AIM: The study's main objective was to use a fuzzy set qualitative comparative analysis to identify the configuration of recipes that predict nurses' safety compliance behaviour. DESIGN: A cross-sectional design. METHODS: A survey was used where questionnaires were collected from 285 nurses across four primary healthcare hospitals within the Ashanti Region, Ghana. The data collection happened between June 1 to August 2, 2022. A fuzzy set qualitative comparative analysis was used to identify the recipes of psychological factors that determine nurses' safety compliance behaviour. RESULTS: Results from the study suggest that the necessary configurations that explained nurses' safety compliance behaviour came from the presence of subjective norm, attitude, perceived behavioural control, perceived organizational support and negation of intention. The result highlights the need for safety protocols to be conscious of the interplay between nurses' assessment of self, social clues and perception of management care and support since such psychological factors must be considered concurrently to achieve the optimal safety compliance behaviour among nurses. CONCLUSION: A health and safety protocol that fails to recognize the importance of psychological antecedents on subordinates' safety compliance behaviour could limit the safety policy's usefulness in bringing the appropriate behavioural change in nurses. IMPACT: To date, no study has combined the antecedents of theory planned behaviour with perceived organizational support and cue to action to assess how they collectively predict nurses' safety compliance behaviour. Findings from the study suggest that nurses in primary health facilities inform their safety compliance behaviour by assessing self-capabilities, social signals from superiors and colleagues and perception of management support. Hospital administrators and nursing managers in sub-Saharan Africa may rely on these psychological forces to persuade nurses to develop positive safety compliance behaviour at the health facility. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Tomas Bata University in Zlin Zlin Czech Republic

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Ajzen, I. (1991). The theory of planned behaviour. Organisational Behaviour and Human Decision Processes, 50(2), 179-211.

Ajzen, I. (2006). Constructing a theory of planned behaviour questionnaire. http://www.people.umass.edu/aizen/tpb.html

Al-Bsheish, M., Mustafa, M., Ismail, M., Jarrar, M., Merie, A., & Dauwed, M. (2019). Perceived management commitment and psychological empowerment: A study of intensive care unit nurses' safety. Safety Science, 118, 632-640. https://doi.org/10.1016/j.ssci.2019.05.055

Ali, M., Aziz, S., Pham, T., Babalola, M., & Usman, M. (2020). A positive human health perspective on how spiritual leadership weaves its influence on employee safety performance: The role of harmonious safety passion. Safety Science, 131, 104923. https://doi.org/10.1016/j.ssci.2020.104923

Appiagyei, H., Nakua, E., Donkor, P., & Mock, C. (2021). Occupational injuries among health care workers at a public hospital in Ghana. Pan African Medical Journal, 39, 103. https://doi.org/10.11604/pamj.2021.39.103.23542

Benitez, J., Henseler, J., Castillo, A., & Schuberth, F. (2020). How to perform and report an impactful analysis using partial least squares: Guidelines for confirmatory and explanatory IS research. Information & Management, 57, 103168.

Beus, J., McCord, M., & Zohar, D. (2016). Workplace safety: A review and research synthesis. Organizational Psychology Review, 6(4), 352-381. https://doi.org/10.1177/2041386615626243

Bryman, A. (2016). Social research methods. Oxford University Press.

Choi, W., Goo, W., & Choi, Y. (2022). Perceived organisational support and knowledge sharing: A moderated-mediation approach. SAGE Open, 12(2), 1-13. https://doi.org/10.1177/21582440221089950

Dionisi, S., Di Simone, E., Franzoso, V., Caldarola, E., Cappadona, R., Di Muzio, F., Giannetta, N., & Di Muzio, M. (2020). The application of the theory of planned behaviour to prevent medication errors: A scoping review. Acta Bio Medica: Atenei Parmensis, 91(Suppl 6), 28.

Dressner, M. A., & Kissinger, S. P. (2018). Occupational injuries and illnesses among registered nurses. Monthly Labor Review, 141, 1.

Edelson, J., Neitzel, R., Meischke, H., Daniell, W., Sheppard, L., Stover, B., & Seixas, N. (2009). Predictors of hearing protection use in construction workers. The Annals of Occupational Hygiene, 53(6), 605-615.

Efstathiou, G., Papastavrou, E., Raftopoulos, V., & Merkouris, A. (2011). Factors influencing nurses' compliance with standard precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC Nursing, 10(1), 1-11.

Eisenberger, R., Fasolo, P., & Davis-LaMastro, V. (1990). Perceived organisational support and employee diligence, commitment, and innovation. Journal of Applied Psychology, 75(1), 51-59.

