = 0.433, p < 0.01), and attitude and practice (r = 0.656, p < 0.01). Additionally, a between-subject one-way ANOVA showed a statistically significant difference in knowledge [F(3,132) = 4.05, p = .009], attitude [F(3,132) = 7.18, p < .001], and practice [F(3,132) = 3.91, p = .010] based on level of education. However, there was no significant difference in knowledge, attitude, and practice of occupational health and safety measures across other demographic characteristics. Conclusion The study findings indicate high level of knowledge and good attitudes but this did not translate into practices that ensure occupational health and safety. The management of health facilities and health regulatory authorities should institute measures such as refresher training and monitoring systems that will promote occupational health and safety practices. knowledge attitudes practices occupational health safety nurses 1.0 INTRODUCTION Occupational health and safety (OHS) is an aspect of public health that focuses on illness and injury trends that occurs at the workplace. Employers, both private and public have a legal responsibility to establish and maintain a safe and healthy environment for their workers [1]. OHS involves anticipating, recognizing and taking steps to control hazards arising from work-related activities can be detrimental to the health of employees [2]. Occupational health comprises of health promotion as health protection, first aid and general prevention, treatment, and rehabilitation services. It is estimated that 5 to 7% of global fatalities are attributable to work-related illnesses and occupational injuries and there are about 2.3 million occupationally related deaths associated with work each year [3]. Globally, the number of fatal occupational injuries is 380,000 annually and the cost of poor or non-existing safety and health measures at workplaces has been estimated to be around 3 trillion USD, equivalent to 3.9% of the global GDP [4]. Though there have been reductions in occupational injuries in developed countries, the number of injuries are still growing and the human burden and economic price of occupational injuries are very high [4]. Healthcare workers (HCWs) face a variety of occupational hazards, such as slips, trips, violence from patients/ relatives, exposure to blood-borne pathogens from body fluids, ergonomic hazards such as heavy lifting and psychosocial hazards related to stress [5]. Healthcare systems in low- and middle-income countries such as Ghana suffer from injuries with serious health implications. Sharps injuries or needlestick are the most frequent injury among HCWs in many countries, resulting in almost 16,000 hepatitis C, 66,000 hepatitis B, and 1,000 HIV infections annually worldwide [6]. Nurses are always at risk of occupation hazards when effective precautions are not observed. The factors that contribute to occupational illnesses and injuries in healthcare facilities include negligence and carelessness of healthcare workers, lack of adequate protective aids and equipment, inadequate staff, excessive workload, failure to observe basic safety and hygiene guidelines, and inadequate operational knowledge of modern healthcare equipment [7]. In Ghana, patient safety is influenced by a lack of logistics, limited ward space and inadequate staffing [8]. When healthcare workers have good knowledge and positive attitudes towards OHS it could influence practices that promote occupational safety [9]. Though good knowledge have been identified among health workers in studies in Niger and the United Arab Emirates [10, 11], it has also been reported that good knowledge does not necessarily translate into practices that promote occupational health [7]. Also, a study on occupational health found that accidents do not occur solely because of limited knowledge, but because safety procedures become routine and individuals ease their precautions [12]. Nurses play an important role in healthcare delivery and the impact of OSH is an essential concept that should be assessed. The Upper East Regional Hospital is a busy health facility in a deprived area of Ghana. The purpose of the study was to examine the knowledge, attitudes, and practices regarding OSH among nurses working at the regional hospital. 2.0 METHODS AND MATERIALS 2.1 Theoretical Framework: Knowledge, Attitude, and Practice (KAP) Model This study was guided by the Knowledge, Attitude, and Practice (KAP) model, a theoretical framework commonly used in public health and behavioural research to assess how individuals understand, perceive, and respond to health-related issues. This model proposes that knowledge has an influence on attitudes, which subsequently guide and predict practices or behaviours [13] According to the model, adequate knowledge is expected to promote positive attitudes, which in turn lead to appropriate and safe practices. In the context of occupational health and safety, the KAP model suggests that nurses who possess adequate knowledge about occupational hazards and safety measures are more likely to develop positive attitudes toward safety compliance, ultimately leading to safer work practices. The model therefore provided a useful structure for designing the questionnaire, analysing the data, interpreting findings, and categorizing the outcomes into three major components: knowledge, attitude, and practice. 2.2 Study Design A descriptive cross-sectional study design was used to assess the knowledge, attitude, and practice of occupational health and safety (OHS) measures among nurses at the Bolgatanga Regional Hospital. Cross-sectional designs are suitable for analyzing correlations between variables and describing the current state of phenomena within a population at a single moment in time [14] . This design was chosen because it allows efficient data collection from a large group within a limited timeframe [15] and is widely used in occupational health research to identify gaps in safety knowledge, attitudes, and behaviours [12, 16] 2.3 Study Setting The study was carried out at the Bolgatanga Regional Hospital in the Upper East Region of northern Ghana. The Upper East Region is considered as one of the five deprived regions of northern Ghana. The Bolgatanga Regional Hospital serves as a major referral facility for the surrounding districts and provides services including medical, surgical, paediatric, emergency, and outpatient care. Nurses form the largest professional group in the facility, making the hospital suitable for studying OHS-related issues in nursing practice. 2.4 Study Population and Sampling The target population consisted of nurses working at the hospital during the study period. Nurses were included if they were present at work and consented to participate. Nurses on leave or those who declined consent were excluded. The sample size for this study was determined based on the target population of nurses at Bolgatanga Regional Hospital and the requirements for a cross-sectional quantitative design. Using the Yamane [17] formula for calculating sample size from a finite population, a sample size of 147 nurses was calculated. However, 136 nurses responded to the questionnaire, representing a response rate of 92.5%. The sample included nurses from various departments such as the medical, surgical, paediatric, OPD, and emergency units. A simple random sampling technique was used to select participants for the study. 2.5 Data Collection Instrument A standardized questionnaire was the main instrument for data collection. The questionnaire was adapted from the Institute for Work and Health [18] and few modifications made. This instrument was chosen because it encompasses behaviors that are related to the nurses' work. Questions that need to be changed to suit the job description of nurses at the Bolgatanga Regional Hospital's care were changed. Questions from the original survey that are not relevant to this study were removed. The questionnaire comprises four sections, namely: Section A: Socio-demographic and economic characteristics measured using 7 items: age, gender, religion, marital status, level of education, number of years worked and department. Section B: nurses’ knowledge of occupational health and safety measures, measured using 11 items. Section C: nurses’ attitudes toward occupational health and safety measures, measured using 7 items. Section D: occupational health and safety practices among nurses, measured using 7 items 2.6 Data Collection Questionnaires were distributed to nurses during their shifts after obtaining informed consent. The completed questionnaires were checked for accuracy, coded, and entered into the Statistical Package for Social Sciences (SPSS) for analysis. Data transformation was also done, and variables that required computation were computed accordingly. Both descriptive and inferential statistical analyses were done. Descriptive statistics (frequencies, percentages, means, and standard deviations) summarized demographic variables and KAP items. 2.7 Data Analysis Knowledge, attitude, and practice items were measured on a four-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree). Mean scores were computed for all the items in each domain, with higher mean scores indicating a favourable response towards occupational health and safety measures. The individual items for each domain were computed into overall knowledge, attitude, and practice variables. For meaningful interpretation, the overall knowledge, attitude, and practice variables were categorized into two groups: low knowledge (mean score ≥2.5) and high knowledge (mean score <2.5); positive attitude (mean score ≥2.5) and negative attitude (mean score <2.5); poor practice (mean score ≥2.5) and good practice (mean score <2.5). The mean score of 2.5 was used as the cutoff point because it represents the midpoint of the 4-point scale and reflects the threshold at which responses shift from disagreement to agreement. This categorization provided insight into the general knowledge, attitude, and practice of occupational health and safety measures among nurses. The one-way analysis of variance (ANOVA) was conducted to compare mean KAP scores across demographic variables with more than two categories, such as religion, marital status, years of work experience, and educational level. For variables that showed a statistically significant difference in mean scores in the ANOVA results, a post hoc analysis was conducted to identify the specific groups between which the significant differences occurred. Additionally, Pearson correlation analysis was conducted to examine the relationships between knowledge, attitude, and practice (KAP) scores. All statistical tests were two-tailed, and the level of significance was set at p < 0.05. 2.8 Ethical Considerations Ethical approval was obtained from University for Development Studies Ethics Review Committee (UDS/RB/067/24). The study adhered to ethics of research involving human subjects as contained in the Helsinki Declaration. Participants were informed that their participation was voluntary. All participants who met the inclusion criteria and were willing to participate signed a written informed consent form before completing the questionnaire. Confidentiality and anonymity were maintained by avoiding the collection of identifiable information and securely storing all questionnaires. 2.9 Validity and Reliability Validity of the questionnaire was ensured through a multi-step process. The questionnaire was adapted from the Institute for Work and Health [18] and few modifications made based on extensive review of literature and existing KAP tools related to occupational health and safety. To ensure content validity, the questionnaire was reviewed by a panel of experts comprising a nurse educator, occupational health specialists, and a research methods expert. Face validity was further strengthened by pre-testing the questionnaire with thirty (30)nurses from the War Memorial Hospital in Navrongo to assess comprehensibility and appropriateness of the items. In order to ensure that the instrument accurately captured the key constructs of knowledge, attitude, and practice within the study context, feedback from the pre-test guided changes to the phrasing, sequence, and structure of the items on the scales. To ensure reliability, the internal consistency reliability of the Likert-scale items in the knowledge, attitude, and practice sections was assessed using Cronbach’s alpha coefficient. A reliability index of 0.70 or higher was considered acceptable for this study, as recommended by Sürücü and Maslakci [19]. Based on the data from the pilot study, the reliability coefficients for the knowledge scale (α ≈ 0.76), attitude scale (α ≈ 0.81) and practice scale (α ≈ 0.84) demonstrates that the instrument is reliable and capable of producing stable and consistent results across respondents. 3.0 RESULTS 3.1 Sociodemographic characteristics of participants in the study A total of 136 nurses participated in the study, and the results for demographic characteristics of participants are presented in Table 1. The results showed that the participants were predominantly within the older age categories, with 32.4% aged 36 years and above and 29.4% between 26 and 30 years. Additionally, 26.5% were between 31 and 35 years, while 11.8% were aged 20 to 25 years. In terms of gender, the sample consisted of more females (59.6%) than males (40.4%). More than half of the participants were married (54.4%), 41.2% were single, and 4.4% were divorced or separated. With regard to level of education, 42.6% of the nurses held a diploma, 41.9% had a bachelor’s degree, 14.0% had a certificate, and 1.5% had a master’s degree. In terms of work experience, 42.6% had worked for 6 to 10 years, 31.6% had 1 to 5 years of experience, 21.3% had 11 to 14 years of experience, and 4.4% had 15 years or more. The respondents were drawn from several departments, with the highest proportions working in the Kids Ward (33.1%) and the Female Medical/Surgical Ward (24.3%). Others were from the Male Medical/Surgical Ward (20.6%), the Accident and Emergency Unit (14.7%), and the Out Patient Department (7.4%). Table 1: Sociodemographic characteristics of participants in the study Variable Category Frequency N Percentage % Age group 20 - 25 years 16 11.8% 26 - 30 years 40 29.4% 31 - 35 years 36 26.5% 36 years and above 44 32.4% Gender Male 55 40.4% Female 81 59.6% Religion Christian 95 69.9% Islam 39 28.7% Traditional 2 1.5% Marital status Single 56 41.2% Married 74 54.4% Divorced/ Separated 6 4.4% Widow /Widower 0 0% Level of education Certificate 19 14.0% Diploma 58 42.6% Bachelor’s degree 57 41.9% Master’s degree 2 1.5% Years of work Years of work experience 1 - 5 years 43 31.6% 6 - 10 years 58 42.6% 11 - 14 years 29 21.3% 15 years and above 6 4.4% Department OPD 10 7.4% A&E Unit 20 14.7% Kids Ward 45 33.1% Male Medical/Surgical Ward 28 20.6% Female Medical/Surgical Ward 33 24.3% Source: Field Data, 2024 3.2 Knowledge of Occupational Health and Safety Measures among Nurses Table 2 presents the results for knowledge of occupational health and safety measures among nurses . The results showed that nurses generally demonstrated a high level of knowledge about occupational health and safety measures. Mean scores for individual knowledge items ranged from 2.96 to 3.46, with nurses scoring highest on understanding that occupational hazards are workplace activities with hazard potential (mean = 3.46, SD = 0.50) and on awareness that workplace safety refers to protecting staff (mean = 3.44, SD = 0.50). There was comparatively lower knowledge regarding