A concept analysis of psychological safety: Further understanding for application to health care

被引：35

作者：

Ito, Ayano ^{[1
]}

Sato, Kana ^{[1
]}

Yumoto, Yoshie ^{[1
]}

Sasaki, Miki ^{[1
]}

Ogata, Yasuko ^{[1
]}

机构：

[1] Tokyo Med & Dent Univ TMDU, Grad Sch Hlth Care Sci, Dept Gerontol Nursing & Healthcare Syst Managemen, Tokyo, Japan

来源：

NURSING OPEN | 2022年 / 9卷 / 01期

关键词：

concept analysis; health care; interpersonal risk; learning behaviour; patient safety; psychological safety; reporting error; speaking up; CONTINUOUS QUALITY IMPROVEMENT; BEHAVIORAL INTEGRITY; ORGANIZATIONAL CULTURE; LEARNING-BEHAVIOR; WORK-ENVIRONMENT; PATIENT SAFETY; CLIMATE; PERFORMANCE; NURSES; UNIT;

D O I：

10.1002/nop2.1086

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aim: To clarify the concept of psychological safety in a healthcare context and to provide the first theoretical framework for improving interpersonal relationships in the workplace to better patient care. Design: A Rodgers' concept analysis. Methods: The concept analysis was conducted using a systematic search strategy on PubMed, CINAHL, PsycINFO and Ichushi-Web. Results: An analysis of 88 articles studying psychological safety in health care identified five attributes: perceptions of the consequences of taking interpersonal risks, strong interpersonal relationships, group-level phenomenon, safe work environment for taking interpersonal risks and non-punitive culture. The antecedents included structure/system factors, interpersonal factors and individual factors. The four consequences included performance outcomes, organizational culture outcomes, and psychological and behavioural outcomes.

引用

页码：467 / 489

页数：23

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