Enhancing Workplace Well-being: Unveiling the Dynamics of Leadere
Member Exchange and Worker Safety Behavior Through Psychological
Safety and Job Satisfaction

Enhancing Workplace Well-being: Unveiling the Dynamics of Leadere
Member Exchange and Worker Safety Behavior Through Psychological
Safety and Job Satisfaction

Job satisfaction
Leader-member exchange
Moderated mediation
Psychological safety
Safety behavior

In healthcare, ensuring safety is crucial for quality care and patient outcomes. While
research links leaderemember exchange (LMX) quality to safety behavior, this remains understudied in
healthcare. Our study explores LMX’s long-term impact on safety behavior, proposing a model that includes the moderated mediating role of psychological safety and job satisfaction in the relationship
between LMX and safety behaviors, regarding compliance (SCB) and participation (SPB). By identifying
the mechanisms through which LMX influences safety behavior, this study can provide insights into the
development of interventions that promote workplace safety and enhance the well-being of healthcare
workers.
Methods: We collected data from 325 Algerian healthcare workers across three public hospitals at three
points. Through SmartPLS analysis, we used advanced features of Partial Least Squares Structural
Equation Modeling (PLS-SEM) alongside PROCESS analysis to evaluate the relationships within our
proposed model.
Results: Our analysis found a significant association between higher LMX and increased job satisfaction
that positively correlated with enhanced SCB adherence and mediated the LMXeSCB relationship. This
relationship was strengthened with high psychological safety.
Conclusion: Our study emphasizes the crucial role of LMX quality in shaping safety behavior among
Algerian healthcare workers, providing insights for cultivating a safety culture in healthcare settings,
highlighting the significance of prioritizing LMX, JS, and PS to improve workplace safety and support
healthcare worker well-being

Aida Bennouna 1,*, Assia Boughaba 1
, Salim Djabou 2
, Mohamed Mouda 1

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Health and Safety Industrial Institute, University of Batna 2, Laboratory of Research in Industrial Prevention (LRPI), Fesdis, Batna, 05078, Algeria 2 Faculty of Economic Commerce and Management Sciences, Finance and Accounting, 12002, Tebessa, Algeria

12 November 2024

FAJAR BAGUS W

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