Eisenberger, R., Huntington, R., Hutchison, S., & Sowa, D. (1986). Perceived organisational support. Journal of Applied Psychology, 71(3), 500-507. https://doi.org/10.1037/0021-9010.71.3.50

Enwereuzor, I., Adeyemi, B., & Onyishi, I. (2020). Trust in leader as a pathway between ethical leadership and safety compliance. Leadership in Health Services, 33(2), 201-219. https://doi.org/10.1108/LHS-09-2019-0063

Fang, J., Yunfei, Y., & Wen, C. (2016). Transactional quality, relational quality, and consumer e-loyalty: Evidence from SEM and fsQCA. International Journal of Information Management, 36(6), 1205-1217.

Francis, J. J., Eccles, M. P., Johnston, M., Walker, E., Grimshaw, J. M., Foy, R., Kaner, E. F., Smith, L., & Bonetti, D. (2004). Constructing questionnaires based on the theory of planned behavior: A manual for Health Service Researchers, 42. http://openaccess.city.ac.uk/1735/

Fugas, C., Silva, S., & Melià, J. (2012). Another look at safety climate and safety behaviour: Deepening the cognitive and social mediator mechanisms. Accident; Analysis and Prevention, 45, 468-477.

Gabriel, E., Hoch, M., & Cramer, R. (2019). Health Belief Model Scale and Theory of Planned Behavior Scale to assess attitudes and perceptions of injury prevention program participation: An exploratory factor analysis. Journal of Science and Medicine in Sport, 22(5), 544-549.

Griffin, M. A., & Neal, A. (2000). Perceptions of safety at work: A framework for linking safety climate to safety performance, knowledge, and motivation. Journal of Occupational Health Psychology, 5(3), 347-358. https://doi.org/10.1037/1076-8998.5.3.347

Guo, B., Yiu, T., & González, V. (2016). Predicting safety behaviour in the construction industry: Development and test of an integrative model. Safety Science, 84, 1-11. https://doi.org/10.1016/j.ssci.2015.11.020

Hair, J., Risher, J., Sarstedt, M., & Ringle, C. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2-24.

Han, Y., Jin, R., Wood, H., & Yang, T. (2019). Investigation of demographic factors in construction employees' safety perceptions. KSCE Journal of Civil Engineering, 23, 1-14.

Henseler, J., Ringle, C., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modelling. Journal of the Academy of Marketing Science, 43(1), 115-135. https://doi.org/10.1007/s11747-014-0403-8

Hinze, J., Hallowell, M., & Baud, K. (2013). Construction-safety best practices and relationships to safety performance. Journal of Construction Engineering and Management, 139(10), 1-8. https://doi.org/10.1061/(ASCE)CO.1943-7862.0000751

Isaacs, M., Weng, C., Chen, C., & Khanh, T. N. (2021). Effects of an online community intervention on Taiwanese sugar intake behavior. The Journal of Behavioral Science, 16(2), 16-27. https://so06.tci-thaijo.org/index.php/IJBS/article/view/249235

Jensen, L. A., & Moser, D. K. (2008). Gender differences in knowledge, attitudes, and beliefs about heart disease. Nursing Clinics of North America, 43(1), 77-104. https://doi.org/10.1016/j.cnur.2007.10.005

Khalid, B., Shahzad, K., Shafi, M. Q., & Paille, P. (2022). Predicting required and voluntary employee green behaviour using the theory of planned behaviour. Corporate Social Responsibility and Environmental Management, 29(5), 1300-1314. https://doi.org/10.1002/csr.2270

Kurtessis, J. N., Eisenberger, R., Ford, M. T., Buffardi, L. C., Stewart, K. A., & Adis, C. S. (2017). Perceived organisational support: A meta-analytic evaluation of organisational support theory. Journal of Management, 43(6), 1854-1884. https://doi.org/10.1177/0149206315575554

La Barbera, F., & Ajzen, I. (2020). Control interactions in the theory of planned behaviour: Rethinking the role of the subjective norm. Europe's Journal of Psychology, 16(3), 401-414.

Labrague, L., & De los Santos, J. A. (2020). COVID-19 anxiety among frontline nurses: Predictive role of organisational support, personal resilience and social support. Journal of Nursing Management, 28(7), 1653-1661. https://doi.org/10.1111/jonm.13121

Leung, M., Liang, P., & Olomolaiye, J. (2014). Stressors impact of job stressors and stress on the safety behaviour and accidents of construction workers. Journal of Management in Engineering, 32(1), 1-10. https://doi.org/10.1061/(ASCE)ME.1943-5479.0000373

Li, Y., Howell, J., & Cimiotti, J. P. (2023). Nurse practitioner job preference: A discrete choice experiment. International Journal of Nursing Studies, 138, 104407. https://doi.org/10.1016/j.ijnurstu.2022.104407

Li, Y., Wang, C., Lu, H., Cao, L., Zhu, X., Wang, A., & Sun, R. (2023). Effects of perineal massage during childbirth on maternal and neonatal outcomes in primiparous women: A systematic review and meta-analysis. International Journal of Nursing Studies, 138, 104390.

