Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement

被引:55
|
作者
Aranzamendez, Gina [1 ,2 ]
James, Debbie [3 ]
Toms, Robin [2 ]
机构
[1] Texas Womans Univ, MD Anderson Canc Ctr, Houston, TX 77030 USA
[2] Texas Womans Univ, Coll Nursing, Houston, TX 77030 USA
[3] Univ Texas Hlth Sci Ctr San Antonio, Sch Nursing, San Antonio, TX 78229 USA
关键词
Leadership; literature review; psychological safey; quality improvement;
D O I
10.1111/nuf.12084
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
PURPOSE. The study's aim is to review the literature on psychological safety in the healthcare setting, more specifically, to identify environmental climates which promote and support psychological safety in healthcare organizations. CONCLUSION. The findings show the complex dyadic interplay between leaders and team members. Current literature supports the significant role of leaders as one of the major contextual influences in promoting a psychologically safe environment. Specific leadership behaviors found in this review, including leadership inclusiveness, trustworthiness, changeoriented leaders, and ethical leadership, can foster a psychologically safe environment. The development and training of such leaders must incorporate cultivation of different domains of leadership. PRACTICE IMPLICATION. Knowledge of the factors influencing psychological safety will assist healthcare organizations to cultivate and promote the psychological safety among healthcare personnel, thereby promoting patient safety and increasing healthcare quality.
引用
收藏
页码:171 / 178
页数:8
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