clarity about employer rights and responsibilities in relation to workplace health (mean = 2.96, SD = 0.72). The participants' mean score for total knowledge was 3.26 (SD = 0.48), indicating generally high levels of knowledge. Table 2: Descriptive statistics for knowledge of occupational health and safety measures among nurses Knowledge Items Min. Max. Mean SD Occupational hazards are workplace activities with hazard potential 3 4 3.46 .50 Occupational safety is hazard control at the workplace 2 4 3.41 .53 Workplace safety refers to protecting staff 3 4 3.44 .49 Clear with rights and responsibilities in relation to workplace health 2 4 3.18 .64 Clear about employer rights and responsibilities in relation to workplace health 1 4 2.96 .71 Know job performance in safe manner 2 4 3.26 .58 Know what to do with needle prick in the course of duty 1 4 3.22 .70 Knowledge on responding to any health and safety concerns 2 4 3.20 .65 Knowledge on precautions to take while on job 1 4 3.25 .60 Overall Knowledge 2.22 4.00 3.26 .47 Source: Field Data, 2024 3.3 Attitude towards Occupational Health and Safety Measures among Nurses Table 3 below presents attitudes towards occupational health and safety measures among nurses. The results showed a generally positive attitude towards occupational health and safety measures, with an overall attitude mean score of 2.85 (SD = 0.40). The highest mean attitude scores were observed for the need to protect oneself at all times while at the hospital (mean = 3.59, SD = 0.52) and concern about occupational hazards and safety matters (mean = 3.51, SD = 0.52). Lower attitude scores were found for perceptions that unit management put adequate occupational health and safety measures in place (mean = 2.41, SD = 0.77) and satisfaction with health and safety measures as a reason for liking their job (mean = 2.55, SD = 0.73). Table 3: Descriptive statistics for attitude towards occupational health and safety measures among nurses Attitude Items Min Max Mean SD Feel safe being treated here as a patient due to the health and safety measures 1 4 2.65 .76 Encouraged by others to report any patient safety concerns 1 4 2.93 .68 Like job due to the health and safety measures in place 1 4 2.55 .72 Good patient safety practice by nurses in the hospital 1 4 2.54 .76 Unit management put occupational health and safety measures in place 1 4 2.41 .76 Occupational hazards and safety matters concern me 2 4 3.51 .51 Hospital environment poses danger to workers 1 4 2.60 .79 Need to protect self at all times while at the hospital 2 4 3.59 .52 TOTAL_ATTITUDE 1.75 4.00 2.84 .39 Source: Field Data, 2024 3.4 Practice of Occupational Health and Safety Measures among Nurses Regarding practice, the results in Table 4 indicate a low to moderate levels of occupational health and safety practices among nurses. The highest practice scores are related to the use of protective equipment in their units (Mean = 3.25, SD = 0.69) and confidence that unit management does not compromise staff safety (Mean = 2.41, SD = 0.87). The practice items with the lowest score are related to stopping work when something was unsafe, and management was not responding (Mean = 1.80, SD = 0.76), and the item indicating that participants would not say anything if the work environment was unsafe (mean = 2.05, SD = 0.81). Table 4: Descriptive statistics for practice of occupational health and safety measures among nurses Min. Max. Mean SD I feel free at my workplace to voice concerns or make suggestions 1 4 2.26 .78 If I notice a workplace hazard, I would report to management 1 4 2.21 .84 I can stop work if I think something is unsafe and management not responding 1 3 1.80 .75 If my work environment was unsafe, I would not say anything 1 4 2.05 .81 Medical errors are handled appropriately 1 4 2.32 .66 Unit management doesn’t knowingly compromise the safety of staff 1 4 2.41 .87 Use protective equipment in my unit 1 4 3.25 .68 Overall Practice 1.43 3.29 2.32 .45 Source: Field Data, 2024 3.5 Levels of knowledge, Attitude, and Practice of Occupational Health and Safety Measures Table 5 below shows the categorization of knowledge, attitudes and practices of occupational health and safety measures. Categorisation of knowledge levels showed that 94.1% of the nurses had high knowledge, while only 5.9% had low knowledge. The categorised attitude levels showed that 80.9% of the nurses exhibited positive attitudes, whereas 19.1% had negative attitudes. The overall practice mean score was 2.31 (SD = 0.45); where 69.1% and 30.9% of the nurses demonstrated poor and good occupational health and safety practices respectively. Table 5: Levels of knowledge, Attitude, and Practice of Occupational Health and Safety Measures Variable LEVEL FREQUENCY PERCENTAGE Knowledge Low knowledge 8 5.9 High knowledge 128 94.1 Total 136 100.0 Attitude Negative attitude 26 19.1 Positive attitude 110 80.9 Total 136 100.0 Practice Poor practice 94 69.1 Good practice 42 30.9 Total 136 100.0 3.6 Relationship between knowledge, attitude, and Practice To determine the relationship between knowledge, attitude, and practice of occupational health and safety measures, the Pearson Correlation analysis was done as contained in Table 6. The results showed a statistically significant positive relationship between knowledge and attitude, as indicated by a moderate correlation (r = 0.507, p < 0.01). This indicates that nurses with higher knowledge scores were more likely to have positive attitudes toward occupational health and safety. Knowledge was also positively associated with practice (r = 0.433, p < 0.01), suggesting that higher knowledge levels were related to better occupational health and safety practices among nurses. Additionally, attitude showed a strong positive correlation with practice (r = 0.656, p < 0.01), indicating that nurses with more positive attitudes were more likely to engage in good occupational health and safety practices. These findings are consistent with the Knowledge–Attitude–Practice (KAP) theoretical model, which proposes that increases in knowledge influence attitudes, and improved attitudes subsequently shape practice. Table 6: Correlation analysis results showing the relationship between knowledge, attitude, and practice Knowledge Attitude Practice Knowledge 1 Attitude .507 ** 1 Practice .433 ** .656 ** 1 **. Correlation is significant at the 0.01 level (2-tailed). *. Correlation is significant at the 0.05 level (2-tailed). 3.7 Results of One-way ANOVA on the differences in knowledge of occupational health and safety measures based on selected demographic characteristics To determine the differences in knowledge based on some selected demographic characteristics, a between-subject one-way ANOVA was performed, and the results are presented in Table 7 below. The results showed that there were no statistically significant differences in knowledge scores across the different age groups [F(3,132) = 1.39, p = .250]. Similarly, no significant differences were found in knowledge across years of work experience [F(3,132) = 0.57, p = .637] or across the various hospital departments [F(4,131) = 0.86, p = .491]. However, there was a statistically significant difference in knowledge scores based on level of education [F(3,132) = 4.05, p = .009], indicating that educational attainment had an influence on nurses’ knowledge of occupational health and safety. Table 7: Results of One-way ANOVA on the differences in knowledge of occupational health and safety measures based on selected demographic characteristics Sum of Squares df Mean Square F Sig. Age group Between Groups 75.857 3 25.286 1.387 .250 Within Groups 2406.018 132 18.227 Total 2481.875 135 Level of education Between Groups 209.049 3 69.683 4.047 .009 Within Groups 2272.826 132 17.218 Total 2481.875 135 Years of work Between Groups 31.603 3 10.534 .568 .637 Within Groups 2450.272 132 18.563 Total 2481.875 135 Department Between Groups 63.408 4 15.852 .859 .491 Within Groups 2418.467 131 18.462 Total 2481.875 135 3.8 Post hoc results on knowledge differences among nurses Table 8 shows Post hoc results on knowledge differences among nurses. The follow-up post hoc analysis (α=.05) using the Tukey HSD test revealed that the significant differences in mean scores for level of education were driven mainly by differences between nurses with lower and higher educational qualifications (Table 8). Nurses with certificates had significantly lower knowledge scores than those with diplomas (MD = –0.27, p = .030) and those with bachelor’s degrees (MD = –0.42, p = .001). However, their scores did not differ significantly from those with master’s degrees (p = .464). The knowledge scores of diploma holders did not differ significantly from those of bachelor’s degree holders (p = .079) or master’s degree holders (p = .963). Similarly, there was no significant difference in knowledge score between nurses with bachelor’s degrees and those with master’s degrees (p = .614). These results indicated that lower educational attainment, particularly at the certificate level, was associated with significantly lower knowledge of occupational health and safety measures compared to higher academic qualifications. Table 8: Post hoc results on knowledge differences among nurses (I) Level of education (J) Level of education Mean Difference (MD) Std. Error Sig. Certificate Diploma -.26679 * .12187 .030 Bachelor’s degree -.41910 * .12214 .001 Master’s degree -.25146 .34275 .464 Diploma Certificate .26679 * .12187 .030 Bachelor’s degree -.15232 .08599 .079 Master’s degree .01533 .33159 .963 Bachelor’s degree Certificate .41910 * .12214 .001 Diploma .15232 .08599 .079 Master’s degree .16764 .33169 .614 Master’s degree Certificate .25146 .34275 .464 Diploma -.01533 .33159 .963 Bachelor’s degree -.16764 .33169 .614 *. The mean difference is significant at 0.05 level 3.9 Results of One-way ANOVA on the differences in attitude towards occupational health and safety measures based on selected demographic characteristics A between-subject one-way ANOVA was also performed to determine the differences in attitude based on some selected demographic characteristics, and the results are presented in Table 9 below. The results showed that there were no statistically significant differences in attitude scores across the various age groups [F(3,132) = 0.88, p = .454], religious affiliation [F(2,133) = 0.52, p = .597], and marital status [F(2,133) = 0.62, p = .542]. Similarly, no significant differences were observed across years of work experience [F(3,132) = 0.77, p = .513] or across hospital departments, F(4,131) = 0.96, p = .432. However, there was a statistically significant difference in attitude scores based on level of education [F(3,132) = 7.18, p < .001], indicating that educational attainment had a meaningful influence on nurses’ attitudes toward occupational health and safety measures. Table 9: Results of One-way ANOVA on the differences in attitude towards occupational health and safety measures based on selected demographic characteristics Variable Sum of Squares df Mean Square F Sig. Age Between Groups .415 3 .138 .879 .454 Within Groups 20.771 132 .157 Total 21.186 135 Religious affiliation Between Groups .164 2 .082 .518 .597 Within Groups 21.023 133 .158 Total 21.186 135 Marital status Between Groups .194 2 .097 .615 .542 Within Groups 20.992 133 .158 Total 21.186 135 Level of education Between Groups 2.973 3 .991 7.183 .000 Within Groups 18.213 132 .138 Total 21.186 135 Years of work experience Between Groups .364 3 .121 .770 .513 Within Groups 20.822 132 .158 Total 21.186 135 Department Between Groups .603 4 .151 .960 .432 Within Groups 20.583 131 .157 Total 21.186 135 3.10 Post hoc results on attitude differences among nurses Table 10 presents Post hoc analysis using the Tukey HSD test which shows that nurses with certificates had significantly lower attitude scores compared to those with bachelor’s degrees (MD = –0.29, p = .003). Similarly, nurses with a diploma had significantly lower attitude scores than nurses with a bachelor’s degree (MD = –0.29, p < .001). However, certificate holders did not differ significantly from diploma holders (p = .944) or from those with master’s degrees (p = .419). Likewise, the attitudes of diploma holders did not differ significantly from those with master’s degrees (p = .390). Although nurses with bachelor’s degrees had higher attitude scores than those with master’s degrees, this difference was not statistically significant. Overall, the results indicated that nurses with bachelor’s degrees demonstrated more positive attitudes toward occupational health and safety than nurses with lower academic qualifications (Table 10). Table 10: Post hoc results on attitude differences among nurses (I) Level of education (J) Level of education Mean Difference (MD) Std. Error Sig. Certificate Diploma -.00692 .09819 .944 Bachelor’s degree -.29386 * .09840 .003 Master’s degree .22368 .27614 .419 Diploma Certificate .00692 .09819 .944 Bachelor’s degree -.28694 * .06928 .000 Master’s degree .23060 .26715 .390 Bachelor’s degree Certificate .29386 * .09840 .003 Diploma .28694 * .06928 .000 Master’s degree .51754 .26723 .055 Master’s degree Certificate -.22368 .27614 .419 Diploma -.23060 .26715 .390 Bachelor’s degree -.51754 .26723 .055 *. The mean difference is significant at 0.05 level 3.11 Results of One-way ANOVA on the differences in practice of occupational health and safety measures based on selected demographic characteristics Table 11 presents the results of One-way ANOVA on the differences in practice of occupational health and safety measures based on selected demographic characteristics. The one-way ANOVA showed no statistically significant differences in practice scores across age groups [F(3,132) = 0.19, p = .903]. Practice also did not differ significantly by religious affiliation, [F(2,133) = 0.02, p = .977], marital status [F(2,133) = 0.02, p = .980], years of work experience [F(3,132) = 2.38, p = .072], and hospital departments [F(4,131) = 1.50, p = .207]. However, there was a statistically significant difference in practice scores based on level of education [F(3,132) = 3.91, p = .010]. This suggests that nurses' occupational health and safety behaviours are significantly influenced by their level of education. Table 11: Results of One-way ANOVA on the differences in practice of occupational health and safety measures based on selected demographic characteristics Variable Sum of Squares df Mean Square F Sig. Age Between Groups .070 3 .023 .191 .903 Within Groups 16.251 132 .123 Total 16.321 135 Religious affiliation Between Groups .006 2 .003 .023 .977 Within Groups 16.315 133 .123 Total 16.321 135 Marital status Between Groups .005 2 .002 .020 .980 Within Groups 16.316 133 .123 Total 16.321 135 Level of education Between Groups 1.331 3 .444 3.905 .010 Within Groups 14.991 132 .114 Total 16.321 135 Years of work experience Between Groups .838 3 .279 2.382 .072 Within Groups 15.483 132 .117 Total 16.321 135 Department Between Groups .713 4 .178 1.496 .207 Within Groups 15.608 131 .119 Total 16.321 135 3.12 Post hoc results on practice differences among nurses Table 12 below presents post hoc results on practice differences among nurses. In the Post hoc comparison analysis using the Tukey HSD test, the main reason for the significant impact of education on practice was the differences between those with a diploma and those with a bachelor's degree. Nurses with diplomas had significantly lower practice scores than those with bachelor’s degrees (MD = –0.19, p = .002). No other pairwise comparisons reached statistical significance. These