Manosuthi, N., Lee, J., & Han, H. (2022). Green behaviour at work of hospitality and tourism employees: Evidence from IGSCA-SEM and fsQCA. Journal of Sustainable Tourism, 2022, 1-23. https://doi.org/10.1080/09669582.2022.2115051

Mehran, J., & Olya, H. (2020). Canal boat tourism: Application of complexity theory. Journal of Retailing and Consumer Services, 53, 101954. https://doi.org/10.1016/j.jretconser.2019.101954

Memon, M., Ting, H., Cheah, J., Thurasamy, R., Chuah, F., & Cham, T. (2020). Sample size for survey research: Review and recommendations. Journal of Applied Structural Equation Modeling, 4(2), 1-10.

Mengistu, D., & Tolera, S. (2020). Prevalence of occupational exposure to needle-stick injury and associated factors among healthcare workers of developing countries: Systematic review. Journal of Occupational Health, 62, e12179. https://doi.org/10.1002/1348-9585.12179

Moda, H., Dama, F., Nwadike, C., Alatni, B., Adewoye, S., Sawyerr, H., Doka, P. J., & Danjin, M. (2021). Assessment of workplace safety climate among healthcare workers during the COVID-19 pandemic in low- and middle-income countries: A case study of Nigeria. Healthcare, 9, 661. https://doi.org/10.3390/healthcare9060661

Mossburg, S., Agore, A., Nkimbeng, M., & Commodore-Mensah, Y. (2019). Occupational hazards among healthcare workers in Africa: A systematic review. Annals of Global Health, 85(1), 78. https://doi.org/10.5334/aogh.2434

Naevestad, T.-O., Hesjevoll, I., & Phillips, R. (2018). How can we improve safety culture in transport organisations? A review of interventions, effects and influencing factors. Transportation Research Part F: Traffic Psychology and Behaviour, 54, 28-46.

Nahrgang, J., Morgeson, F., & Hofmann, D. (2011). Safety at work: A meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes. The Journal of Applied Psychology, 96, 71-94.

Ndejjo, R., Musinguzi, G., Yu, X., Buregyeya, E., Musoke, D., Wang, J.-S., Halage, A. A., Whalen, C., Bazeyo, W., Williams, P., & Ssempebwa, J. (2015). Occupational health hazards among healthcare workers in Kampala, Uganda. Journal of Environmental and Public Health, 2015, 1-9.

Neal, A., Griffin, M., & Hart, P. (2000). The impact of organisational climate on safety climate and individual behaviour. Safety Science, 34(1-3), 99-109.

Ng, T. W., & Lucianetti, L. (2016). Within-individual increases in innovative behaviour and creative, persuasion, and change self-efficacy over time: A social-cognitive theory perspective. Journal of Applied Psychology, 101(1), 14-33.

Nkereuwem, O. O., Kochhar, S., Wariri, O., Johm, P., Ceesay, A., Kinteh, M., & Kampmann, B. (2021). Using a speaking book® to enhance vaccine knowledge among caregivers in the Gambia: A study using qualitative and quantitative methods. BMJ Open, 11(3), e040507.

Olya, H., Jung, T.H., Tom Dieck, M.C. & Ryu, K. (2020), "Engaging visitors of science festivals using augmented reality: asymmetrical modelling". International Journal of Contemporary Hospitality Management, 32(2), 769-796. https://doi.org/10.1108/IJCHM-10-2018-0820

Onigbinde, O., Babatunde, O., & Ajagbe, A. (2020). The welfare of healthcare workers amidst COVID-19 Sahara Africa: A call for concern. Ethics, Medicine, and Public Health, 15, 100555.

O'Toole, J., Gibson, I., & Flaherty, G. T. (2019). Young adults' perception of cardiovascular disease risk. The Journal for Nurse Practitioners, 15(10), e197-e200. https://doi.org/10.1016/j.nurpra.2019.06.010

Pappas, I., & Woodside, A. (2021). Fuzzy-set Qualitative Comparative Analysis (FsQCA): Guidelines for research practice in Information Systems and marketing. International Journal of Information Management, 58, 102310.

