However, there were a few items, especially in the perception of management factor (Table 6) that were problematic and require additional investigation and refinement.
The variation within each dimension was the highest in the perception of management (78.2%), followed by job satisfaction (72.2%), working conditions (68.0%), teamwork climate (65.1%), and safety climate (60.4%).
In most cases the perception of management participants had a larger positive influence than the perception of the other categories, and their overall score played a dominant role in the higher average score on the PO dimensions.
Cultural aspects may exist regarding the perception of management in the Albanian setting.
Measuring safety climate dimensions such as perceived teamwork climate, job satisfaction and the perception of management in hospitals can help to diagnose the underlying safety culture of an entire organisation or work unit.
Individuals respond to one of the working condition items and three of the perception of management items separately in relation to their unit and in relation to their hospital so there are a total of 34 possible responses.
Although we had previously found no difference with respect to the perception of management support in this group [ 22], this would be an interesting aspect to study to improve the management of human capital in the organization.
The perception of management was consistently higher in our study.
In fact, almost any activity in this system will have a dual role, both as a decision/action (e.g. firing a vice president; or choosing a detergent) and as a communication (e.g. reflected in the perceptions of staff about management safety values; or about the proper way to clean floors).
28 Items in the perception of unit management had the highest proportion of missing answers.