findings suggest that higher educational attainment, particularly at the bachelor’s level, was associated with better occupational health and safety practices among nurses Table 12: Post hoc results on practice differences among nurses (I) Level of education (J) Level of education Mean Difference (MD) Std. Error Sig. Certificate Diploma .08854 .08908 .322 Bachelor’s degree -.10526 .08927 .240 Master’s degree .34962 .25052 .165 Diploma Certificate -.08854 .08908 .322 Bachelor’s degree -.19380 * .06285 .002 Master’s degree .26108 .24236 .283 Bachelor’s degree Certificate .10526 .08927 .240 Diploma .19380 * .06285 .002 Master’s degree .45489 .24244 .063 Master’s degree Certificate -.34962 .25052 .165 Diploma -.26108 .24236 .283 Bachelor’s degree -.45489 .24244 .063 *. The mean difference is significant at 0.05 level 4.0 DISCUSSION The study assessed the knowledge, attitude and practices of occupational health and safety among nurses in a regional hospital in the Upper East Region of Northern Ghana. The facility is a referral center for all health facilities within the region. The study findings indicate that the vast majority of respondents (94.5%) had a high knowledge of occupational health and safety. The participants further demonstrated a higher understanding that occupational hazards are workplace activities with hazard potential and an awareness that workplace safety refers to protecting staff. High knowledge is a significant attribute that could position health workers to take steps to protect themselves against occupational hazards. The findings are consistent with other studies conducted among health workers [10, 11]. However, in the present study, the respondents were all nurses and their knowledge could be influenced by the exposure they received during their training programme. Conversely, the respondents demonstrated a comparatively lower knowledge regarding clarity about employee rights and responsibilities in relation to workplace health. These findings are significant because nurses' understanding of their right to be protected will position them to demand the provision of personal protective equipment for their work. For instance, a study in the United Arab Emirates revealed that knowledge of managers on the rights of health workers' occupational health was a significant driver of provision of personal protective equipment [10]. The study findings also indicated that knowledge on occupational health and safety was generally lower among nurses who were certificate holders as compared to those with higher qualifications. Similarly, a study of occupational health and safety among workers revealed that those with higher education had better knowledge than those with lower education [20]. It stands to reason that nurses who are certificate holders may have little exposure to information on occupational health and safety during training. This may call for the need for refresher training to increase the knowledge of nurses who are certificate holders. Our study revealed a general positive attitude towards occupational health and safety, with a higher score on the need to protect themselves always. Similarly, a study in a tertiary health facility in Nigeria revealed a positive attitude of health care providers towards occupational health and safety [7]. The attitude of nurses towards protecting themselves at all times is a positive attitude that should be encouraged to ensure that they are protected against health hazards that they are exposed in the course of their duties. The findings further revealed that there was a significant positive relationship between higher knowledge and positive attitudes, and this is consistent with the findings of a study in Wuhan, China [9]. There was also a lower-level agreement that their unit managers put measures in place to ensure the occupational health and safety of the staff. This could mean there were no intentional activities by the unit managers to ensure that the nurses were protected against health hazards. Unit managers are those supervise daily activities at the ward level and their attitudes or efforts to ensuring safety of staff is very important. We discovered a generally lower levels of occupational health and safety practices among the nurses. Occupational safety and practices were generally lower as compared to knowledge and attitudes which is consistent with a study in Nigeria [7]. However, the use of personal protective equipment was the main practice that the nurses scored higher and this was most likely shaped by the routine wearing of scrubs and gloves, and reporting of needle pricks as specified by hospital protocols. Another significant finding relating to practice was that the nurses were not ready to stop work when the environment was unsafe for them and management of the hospital was not taking steps to address it. This essentially means the nurses were ready to risk their personal lives in the line of work. This calls for education of the nurses to consider their safety as an important step to ensuring they work efficiently. 5.1 STRENGTHS AND LIMITATIONS The study provides evidence in a regional hospital upon which steps can be taken to improve practices of occupational health and safety among nurses. The regional hospital has more nurses than any other hospital in the region and the recommendations based on these findings will benefit this larger population. The study was done among nurses, but it is unclear if the findings can be generalized to other healthcare workers, such as laboratory workers and medical doctors. The study was also conducted in a regional hospital and there may be a need to replicate the same in the other regional hospitals in northern Ghana to get a more comprehensive understanding of occupational health and safety in northern Ghana. 6.1 RECOMMENDATIONS Healthcare workers should be regularly informed of the dangers associated with the non-use of the appropriate personal protective equipment through continuous professional development programmes. Besides, nurses should be encouraged to take up occupational health and safety courses to gain more knowledge in the field and serve as advisers to other staff and management in this area. The management of all hospitals should ensure the provision of adequate and appropriate personal protective equipment for healthcare workers. Unit managers should ensure proper supply and use of all logistics. Hospitals should set up occupational health and safety committees and task them to monitor, report and organize safety meetings. The committee should also be tasked with making specific recommendations to management on safety issues. 5.0 CONCLUSION The high level of knowledge and attitude was not consistent with practices that promote occupational health and safety among the participants. The lower level of practices calls for attention to translate knowledge and attitudes into good practices. There should be efforts to ensure an adequate supply of personal protective equipment such as gloves, gowns, scrubs, and masks. The management of health facilities and health regulatory authorities should institute measures such as refresher training on occupational health and safety. There should be effective monitoring by occupational safety or health promotion units to ensure that nurses practice safety precautions. Abbreviations OHS Occupational health and safety Declarations Ethical Consideration Ethical clearance for the study was obtained from the University for Development Studies Ethics Review Committee (UDS/RB/067/24). The study adhered to the ethical principles of research involving human subjects as outlined in the Helsinki Declaration. Participants provided written informed consent to participate in the study. Consent for Publication All the authors gave their consent for publication. Competing of Interests The authors declare that they have no competing interests with respect to the research, authorship or publication Funding Statement The study was self-funded by the authors. Author Contribution Conceptualization: GBC and GTN; Data collection: GBC and JNA; Data analysis: JNA; Drafting of manuscript: GTN and JNA; Critical review: GTN Acknowledgement We thank the nurses who participated in the study. Availability of Data and Materials The datasets used for the data analysis are available from the corresponding author upon reasonable request. References Jonathan, G.K. and Mbogo, R.W. Maintaining Health and Safety at Workplace: Employee and Employer's Role in Ensuring a Safe Working Environment. Journal of Education and Practice. 2016. 7 (29): p. 1–7. Opoku, S. Y., Yeboah, C., Ampon-wireko, S., Hinneh, R. K., Occupational health and safety hazards experienced by healthcare workers at two hospitals in Suyani, Bono Region, Ghana. Occupational Diseases and Environmental Medicine, 2023. 11 (2): p. 122–136. Ayenew, E., Akafu, W., and Daka, D. W., Prevalence of Work-Related Health Hazard and Associated Factors among Health Workers in Public Health Institutions of Gambella Town, Western Ethiopia: Cross‐Sectional Survey. Journal of Environmental and Public Health, 2022. 2022 (1): p. 6224280. Takala, J., Burden of injury due to occupational exposures , in Handbook of disability, work and health . 2020, Springer. p. 105–126. Appiagyei, H., Nakua, E. K., and Donkor, P. Occupational injuries among health care workers at a public hospital in Ghana. Pan African medical journal, 2021. 39 (1). Debelu, D., Mengistu, D. A., & Tolera, S. T. Occupational-related injuries and associated risk factors among healthcare workers working in developing countries: a systematic review. Health services research and managerial epidemiology, 2023. 10 : p. 23333928231192834. Aluko, O. O., Adebayo, A. E., Adebisi, T. F., and Ewegbemi, M. K. Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC research notes, 2016. 9 (1): p. 71. Sumbobo, B.B. and Nachinab, G.T. Exploring the perspective of nurses on factors influencing patient safety practices in a paediatric unit of a district hospital in Northern Ghana. BMC nursing, 2025. 24 (1): p. 1430. Liu, Y., Zhang, Z., & Liu, Y. Knowledge, attitude, and practice toward the prevention of occupational exposure in public health emergencies among nurses in Wuhan. Frontiers in Public Health, 2024. 12 : p. 1289498. Howari, F. M., Nazzal, Y. and Awad, M. The knowledge and practice of workers toward occupational hazards: Case study from United Arab Emirates. Anuario do Instituto de Geociencias, 2017. 40(2): p. 210. Nassirou-Sabo, H. and Toudou-Daouda, M. Assessment of knowledge, attitudes, and practices of occupational risks and diseases among healthcare providers of the Regional Hospital Center of Dosso, Niger. SAGE Open Medicine, 2024. 12 : p. 20503121231224549. Abdel, F. A. Q., Qaraman, A. F. A., Elbayoumi, M. and Kakemam, E., Knowledge, attitudes, and practice towards occupational health and safety among nursing students in Gaza strip, Palestine. Ethiopian journal of health sciences, 2022. 32 (5): p. 1007–1018. Launiala, A., How much can a KAP survey tell us about people's knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropology Matters, 2009. 11 (1). Wang, X. and Cheng, Z. Cross-sectional studies: strengths, weaknesses, and recommendations. Chest, 2020. 158 (1): p. S65-S71. Cummings, C. L., Cross-sectional design. The SAGE Encyclopedia of Communication Research Methods. Thousand Oaks: SAGE Publications Inc. Retrieved, 2018. Hu, R., Hu, N., Liu, R., Shi, L., Shi, J., and Ling, L. Association between occupational health and safety knowledge and behaviours among migrant workers: results from a cross-sectional study in China. BMJ open, 2020. 10 (12): p. e040143. Yamane, T., Elementary sampling theory. 1967. Institute for Work & Health, Occupational Health Safety Vulnerability Measure. 2017. Sürücü, L. and A. Maslakci, Validity and reliability in quantitative research. Business & Management Studies: An International Journal, 2020. 8 (3): p. 2694–2726. Nasab, H. S., Ghofranipour, F., Kazemnejad A., and Khavanin A. R. T. Evaluation of knowledge, attitude and behavior of workers towards occupational health and safety. Iranian journal of public health, 2009. 38 (2): p. 125–129. Additional Declarations No competing interests reported. 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INTRODUCTION","content":"\u003cp\u003eOccupational health and safety (OHS) is an aspect of public health that focuses on illness and injury trends that occurs at the workplace. Employers, both private and public have a legal responsibility to establish and maintain a safe and healthy environment for their workers [1]. OHS involves anticipating, recognizing and taking steps to control hazards arising from work-related activities can be detrimental to the health of employees [2]. Occupational health comprises of health\u0026nbsp;promotion\u0026nbsp;as\u0026nbsp;health\u0026nbsp;protection,\u0026nbsp;first\u0026nbsp;aid\u0026nbsp;and\u0026nbsp;general\u0026nbsp;prevention,\u0026nbsp;treatment,\u0026nbsp;and\u0026nbsp;rehabilitation services.\u003c/p\u003e\n\u003cp\u003eIt is estimated that 5 to 7% of global fatalities are attributable to work-related illnesses and occupational injuries and there are about 2.3 million occupationally related deaths associated with work each year [3]. Globally, the number of fatal occupational injuries is 380,000 annually and the cost of poor or non-existing safety and health measures at workplaces has been estimated to be around 3 trillion USD, equivalent to 3.9% of the global GDP [4].\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThough there have been reductions in occupational injuries in developed countries, the number of injuries are still growing and the human burden and economic price of occupational injuries are very high [4]. \u0026nbsp;Healthcare workers (HCWs) face a variety of occupational hazards, such as slips, trips, violence from patients/ relatives, exposure to blood-borne pathogens from body fluids, ergonomic hazards such as heavy lifting and psychosocial hazards related to stress [5]. Healthcare systems in low- and middle-income countries such as Ghana suffer from injuries with serious health implications. Sharps injuries or needlestick are the most frequent injury among HCWs in many countries, resulting in almost 16,000 hepatitis C, 66,000 hepatitis B, and 1,000 HIV infections annually worldwide [6].\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eNurses are always at risk of occupation hazards when effective precautions are not observed. The factors that contribute to occupational illnesses and injuries in healthcare facilities include negligence and carelessness of healthcare workers, lack of adequate protective aids and equipment, inadequate staff, excessive workload, failure to observe basic safety and hygiene guidelines, and inadequate operational knowledge of modern healthcare equipment [7]. In Ghana, patient safety is influenced by a lack of logistics, limited ward space and inadequate staffing [8].\u003c/p\u003e\n\u003cp\u003eWhen healthcare workers have good knowledge and positive attitudes towards OHS it could influence practices that promote occupational safety [9]. Though good knowledge have been identified among health workers in studies in Niger and the United Arab Emirates [10, 11], it has also been reported that good knowledge does not necessarily translate into practices that promote occupational health [7]. Also, a study on occupational health found that accidents do not occur solely because of limited knowledge, but because safety procedures become routine and individuals ease their precautions [12]. Nurses play an important role in healthcare delivery and the impact of OSH is an essential concept that should be assessed. The Upper East Regional Hospital is a busy health facility in a deprived area of Ghana. The purpose of the study was to examine the knowledge, attitudes, and practices regarding OSH among nurses working at the regional hospital.