Petitta, L., Probst, T., Barbaranelli, C., & Ghezzi, V. (2017). Disentangling the roles of safety climate and safety culture: Multi-level effects on the relationship between supervisor enforcement and safety compliance. Accident Analysis and Prevention, 99, 77-89. https://doi.org/10.1016/j.aap.2016.11.012

Podsakoff, P., MacKenzie, S., Lee, J., & Podsakoff, N. P. (2003). Common method biases in behavioural research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879-903.

Poss, J. (2001). Developing a new model for cross-cultural research: Synthesising the health belief model and the theory of reasoned action. ANS. Advances in Nursing Science, 23(4), 1-15.

Ragin, C. (2008). User's guide to fuzzy-set/qualitative comparative analysis 3.0. Department of Sociology, University of California.

Razak, A. A., Mansor, N. A., Razak, R. A., Nawi, N. M. M., Yusoff, A. M., & Din, N. (2020). Changing awareness about health behavior: A study among young instagram users. The Journal of Behavioral Science, 15(1), 19-33.

Riggle, R., Edmondson, D., & Hansen, J. (2009). A meta-analysis of the relationship between perceived organisational support and job outcomes: 20 years of research. Journal of Business Research, 62(10), 1027-1030.

Rihoux, B., & Ragin, C. C. (2009). Configurational comparative methods: Qualitative comparative analysis (QCA) and related techniques. Sage.

Sueyeon, L., & Catherine, V. (2021). Analysis and evaluation of the theory of planned behavior. Advances in Nursing Science, 44(4), E127-E140. https://doi.org/10.1097/ANS.0000000000000369

Veenema, T., Deruggiero, K., Losinski, S., & Barnett, D. (2017). Hospital administration and nursing leadership in disasters. Nursing Administration Quarterly, 41(2), 151-163.

Via-Clavero, G., Guàrdia-Olmos, J., Gallart-Vivé, E., Arias-Rivera, S., Castanera-Duro, A., & Delgado-Hito, P. (2019). Development and initial validation of a Theory of Planned Behaviour questionnaire to assess critical care nurses' intention to use physical restraints. Journal of Advanced Nursing, 75, 2036-2049. https://doi.org/10.1111/jan.14046

Vinodkumar, M., & Bhasi, M. (2010). Safety management practices and safety behaviour: Assessing the mediating role of safety knowledge and motivation. Accident Analysis and Prevention, 42, 2082-2093. https://doi.org/10.1016/j.aap.2010.06.021

Wang, X., Chen, D., Xie, T., & Zhang, W. (2019). Predicting women's intentions to screen for breast cancer based on the health belief model and the theory of planned behaviour. The Journal of Obstetrics and Gynaecology Research, 45(12), 2440-2451.

Wen, J., Huang, S., & Hou, P. (2019). Emotional intelligence, emotional labour, perceived organisational support, and job satisfaction: A moderated mediation model. International Journal of Hospitality Management, 81, 120-130. https://doi.org/10.1016/j.ijhm.2019.01.009

World Health Organization. (2018). Health workers: Health worker occupational health. Who. Int http://www.who.int/occupational_health/topics/hcworkers/en/

World Health Organization. (2020). Fact sheet: Nursing and midwifery [Online]. https://www.who.int/news-room/factsheets/detail/nursing-and-midwifery

World Health Organization. (2021). Global patient safety action plan 2021-2030 towards eliminating avoidable harm in healthcare. World Health Organization.

Xiang, B., Wong, H., Cao, W., Perfecto, A., & McGrath, C. (2020). Development and validation of the Oral health behaviour questionnaire for adolescents based on the health belief model (OHBQAHBM). BMC Public Health, 20(701), 1-11. https://doi.org/10.1186/s12889-020-08851-x

Yuriev, A., Dahmen, M., Paillé, P., Boiral, O., & Guillaumie, L. (2020). Pro-environmental behaviours through the lens of the theory of planned behaviour: A scoping review. Resources, Conservation and Recycling, 155, 104660.

Zhang, J., & Wu, C. (2014). The influence of dispositional mindfulness on safety compliance behaviours: A dual-process perspective. Accident Analysis & Prevention, 70, 24-32.

Zhou, Y., Wang, W., Sun, Y., Qian, W., Liu, Z., Wang, R., & Zhang, X. (2020). The prevalence and risk factors of psychological disturbances of frontline medical staff in China during the COVID-19 epidemic: Workload should be a concern. Journal of Affective Disorders, 277, 510-514. https://doi.org/10.1016/j.jad.2020.08.059

Zohar, D. (2014). Safety climate: Conceptualisation, measurement, and improvement. In The Oxford handbook of organizational climate and culture (pp. 317-334). Oxford University Press.