Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement

Aranzamendez, Gina; James, David; Toms, Robin

doi:10.1111/nuf.12084

Cited by 64 publications

(44 citation statements)

References 36 publications

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“…Nurse practitioners are frequently the advocate and voice of the patient, meaning that nurse leaders must encourage them to identify and challenge any obstacles to speaking up for patient safety (Sayre, McNeese‐Smith, Phillips, & Leach, ). Leaders’ behaviours can create psychologically safe workplaces where all employees feel comfortable expressing concerns and ideas in order to improve quality of care (Aranzamendez, James, & Toms, ; Derickson, Fishman, Osatuke, Teclaw, & Ramsel, ; Newman, Donohue, & Eva, ; Rathert, Ishqaidef, & May, ). These behaviours include inclusiveness, which is when leaders encourage and appreciate others’ contributions, and behavioural integrity, which is when their words and deeds are in alignment.…”

Section: Resultsmentioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

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Aim Explore the recent literature to examine the factors that affect safety culture within health care teams. Background Health care organisations must understand and improve their safety culture. However, safety culture is a complex phenomenon which interacts with a myriad of factors, making it difficult to define, measure and improve. Evaluation A comprehensive search strategy was used to search four major databases. Peer‐reviewed which were published in English between 2006 and 2017 and presented research studies related to safety culture in health care teams were included. A narrative analysis was undertaken. Key issues Issues relevant to the definition, measurement and improvement of safety culture, the impact of teamwork and communication on safety culture, the role of leaders and accountability are explored. Conclusion The above themes inform our understanding of developing, measuring and sustaining safety culture in health care teams. However, further research is warranted to accurately understand how to measure and improve safety culture. Implications for nursing management To support a safety culture, initiatives to facilitate effective communication between nurse practitioners and other health care professionals must be introduced. Nurse managers should adopt leadership strategies that will support nurses’ psychological safety and create a just culture.

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Section: Resultsmentioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

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“…Regarding speak up‐related climate, our survey showed fairly positive results. Psychological safety, that is a person’s beliefs that one can take interpersonal risks without being punished or misunderstood by their colleagues, is an important prerequisite for speaking up (Aranzamendez et al, ; Liang et al, ). Participants in our sample had moderate to high scores on items related to psychological safety, indicating that they generally feel safe to voice concerns.…”

Section: Discussionmentioning

confidence: 99%

Speaking up about patient safety in psychiatric hospitals – a cross‐sectional survey study among healthcare staff

Schwappach

Niederhauser

2019

Int J Mental Health Nurs

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Speaking up is an important communication strategy to prevent patient harm. The aim of this study was to examine speak up‐related behaviour and climate for the first time in psychiatric hospitals. A cross‐sectional survey was conducted among healthcare workers (HCWs) in six psychiatric hospitals with nine sites in Switzerland. Measures assessed speak up‐related behaviour with 11 items organized in three scales (the frequency of perceived safety concerns, the frequency of withholding voice, and the frequency of speaking up). Speak up‐related climate was assessed by 11 items organized in 3 subscales (psychological safety for speaking up, encouraging environment for speaking up, and resignation). Statistical analyses included descriptive statistics, reliability, correlations and multiple regression analysis, confirmatory factor analysis, and analysis of variance for comparing mean scores between professional groups. A total of 817 questionnaires were completed (response rate: 23%). In different items, 45%–65% of HCWs reported perceived safety concerns at least once during the past four weeks. Withholding voice was reported by 13–25% of HCWs, and speaking up was reported by 53%–72% of HCWs. Systematic differences in scores were found between professional groups (nurses, doctors, psychologists) and hierarchical groups (lower vs higher status). The vignette showed that hierarchical level and perceived risk of harm for the patient were significant predictors for the self‐reported likelihood to speak up. Situations triggering safety concerns occur frequently in psychiatric hospitals. Speaking up and voicing concerns should be further promoted as an important safety measure.

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“…4 PS has been shown to be highly related to increased team engagement, increased rates of medical error reporting, personal work engagement, and quality system improvement. [5][6][7][8][9][10] While qualitative research has shown associations between communication and PS, 9 few studies have measured resident perceptions of PS at their teaching hospitals and made correlations with attributes of their learning environment. This study applied advanced statistical methods to nationwide survey data to investigate the predictors of PS and its effects on resident satisfaction with their clinical facilities.…”

Section: Introductionmentioning

confidence: 99%