\u003c/p\u003e"},{"header":"2.0 METHODS AND MATERIALS","content":"\u003cp\u003e\u003cstrong\u003e2.1 Theoretical Framework: Knowledge, Attitude, and Practice (KAP) Model\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study was guided by the Knowledge, Attitude, and Practice (KAP) model, a theoretical framework commonly used in public health and behavioural research to assess how individuals understand, perceive, and respond to health-related issues. This model proposes that knowledge has an influence on attitudes, which subsequently guide and predict practices or behaviours [13]\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003eAccording to the model, adequate knowledge is expected to promote positive attitudes, which in turn lead to appropriate and safe practices.\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003eIn the context of occupational health and safety, the KAP model suggests that nurses who possess adequate knowledge about occupational hazards and safety measures are more likely to develop positive attitudes toward safety compliance, ultimately leading to safer work practices. The model therefore provided a useful structure for designing the questionnaire, analysing the data, interpreting findings, and categorizing the outcomes into three major components: knowledge, attitude, and practice.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.2 Study Design\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA descriptive cross-sectional study design was used to assess the knowledge, attitude, and practice of occupational health and safety (OHS) measures among nurses at the Bolgatanga Regional Hospital. Cross-sectional designs are suitable for analyzing correlations between variables and describing the current state of phenomena within a population at a single moment in time [14]\u003cstrong\u003e.\u003c/strong\u003e This design was chosen because it allows efficient data collection from a large group within a limited timeframe [15] and is widely used in occupational health research to identify gaps in safety knowledge, attitudes, and behaviours [12, 16]\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.3 Study Setting\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was carried out at the Bolgatanga Regional Hospital in the Upper East Region of northern Ghana. The Upper East Region is considered as one of the five deprived regions of northern Ghana. \u0026nbsp;The Bolgatanga Regional Hospital serves as a major referral facility for the surrounding districts and provides services including medical, surgical, paediatric, emergency, and outpatient care. Nurses form the largest professional group in the facility, making the hospital suitable for studying OHS-related issues in nursing practice.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.4 Study Population and Sampling\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe target population consisted of nurses working at the hospital during the study period. Nurses were included if they were present at work and consented to participate. Nurses on leave or those who declined consent were excluded. The sample size for this study was determined based on the target population of nurses at Bolgatanga Regional Hospital and the requirements for a cross-sectional quantitative design. Using the Yamane [17] formula for calculating sample size from a finite population, a sample size of 147 nurses was calculated. However, 136 nurses responded to the questionnaire, representing a response rate of 92.5%. The sample included nurses from various departments such as the medical, surgical, paediatric, OPD, and emergency units. A simple random sampling technique was used to select participants for the study.\u003c/p\u003e\n\u003ch3\u003e2.5 Data Collection Instrument\u003c/h3\u003e\n\u003cp\u003eA standardized questionnaire was the main instrument for data collection. The questionnaire was adapted from the Institute for Work and Health [18] and few modifications made. This instrument was chosen because it encompasses behaviors that are related to the nurses\u0026apos; work. Questions that need to be changed to suit the job description of nurses at the Bolgatanga Regional Hospital\u0026apos;s care were changed. Questions from the original survey that are not relevant to this study were removed. The questionnaire comprises four sections, namely: Section A: Socio-demographic and economic characteristics measured using 7 items: age, gender, religion, marital status, level of education, number of years worked and department. Section B: nurses\u0026rsquo; knowledge of occupational health and safety measures, measured using 11 items. Section C: nurses\u0026rsquo; attitudes toward occupational health and safety measures, measured using 7 items. Section D: occupational health and safety practices among nurses, measured using 7 items\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.6 Data Collection\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eQuestionnaires were distributed to nurses during their shifts after obtaining informed consent. The completed questionnaires were checked for accuracy, coded, and entered into the Statistical Package for Social Sciences (SPSS) for analysis. Data transformation was also done, and variables that required computation were computed accordingly. Both descriptive and inferential statistical analyses were done. Descriptive statistics (frequencies, percentages, means, and standard deviations) summarized demographic variables and KAP items.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.7 Data Analysis\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eKnowledge, attitude, and practice items were measured on a four-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree). Mean scores were computed for all the items in each domain, with higher mean scores indicating a favourable response towards occupational health and safety measures. The individual items for each domain were computed into overall knowledge, attitude, and practice variables. For meaningful interpretation, the overall knowledge, attitude, and practice variables were categorized into two groups: low knowledge (mean score \u0026ge;2.5) and high knowledge (mean score \u0026lt;2.5); positive attitude (mean score \u0026ge;2.5) and negative attitude (mean score \u0026lt;2.5); poor practice (mean score \u0026ge;2.5) and good practice (mean score \u0026lt;2.5). \u0026nbsp;The mean score of 2.5 was used as the cutoff point because it represents the midpoint of the 4-point scale and reflects the threshold at which responses shift from disagreement to agreement. This categorization provided insight into the general knowledge, attitude, and practice of occupational health and safety measures among nurses.\u003c/p\u003e\n\u003cp\u003eThe one-way analysis of variance (ANOVA) was conducted to compare mean KAP scores across demographic variables with more than two categories, such as religion, marital status, years of work experience, and educational level. For variables that showed a statistically significant difference in mean scores in the ANOVA results, a post hoc analysis was conducted to identify the specific groups between which the significant differences occurred. Additionally, Pearson correlation analysis was conducted to examine the relationships between knowledge, attitude, and practice (KAP) scores. All statistical tests were two-tailed, and the level of significance was set at p \u0026lt; 0.05.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.8 Ethical Considerations\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthical approval was obtained from University for Development Studies Ethics Review Committee (UDS/RB/067/24). The study adhered to ethics of research involving human subjects as contained in the Helsinki Declaration. Participants were informed that their participation was voluntary. All participants who met the inclusion criteria and were willing to participate signed a written informed consent form before completing the questionnaire. Confidentiality and anonymity were maintained by avoiding the collection of identifiable information and securely storing all questionnaires.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e2.9 Validity and Reliability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eValidity of the questionnaire was ensured through a multi-step process. The questionnaire was adapted from the Institute for Work and Health [18] and few modifications made based on extensive review of literature and existing KAP tools related to occupational health and safety. To ensure content validity, the questionnaire was reviewed by a panel of experts comprising a nurse educator, occupational health specialists, and a research methods expert. Face validity was further strengthened by pre-testing the questionnaire with thirty (30)nurses from the War Memorial Hospital in Navrongo to assess comprehensibility and appropriateness of the items. In order to ensure that the instrument accurately captured the key constructs of knowledge, attitude, and practice within the study context, feedback from the pre-test guided changes to the phrasing, sequence, and structure of the items on the scales.\u003c/p\u003e\n\u003cp\u003eTo ensure reliability, the internal consistency reliability of the Likert-scale items in the knowledge, attitude, and practice sections was assessed using Cronbach\u0026rsquo;s alpha coefficient. A reliability index of 0.70 or higher was considered acceptable for this study, as recommended by S\u0026uuml;r\u0026uuml;c\u0026uuml; and Maslakci [19]. Based on the data from the pilot study, the reliability coefficients for the knowledge scale (\u0026alpha; \u0026asymp; 0.76), attitude scale (\u0026alpha; \u0026asymp; 0.81) and practice scale (\u0026alpha; \u0026asymp; 0.84) demonstrates that the instrument is reliable and capable of producing stable and consistent results across respondents.\u003c/p\u003e"},{"header":"3.0 RESULTS","content":"\u003cp\u003e\u003cstrong\u003e3.1 Sociodemographic characteristics of participants in the study\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA total of 136 nurses participated in the study, and the results for demographic characteristics of participants are presented in Table 1. The results showed that the participants were predominantly within the older age categories, with 32.4% aged 36 years and above and 29.4% between 26 and 30 years. Additionally, 26.5% were between 31 and 35 years, while 11.8% were aged 20 to 25 years. In terms of gender, the sample consisted of more females (59.6%) than males (40.4%). More than half of the participants were married (54.4%), 41.2% were single, and 4.4% were divorced or separated.\u003c/p\u003e\n\u003cp\u003eWith regard to level of education, 42.6% of the nurses held a diploma, 41.9% had a bachelor\u0026rsquo;s degree, 14.0% had a certificate, and 1.5% had a master\u0026rsquo;s degree. In terms of work experience, 42.6% had worked for 6 to 10 years, 31.6% had 1 to 5 years of experience, 21.3% had 11 to 14 years of experience, and 4.4% had 15 years or more. The respondents were drawn from several departments, with the highest proportions working in the Kids Ward (33.1%) and the Female Medical/Surgical Ward (24.3%). Others were from the Male Medical/Surgical Ward (20.6%), the Accident and Emergency Unit (14.7%), and the Out Patient Department (7.4%).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 1: Sociodemographic characteristics of participants in the study\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eCategory\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eFrequency\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eN\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePercentage\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eAge group\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e20 - 25 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e11.8%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e26 - 30 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e40\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e29.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e31 - 35 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e36\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e26.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e36 years and above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e32.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003eGender\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e40.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e81\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e59.6%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eReligion\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eChristian\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e95\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e69.9%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eIslam\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e39\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e28.7%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eTraditional\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e1.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eMarital status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eSingle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e56\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e41.2%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eMarried\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e74\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e54.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eDivorced/ Separated\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e4.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eWidow /Widower\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e0%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eLevel of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e14.0%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e58\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e42.6%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e57\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e41.9%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e1.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eYears of work\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eYears of work experience\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e1 - 5 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e31.6%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e6 - 10 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e58\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e42.6%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e11 - 14 years\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e21.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e15 years and above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e4.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"5\" valign=\"top\" style=\"width: 25px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eDepartment\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eOPD\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e10\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e7.4%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eA\u0026amp;E Unit\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e14.7%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eKids Ward\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e45\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e33.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eMale Medical/Surgical Ward\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e20.6%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 36px;\"\u003e\n \u003cp\u003eFemale Medical/Surgical Ward\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e33\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e24.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eSource: Field Data, 2024\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.2 Knowledge of Occupational Health and Safety Measures among Nurses\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 2 presents the results for knowledge of occupational health and safety measures among nurses\u003cstrong\u003e.\u0026nbsp;\u003c/strong\u003eThe results showed that nurses generally demonstrated a high level of knowledge about occupational health and safety measures. Mean scores for individual knowledge items ranged from 2.96 to 3.46, with nurses scoring highest on understanding that occupational hazards are workplace activities with hazard potential (mean = 3.46, SD = 0.50) and on awareness that workplace safety refers to protecting staff (mean = 3.44, SD = 0.50). There was comparatively lower knowledge regarding clarity about employer rights and responsibilities in relation to workplace health (mean = 2.96, SD = 0.72). The participants\u0026apos; mean score for total knowledge was 3.26 (SD = 0.48), indicating generally high levels of knowledge.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 2: Descriptive statistics for knowledge of occupational health and safety measures among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 70px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eKnowledge Items\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMin.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 6px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMax.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eOccupational hazards are workplace activities with hazard potential\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.46\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.50\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eOccupational safety is hazard control at the workplace\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.53\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eWorkplace safety refers to protecting staff\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.49\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eClear with rights and responsibilities in relation to workplace health\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.64\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eClear about employer rights and responsibilities in relation to workplace health\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.96\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.71\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eKnow job performance in safe manner\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.58\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eKnow what to do with needle prick in the course of duty\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.22\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.70\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003e\u0026nbsp;Knowledge on responding to any health and safety concerns\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.65\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eKnowledge on precautions to take while on job\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.60\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOverall Knowledge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e2.22\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e4.00\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e3.26\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e.47\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eSource: Field Data, 2024\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.3 Attitude towards Occupational Health and Safety Measures among Nurses\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 3 below presents attitudes towards occupational health and safety measures among nurses. The results showed a generally positive attitude towards occupational health and safety measures, with an overall attitude mean score of 2.85 (SD = 0.40). The highest mean attitude scores were observed for the need to protect oneself at all times while at the hospital (mean = 3.59, SD = 0.52) and concern about occupational hazards and safety matters (mean = 3.51, SD = 0.52). Lower attitude scores were found for perceptions that unit management put adequate occupational health and safety measures in place (mean = 2.41, SD = 0.77) and satisfaction with health and safety measures as a reason for liking their job (mean = 2.55, SD = 0.73).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 3: Descriptive statistics for attitude towards occupational health and safety measures among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAttitude Items\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMin\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMax\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eFeel safe being treated here as a patient due to the health and safety measures\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.76\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eEncouraged by others to report any patient safety concerns\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.93\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.68\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eLike job due to the health and safety measures in place\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.72\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eGood patient safety practice by nurses in the hospital\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.54\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.76\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eUnit management put occupational health and safety measures in place\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.76\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eOccupational hazards and safety matters concern me\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.51\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.51\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eHospital environment poses danger to workers\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.79\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eNeed to protect self at all times while at the hospital\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e3.59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.52\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eTOTAL_ATTITUDE\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e1.75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e2.84\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.39\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eSource: Field Data, 2024\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.4 Practice of Occupational Health and Safety Measures among Nurses\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eRegarding practice, the results in Table 4 indicate a low to moderate levels of occupational health and safety practices among nurses. The highest practice scores are related to the use of protective equipment in their units (Mean = 3.25, SD = 0.69) and confidence that unit management does not compromise staff safety (Mean = 2.41, SD = 0.87). The practice items with the lowest score are related to stopping work when something was unsafe, and management was not responding (Mean = 1.80, SD = 0.76), and the item indicating that participants would not say anything if the work environment was unsafe (mean = 2.05, SD = 0.81).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 4: Descriptive statistics for practice of occupational health and safety measures among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 70px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 6px;\"\u003e\n \u003cp\u003eMin.\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 6px;\"\u003e\n \u003cp\u003eMax.\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 8px;\"\u003e\n \u003cp\u003eMean\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 7px;\"\u003e\n \u003cp\u003eSD\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eI feel free at my workplace to voice concerns or make suggestions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e2.26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.78\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eIf I notice a workplace hazard, I would report to management\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e2.21\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.84\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eI can stop work if I think something is unsafe and management not responding\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e1.80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eIf my work environment was unsafe, I would not say anything\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e2.05\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.81\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eMedical errors are handled appropriately\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e2.32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.66\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eUnit management doesn\u0026rsquo;t knowingly compromise the safety of staff\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e2.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.87\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eUse protective equipment in my unit\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e3.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.68\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 70px;\"\u003e\n \u003cp\u003eOverall Practice\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e1.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 6px;\"\u003e\n \u003cp\u003e3.29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e2.32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 7px;\"\u003e\n \u003cp\u003e.45\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eSource: Field Data, 2024\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.5 Levels of knowledge, Attitude, and Practice of Occupational Health and Safety Measures\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 5 below shows the categorization of knowledge, attitudes and practices of occupational health and safety measures. Categorisation of knowledge levels showed that 94.1% of the nurses had high knowledge, while only 5.9% had low knowledge. The categorised attitude levels showed that 80.9% of the nurses exhibited positive attitudes, whereas 19.1% had negative attitudes. The overall practice mean score was 2.31 (SD = 0.45); where 69.1% and 30.9% of the nurses demonstrated poor and good occupational health and safety practices respectively.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 5: Levels of knowledge, Attitude, and Practice of Occupational Health and Safety Measures\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 29px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eLEVEL\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eFREQUENCY\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePERCENTAGE\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 29px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eKnowledge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eLow knowledge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e5.9\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eHigh knowledge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e128\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e94.1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e136\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e100.0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 29px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 29px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eAttitude\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eNegative attitude\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e19.1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003ePositive attitude\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e110\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e80.9\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e136\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e100.0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 29px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 29px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003ePractice\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003ePoor practice\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e69.1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eGood practice\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e42\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e30.9\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 31px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20px;\"\u003e\n \u003cp\u003e136\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e100.0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003e3.6 Relationship between knowledge, attitude, and Practice\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTo determine the relationship between knowledge, attitude, and practice of occupational health and safety measures, the Pearson Correlation analysis was done as contained in Table 6. The results showed a statistically significant positive relationship between knowledge and attitude, as indicated by a moderate correlation (r = 0.507, p \u0026lt; 0.01). This indicates that nurses with higher knowledge scores were more likely to have positive attitudes toward occupational health and safety. Knowledge was also positively associated with practice (r = 0.433, p \u0026lt; 0.01), suggesting that higher knowledge levels were related to better occupational health and safety practices among nurses. Additionally, attitude showed a strong positive correlation with practice (r = 0.656, p \u0026lt; 0.01), indicating that nurses with more positive attitudes were more likely to engage in good occupational health and safety practices. These findings are consistent with the Knowledge\u0026ndash;Attitude\u0026ndash;Practice (KAP) theoretical model, which proposes that increases in knowledge influence attitudes, and improved attitudes subsequently shape practice.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 6: Correlation analysis results showing the relationship between knowledge, attitude, and practice\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eKnowledge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAttitude\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePractice\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eKnowledge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAttitude\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e.507\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePractice\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e.433\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e.656\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 22px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003e**. Correlation is significant at the 0.01 level (2-tailed). \u0026nbsp;*. Correlation is significant at the 0.05 level (2-tailed).\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.7 Results of One-way ANOVA on the differences in knowledge of occupational health and safety measures \u0026nbsp; based on selected demographic characteristics\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTo determine the differences in knowledge based on some selected demographic characteristics, a between-subject one-way ANOVA was performed, and the results are presented in Table 7 below. The results showed that there were no statistically significant differences in knowledge scores across the different age groups [F(3,132) = 1.39, p = .250]. Similarly, no significant differences were found in knowledge across years of work experience [F(3,132) = 0.57, p = .637] or across the various hospital departments [F(4,131) = 0.86, p = .491]. However, there was a statistically significant difference in knowledge scores based on level of education [F(3,132) = 4.05, p = .009], indicating that educational attainment had an influence on nurses\u0026rsquo; knowledge of occupational health and safety.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 7: Results of One-way ANOVA on the differences in knowledge of occupational health and safety measures \u0026nbsp; based on selected demographic characteristics\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"610\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 217px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSum of Squares\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u003cstrong\u003edf\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean Square\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eF\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSig.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eAge group\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e75.857\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e25.286\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e1.387\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.250\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2406.018\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e18.227\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2481.875\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eLevel of education\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e209.049\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e69.683\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e4.047\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.009\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2272.826\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e17.218\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2481.875\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eYears of work\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e31.603\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e10.534\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.568\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.637\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2450.272\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e18.563\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2481.875\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eDepartment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e63.408\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e15.852\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.859\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.491\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2418.467\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e131\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 93px;\"\u003e\n \u003cp\u003e18.462\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 97px;\"\u003e\n \u003cp\u003e2481.875\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 93px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003e3.8 Post hoc results on knowledge differences among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 8 shows Post hoc results on knowledge differences among nurses. The follow-up post hoc analysis (\u0026alpha;=.05) using the Tukey HSD test revealed that the significant differences in mean scores for level of education were driven mainly by differences between nurses with lower and higher educational qualifications (Table 8). Nurses with certificates had significantly lower knowledge scores than those with diplomas (MD = \u0026ndash;0.27, p = .030) and those with bachelor\u0026rsquo;s degrees (MD = \u0026ndash;0.42, p = .001). However, their scores did not differ significantly from those with master\u0026rsquo;s degrees (p = .464). The knowledge scores of diploma holders did not differ significantly from those of bachelor\u0026rsquo;s degree holders (p = .079) or master\u0026rsquo;s degree holders (p = .963). Similarly, there was no significant difference in knowledge score between nurses with bachelor\u0026rsquo;s degrees and those with master\u0026rsquo;s degrees (p = .614). These results indicated that lower educational attainment, particularly at the certificate level, was associated with significantly lower knowledge of occupational health and safety measures compared to higher academic qualifications.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 8: Post hoc results on knowledge differences among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 26px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(I) Level of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 27px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(J) Level of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean Difference (MD)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 14px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eStd. Error\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSig.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd height=\"32\" style=\"width: 0px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd height=\"23\" style=\"width: 0px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.26679\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.12187\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.030\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.41910\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.12214\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.25146\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.34275\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.464\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.26679\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.12187\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.030\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.15232\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.08599\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.079\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.01533\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.33159\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.963\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.41910\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.12214\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.15232\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.08599\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.079\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.16764\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.33169\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.614\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.25146\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.34275\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.464\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.01533\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.33159\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.963\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.16764\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.33169\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.614\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003e*. The mean difference is significant at 0.05 level\u0026nbsp;\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.9 Results of One-way ANOVA on the differences in attitude towards occupational health and safety measures based on selected demographic characteristics\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA between-subject one-way ANOVA was also performed to determine the differences in attitude based on some selected demographic characteristics, and the results are presented in Table 9 below. The results showed that there were no statistically significant differences in attitude scores across the various age groups [F(3,132) = 0.88, p = .454], religious affiliation [F(2,133) = 0.52, p = .597], and marital status [F(2,133) = 0.62, p = .542]. Similarly, no significant differences were observed across years of work experience [F(3,132) = 0.77, p = .513] or across hospital departments, F(4,131) = 0.96, p = .432. However, there was a statistically significant difference in attitude scores based on level of education [F(3,132) = 7.18, p \u0026lt; .001], indicating that educational attainment had a meaningful influence on nurses\u0026rsquo; attitudes toward occupational health and safety measures.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 9: Results of One-way ANOVA on the differences in attitude towards occupational health and safety measures based on selected demographic characteristics\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSum of Squares\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u003cstrong\u003edf\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean Square\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eF\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 8px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSig.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.415\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.138\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e.879\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e.454\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e20.771\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.157\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.186\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003eReligious affiliation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.164\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.082\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e.518\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e.597\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.023\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e133\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.186\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003eMarital status\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.194\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.097\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e.615\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e.542\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e20.992\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e133\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.186\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003eLevel of education\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e2.973\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.991\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e7.183\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e18.213\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.138\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.186\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003eYears of work experience\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.364\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.121\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e.770\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e.513\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e20.822\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.186\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 30px;\"\u003e\n \u003cp\u003eDepartment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.603\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.151\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e.960\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 8px;\"\u003e\n \u003cp\u003e.432\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e20.583\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e131\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e.157\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 18px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 11px;\"\u003e\n \u003cp\u003e21.186\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 9px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 8px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003e3.10 Post hoc results on attitude differences among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 10 presents Post hoc analysis using the Tukey HSD test which shows that nurses with certificates had significantly lower attitude scores compared to those with bachelor\u0026rsquo;s degrees (MD = \u0026ndash;0.29, p = .003). Similarly, nurses with a diploma had significantly lower attitude scores than nurses with a bachelor\u0026rsquo;s degree (MD = \u0026ndash;0.29, p \u0026lt; .001). However, certificate holders did not differ significantly from diploma holders (p = .944) or from those with master\u0026rsquo;s degrees (p = .419). Likewise, the attitudes of diploma holders did not differ significantly from those with master\u0026rsquo;s degrees (p = .390). Although nurses with bachelor\u0026rsquo;s degrees had higher attitude scores than those with master\u0026rsquo;s degrees, this difference was not statistically significant. Overall, the results indicated that nurses with bachelor\u0026rsquo;s degrees demonstrated more positive attitudes toward occupational health and safety than nurses with lower academic qualifications (Table 10).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 10: Post hoc results on attitude differences among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 26px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(I) Level of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 27px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(J) Level of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean Difference\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(MD)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 14px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eStd. Error\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSig.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd height=\"32\" style=\"width: 0px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd height=\"25\" style=\"width: 0px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.00692\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.09819\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.944\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.29386\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.09840\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.22368\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.27614\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.419\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.00692\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.09819\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.944\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.28694\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.06928\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.000\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.23060\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.26715\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.390\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.29386\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.09840\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.28694\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.06928\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.000\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.51754\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.26723\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.055\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.22368\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.27614\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.419\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.23060\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.26715\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.390\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.51754\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.26723\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.055\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003e*. The mean difference is significant at 0.05 level\u0026nbsp;\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e3.11 Results of One-way ANOVA on the differences in practice of occupational health and safety measures based on selected demographic characteristics\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 11 presents the\u0026nbsp;results of One-way ANOVA on the differences in practice of occupational health and safety measures based on selected demographic characteristics.\u0026nbsp;The one-way ANOVA showed no statistically significant differences in practice scores across age groups [F(3,132) = 0.19, p = .903]. Practice also did not differ significantly by religious affiliation, [F(2,133) = 0.02, p = .977], marital status [F(2,133) = 0.02, p = .980], years of work experience [F(3,132) = 2.38, p = .072], and hospital departments [F(4,131) = 1.50, p = .207]. However, there was a statistically significant difference in practice scores based on level of education [F(3,132) = 3.91, p = .010]. This suggests that nurses\u0026apos; occupational health and safety behaviours are significantly influenced by their level of education.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 11: Results of One-way ANOVA on the differences in practice of occupational health and safety measures based on selected demographic characteristics\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"623\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eVariable\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 98px;\"\u003e\n \u003cp\u003eSum of Squares\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 68px;\"\u003e\n \u003cp\u003edf\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 94px;\"\u003e\n \u003cp\u003eMean Square\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 68px;\"\u003e\n \u003cp\u003eF\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 68px;\"\u003e\n \u003cp\u003eSig.\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e.070\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.023\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.191\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.903\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.251\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.321\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eReligious affiliation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e.006\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.023\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.977\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.315\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e133\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.321\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eMarital status\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e.005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.002\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.020\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.980\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.316\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e133\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.321\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eLevel of education\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e1.331\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.444\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3.905\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.010\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e14.991\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.114\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.321\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eYears of work experience\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e.838\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.279\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e2.382\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.072\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e15.483\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e132\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.117\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.321\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eDepartment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eBetween Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e.713\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.178\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e1.496\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e.207\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eWithin Groups\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e15.608\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e131\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003e.119\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 113px;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 98px;\"\u003e\n \u003cp\u003e16.321\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 68px;\"\u003e\n \u003cp\u003e135\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 68px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003e3.12 Post hoc results on practice differences among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 12 below presents post hoc results on practice differences among nurses.\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003eIn the Post hoc comparison analysis using the Tukey HSD test, the main reason for the significant impact of education on practice was the differences between those with a diploma and those with a bachelor\u0026apos;s degree. Nurses with diplomas had significantly lower practice scores than those with bachelor\u0026rsquo;s degrees (MD = \u0026ndash;0.19, p = .002). No other pairwise comparisons reached statistical significance. These findings suggest that higher educational attainment, particularly at the bachelor\u0026rsquo;s level, was associated with better occupational health and safety practices among nurses\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 12: Post hoc results on practice differences among nurses\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\" class=\"fr-table-selection-hover\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 26px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(I) Level of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 27px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(J) Level of education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 19px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean Difference\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e(MD)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 14px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eStd. Error\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSig.\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd height=\"32\" style=\"width: 0px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd height=\"23\" style=\"width: 0px;\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.08854\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.08908\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.322\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.10526\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.08927\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.240\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.34962\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.25052\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.165\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.08854\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.08908\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.322\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.19380\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.06285\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.002\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.26108\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.24236\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.283\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.10526\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.08927\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.240\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.19380\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.06285\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.002\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e.45489\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.24244\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.063\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" valign=\"top\" style=\"width: 26px;\"\u003e\n \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eCertificate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.34962\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.25052\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.165\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eDiploma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.26108\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.24236\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.283\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 27px;\"\u003e\n \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 19px;\"\u003e\n \u003cp\u003e-.45489\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 14px;\"\u003e\n \u003cp\u003e.24244\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e.063\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 0px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003e*. The mean difference is significant at 0.05 level\u0026nbsp;\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e"},{"header":"4.0 DISCUSSION","content":"\u003cp\u003eThe study assessed the knowledge, attitude and practices of occupational health and safety among nurses in a regional hospital in the Upper East Region of Northern Ghana. The facility is a referral center for all health facilities within the region. The study findings indicate that the vast majority of respondents (94.5%) had a high knowledge of occupational health and safety. The participants further demonstrated a higher understanding that occupational hazards are workplace activities with hazard potential and an awareness that workplace safety refers to protecting staff. High knowledge is a significant attribute that could position health workers to take steps to protect themselves against occupational hazards. The findings are consistent with other studies conducted among health workers\u0026nbsp;[10, 11]. However, in the present study, the respondents were all nurses and their knowledge could be influenced by the exposure they received during their training programme.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eConversely, the respondents demonstrated a comparatively lower knowledge regarding clarity about employee rights and responsibilities in relation to workplace health. These findings are significant because nurses\u0026apos; understanding of their right to be protected will position them to demand the provision of personal protective equipment for their work. For instance, a study in the United Arab Emirates revealed that knowledge of managers on the rights of health workers\u0026apos; occupational health was a significant driver of provision of personal protective equipment [10].\u003c/p\u003e\n\u003cp\u003eThe study findings also indicated that knowledge on occupational health and safety was generally lower among nurses who were certificate holders as compared to those with higher qualifications. Similarly, a study of occupational health and safety among workers revealed that those with higher education had better knowledge than those with lower education [20]. It stands to reason that nurses who are certificate holders may have little exposure to information on occupational health and safety during training. This may call for the need for refresher training to increase the knowledge of nurses who are certificate holders.\u003c/p\u003e\n\u003cp\u003eOur study revealed a general positive attitude towards occupational health and safety, with a higher score on the need to protect themselves always. Similarly, a study in a tertiary health facility in Nigeria revealed a positive attitude of health care providers towards occupational health and safety [7]. The attitude of nurses towards protecting themselves at all times is a positive attitude that should be encouraged to ensure that they are protected against health hazards that they are exposed in the course of their duties. The findings further revealed that there was a significant positive relationship between higher knowledge and positive attitudes, and this is consistent with the findings of a study in Wuhan, China [9]. There was also a lower-level agreement that their unit managers put measures in place to ensure the occupational health and safety of the staff. This could mean there were no intentional activities by the unit managers to ensure that the nurses were protected against health hazards. Unit managers are those supervise daily activities at the ward level and their attitudes or efforts to ensuring safety of staff is very important.\u003c/p\u003e\n\u003cp\u003eWe discovered a generally lower levels of occupational health and safety practices among the nurses. Occupational safety and practices were generally lower as compared to knowledge and attitudes which is consistent with a study in Nigeria [7]. \u0026nbsp;However, the use of personal protective equipment was the main practice that the nurses scored higher and this was most likely shaped by the routine wearing of scrubs and gloves, and reporting of needle pricks as specified by hospital protocols. Another significant finding relating to practice was that the nurses were not ready to stop work when the environment was unsafe for them and management of the hospital was not taking steps to address it. This essentially means the nurses were ready to risk their personal lives in the line of work. This calls for education of the nurses to consider their safety as an important step to ensuring they work efficiently.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e5.1 STRENGTHS AND LIMITATIONS\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study provides evidence in a regional hospital upon which steps can be taken to improve practices of occupational health and safety among nurses. The regional hospital has more nurses than any other hospital in the region and the recommendations based on these findings will benefit this larger population.\u003c/p\u003e\n\u003cp\u003eThe study was done among nurses, but it is unclear if the findings can be generalized to other healthcare workers, such as laboratory workers and medical doctors. The study was also conducted in a regional hospital and there may be a need to replicate the same in the other regional hospitals in northern Ghana to get a more comprehensive understanding of occupational health and safety in northern Ghana.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e6.1 RECOMMENDATIONS\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eHealthcare workers should be regularly informed of the dangers associated with the non-use of the appropriate personal protective equipment through continuous professional development programmes. Besides, nurses should be encouraged to take up occupational health and safety courses to gain more knowledge in the field and serve as advisers to other staff and management in this area.\u003c/p\u003e\n\u003cp\u003eThe management of all hospitals should ensure the provision of adequate and appropriate personal protective equipment for healthcare workers. Unit managers should ensure proper supply and use of all logistics. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eHospitals should set up occupational health and safety committees and task them to monitor, report and organize safety meetings. The committee should also be tasked with making specific recommendations to management on safety issues.\u003c/p\u003e"},{"header":"5.0 CONCLUSION","content":"\u003cp\u003eThe high level of knowledge and attitude was not consistent with practices that promote occupational health and safety among the participants. The lower level of practices calls for attention to translate knowledge and attitudes into good practices. There should be efforts to ensure an adequate supply of personal protective equipment such as gloves, gowns, scrubs, and masks. The management of health facilities and health regulatory authorities should institute measures such as refresher training on occupational health and safety. There should be effective monitoring by occupational safety or health promotion units to ensure that nurses practice safety precautions.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cdiv class=\"DefinitionList\"\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eOHS\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003eOccupational health and safety\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003eEthical Consideration\u003c/p\u003e\n\u003cp\u003eEthical clearance for the study was obtained from the University for Development Studies Ethics Review Committee (UDS/RB/067/24). The study adhered to the ethical principles of research involving human subjects as outlined in the Helsinki Declaration. Participants provided written informed consent to participate in the study.\u003c/p\u003e\n\u003cp\u003eConsent for Publication\u003c/p\u003e\n\u003cp\u003eAll the authors gave their consent for publication.\u003c/p\u003e\n\u003ch2\u003eCompeting of Interests\u003c/h2\u003e\n\u003cp\u003eThe authors declare that they have no competing interests with respect to the research, authorship or publication\u003c/p\u003e\n\u003ch2\u003eFunding Statement\u003c/h2\u003e\n\u003cp\u003eThe study was self-funded by the authors.\u003c/p\u003e\n\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\n\u003cp\u003eConceptualization: GBC and GTN; Data collection: GBC and JNA; Data analysis: JNA; Drafting of manuscript: GTN and JNA; Critical review: GTN\u003c/p\u003e\n\u003ch2\u003eAcknowledgement\u003c/h2\u003e\n\u003cp\u003eWe thank the nurses who participated in the study.\u003c/p\u003e\n\u003ch2\u003eAvailability of Data and Materials\u003c/h2\u003e\n\u003cp\u003eThe datasets used for the data analysis are available from the corresponding author upon reasonable request.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n \u003cli\u003eJonathan, G.K. and Mbogo, R.W. Maintaining Health and Safety at Workplace: Employee and Employer\u0026apos;s Role in Ensuring a Safe Working Environment. Journal of Education and Practice. 2016. \u003cstrong\u003e7\u003c/strong\u003e(29): p. 1\u0026ndash;7.\u003c/li\u003e\n \u003cli\u003eOpoku, S. Y., Yeboah, C., Ampon-wireko, S., Hinneh, R. K., \u003cem\u003eOccupational health and safety hazards experienced by healthcare workers at two hospitals in Suyani, Bono Region, Ghana.\u003c/em\u003e Occupational Diseases and Environmental Medicine, 2023. \u003cstrong\u003e11\u003c/strong\u003e(2): p. 122\u0026ndash;136.\u003c/li\u003e\n \u003cli\u003eAyenew, E., Akafu, W., and Daka, D. W., \u003cem\u003ePrevalence of Work-Related Health Hazard and Associated Factors among Health Workers in Public Health Institutions of Gambella Town, Western Ethiopia: Cross‐Sectional Survey.\u003c/em\u003e Journal of Environmental and Public Health, 2022. \u003cstrong\u003e2022\u003c/strong\u003e(1): p. 6224280.\u003c/li\u003e\n \u003cli\u003eTakala, J., \u003cem\u003eBurden of injury due to occupational exposures\u003c/em\u003e, in \u003cem\u003eHandbook of disability, work and health\u003c/em\u003e. 2020, Springer. p. 105\u0026ndash;126.\u003c/li\u003e\n \u003cli\u003eAppiagyei, H., Nakua, E. K., and Donkor, P. \u003cem\u003eOccupational injuries among health care workers at a public hospital in Ghana.\u003c/em\u003e Pan African medical journal, 2021. \u003cstrong\u003e39\u003c/strong\u003e(1).\u003c/li\u003e\n \u003cli\u003eDebelu, D., Mengistu, D. A., \u0026amp; Tolera, S. T. \u003cem\u003eOccupational-related injuries and associated risk factors among healthcare workers working in developing countries: a systematic review.\u003c/em\u003e Health services research and managerial epidemiology, 2023. \u003cstrong\u003e10\u003c/strong\u003e: p. 23333928231192834.\u003c/li\u003e\n \u003cli\u003eAluko, O. O., Adebayo, A. E., Adebisi, T. F., and Ewegbemi, M. K. \u003cem\u003eKnowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers.\u003c/em\u003e BMC research notes, 2016. \u003cstrong\u003e9\u003c/strong\u003e(1): p. 71.\u003c/li\u003e\n \u003cli\u003eSumbobo, B.B. and Nachinab, G.T. \u003cem\u003eExploring the perspective of nurses on factors influencing patient safety practices in a paediatric unit of a district hospital in Northern Ghana.\u003c/em\u003e BMC nursing, 2025. \u003cstrong\u003e24\u003c/strong\u003e(1): p. 1430.\u003c/li\u003e\n \u003cli\u003eLiu, Y., Zhang, Z., \u0026amp; Liu, Y. \u003cem\u003eKnowledge, attitude, and practice toward the prevention of occupational exposure in public health emergencies among nurses in Wuhan.\u003c/em\u003e Frontiers in Public Health, 2024. \u003cstrong\u003e12\u003c/strong\u003e: p. 1289498.\u003c/li\u003e\n \u003cli\u003eHowari, F. M., Nazzal, Y. and Awad, M. \u003cem\u003eThe knowledge and practice of workers toward occupational hazards: Case study from United Arab Emirates.\u003c/em\u003e Anuario do Instituto de Geociencias, 2017. 40(2): p. 210.\u003c/li\u003e\n \u003cli\u003eNassirou-Sabo, H. and Toudou-Daouda, M. \u003cem\u003eAssessment of knowledge, attitudes, and practices of occupational risks and diseases among healthcare providers of the Regional Hospital Center of Dosso, Niger.\u003c/em\u003e SAGE Open Medicine, 2024. \u003cstrong\u003e12\u003c/strong\u003e: p. 20503121231224549.\u003c/li\u003e\n \u003cli\u003eAbdel, F. A. Q., Qaraman, A. F. A., Elbayoumi, M. and Kakemam, E., \u003cem\u003eKnowledge, attitudes, and practice towards occupational health and safety among nursing students in Gaza strip, Palestine.\u003c/em\u003e Ethiopian journal of health sciences, 2022. \u003cstrong\u003e32\u003c/strong\u003e(5): p. 1007\u0026ndash;1018.\u003c/li\u003e\n \u003cli\u003eLauniala, A., \u003cem\u003eHow much can a KAP survey tell us about people\u0026apos;s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi.\u003c/em\u003e Anthropology Matters, 2009. \u003cstrong\u003e11\u003c/strong\u003e(1).\u003c/li\u003e\n \u003cli\u003eWang, X. and Cheng, Z. \u003cem\u003eCross-sectional studies: strengths, weaknesses, and recommendations.\u003c/em\u003e Chest, 2020. \u003cstrong\u003e158\u003c/strong\u003e(1): p. S65-S71.\u003c/li\u003e\n \u003cli\u003eCummings, C. L., \u003cem\u003eCross-sectional design.\u003c/em\u003e The SAGE Encyclopedia of Communication Research Methods. Thousand Oaks: SAGE Publications Inc. Retrieved, 2018.\u003c/li\u003e\n \u003cli\u003eHu, R., Hu, N., Liu, R., Shi, L., Shi, J., and Ling, L. \u003cem\u003eAssociation between occupational health and safety knowledge and behaviours among migrant workers: results from a cross-sectional study in China.\u003c/em\u003e BMJ open, 2020. \u003cstrong\u003e10\u003c/strong\u003e(12): p. e040143.\u003c/li\u003e\n \u003cli\u003eYamane, T., \u003cem\u003eElementary sampling theory.\u003c/em\u003e 1967.\u003c/li\u003e\n \u003cli\u003eInstitute for Work \u0026amp; Health, \u003cem\u003eOccupational Health Safety Vulnerability Measure.\u003c/em\u003e 2017.\u003c/li\u003e\n \u003cli\u003eS\u0026uuml;r\u0026uuml;c\u0026uuml;, L. and A. Maslakci, \u003cem\u003eValidity and reliability in quantitative research.\u003c/em\u003e Business \u0026amp; Management Studies: An International Journal, 2020. \u003cstrong\u003e8\u003c/strong\u003e(3): p. 2694\u0026ndash;2726.\u003c/li\u003e\n \u003cli\u003eNasab, H. S., Ghofranipour, F., Kazemnejad A., and Khavanin A. R. T. \u003cem\u003eEvaluation of knowledge, attitude and behavior of workers towards occupational health and safety.\u003c/em\u003e Iranian journal of public health, 2009. \u003cstrong\u003e38\u003c/strong\u003e(2): p. 125\u0026ndash;129.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-health-services-research","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bhsr","sideBox":"Learn more about [BMC Health Services Research](http://bmchealthservres.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/BHSR/default.aspx","title":"BMC Health Services Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"knowledge, attitudes, practices, occupational health, safety, nurses","lastPublishedDoi":"10.21203/rs.3.rs-8329801/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8329801/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eIntroduction:\u003c/h2\u003e \u003cp\u003eOccupational health and safety are major concerns for health workers worldwide. Nurses especially those working in resource constrained areas are at risk of occupational hazards. The purpose of the study was to assess the knowledge, attitudes and practices of nurses in a regional hospital in a resource constrained area towards occupational health and safety.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eA descriptive cross-sectional survey was conducted using questionnaires that were self-administered among nurses in a regional hospital in Ghana. The nurses were recruited from five units in the hospital. The data were analysed using SPSS, where descriptive and inferential statistics were applied. The level of statistical significance was set at 0.05.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe findings show that the participant had high level of knowledge (91.4%) and positive attitude (80.9%) towards occupational health and safety measures. However, practice was very low with only 30.9% of the nurses demonstrating good occupational health and safety practices. The correlation analysis revealed a statistically significant positive relationship between knowledge and attitude (r\u0026thinsp;=\u0026thinsp;0.507, p\u0026thinsp;\u0026lt;\u0026thinsp;0.01), knowledge and practice (r\u0026thinsp;=\u0026thinsp;0.433, p\u0026thinsp;\u0026lt;\u0026thinsp;0.01), and attitude and practice (r\u0026thinsp;=\u0026thinsp;0.656, p\u0026thinsp;\u0026lt;\u0026thinsp;0.01). Additionally, a between-subject one-way ANOVA showed a statistically significant difference in knowledge [F(3,132)\u0026thinsp;=\u0026thinsp;4.05, p\u0026thinsp;=\u0026thinsp;.009], attitude [F(3,132)\u0026thinsp;=\u0026thinsp;7.18, p\u0026thinsp;\u0026lt;\u0026thinsp;.001], and practice [F(3,132)\u0026thinsp;=\u0026thinsp;3.91, p\u0026thinsp;=\u0026thinsp;.010] based on level of education. However, there was no significant difference in knowledge, attitude, and practice of occupational health and safety measures across other demographic characteristics.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThe study findings indicate high level of knowledge and good attitudes but this did not translate into practices that ensure occupational health and safety. The management of health facilities and health regulatory authorities should institute measures such as refresher training and monitoring systems that will promote occupational health and safety practices.\u003c/p\u003e","manuscriptTitle":"Knowledge, attitudes and practices of occupational health and safety measures among nurses at Bolgatanga Regional Hospital of Ghana","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-01-16 15:26:22","doi":"10.21203/rs.3.rs-8329801/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2026-03-12T16:13:46+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"124736738807986357807837321384547668911","date":"2026-02-18T13:02:11+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-02-17T19:15:02+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"45395509329300513507836482855944060382","date":"2026-02-17T19:02:02+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-01-28T20:14:21+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"277691986592315697332188470912441321494","date":"2026-01-28T16:35:04+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-01-21T13:58:38+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"158188768311543595748496345544656583518","date":"2026-01-21T13:18:28+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"329633932882140377943814119190899118530","date":"2026-01-14T11:40:48+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-01-14T10:38:49+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2026-01-13T03:32:03+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-12-22T03:18:25+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-12-17T22:08:34+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Health Services Research","date":"2025-12-17T22:02:08+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-health-services-research","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bhsr","sideBox":"Learn more about [BMC Health Services Research](http://bmchealthservres.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/BHSR/default.aspx","title":"BMC Health Services Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6ff8753c-7d99-42f6-8104-303c53eeb846","owner":[],"postedDate":"January 16th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-04-02T05:08:17+00:00","versionOfRecord":[],"versionCreatedAt":"2026-01-16 15:26:22","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8329801","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8329801","identity":"rs-8329801","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}