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
收藏
页码：467 / 489
页数：23
相关论文
共 100 条
  • [31] How hospitals select their patient safety priorities An exploratory study of four Veterans Health Administration hospitals
    George, Judy
    Parker, Victoria A.
    Sullivan, Jennifer L.
    Greenan, Mary A.
    Chan, Jeffrey
    Shin, Marlena H.
    Chen, Qi
    Shwartz, Michael
    Rosen, Amy K.
    [J]. HEALTH CARE MANAGEMENT REVIEW, 2020, 45 (04) : E56 - E67
  • [32] Brainwriting Premortem A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers
    Gilmartin, Heather
    Lawrence, Emily
    Leonard, Chelsea
    McCreight, Marina
    Kelley, Lynette
    Lippmann, Brandi
    Coy, Andrew
    Burke, Robert E.
    [J]. JOURNAL OF NURSING CARE QUALITY, 2019, 34 (02) : 94 - 100
  • [33] Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist
    Gilmartin, Heather M.
    Langner, Paula
    Gokhale, Madhura
    Osatuke, Katerine
    Hasselbeck, Rachael
    Maddox, Thomas M.
    Battaglia, Catherine
    [J]. JOURNAL OF NURSING CARE QUALITY, 2018, 33 (01) : 53 - 60
  • [34] High-Power Distance Is Not Always Bad: Ethical Leadership Results in Feedback Seeking
    Gong, Zhenxing
    Van Swol, Lyn
    Xu, Zhiyuan
    Yin, Kui
    Zhang, Na
    Gilal, Faheem Gul
    Li, Xiaowei
    [J]. FRONTIERS IN PSYCHOLOGY, 2019, 10
  • [35] JOB TITLES AS IDENTITY BADGES: HOW SELF-REFLECTIVE TITLES CAN REDUCE EMOTIONAL EXHAUSTION
    Grant, Adam M.
    Berg, Justin M.
    Cable, Daniel M.
    [J]. ACADEMY OF MANAGEMENT JOURNAL, 2014, 57 (04) : 1201 - 1225
  • [36] Psychological safety and infection prevention practices: Results from a national survey
    Greene, M. Todd
    Gilmartin, Heather M.
    Saint, Sanjay
    [J]. AMERICAN JOURNAL OF INFECTION CONTROL, 2020, 48 (01) : 2 - 6
  • [37] The role of continuous quality improvement and psychological safety in predicting work-arounds
    Halbesleben, Jonathon R. B.
    Rathert, Cheryl
    [J]. HEALTH CARE MANAGEMENT REVIEW, 2008, 33 (02) : 134 - 144
  • [38] Living Up to Safety Values in Health Care: The Effect of Leader Behavioral Integrity on Occupational Safety
    Halbesleben, Jonathon R. B.
    Leroy, Hannes
    Dierynck, Bart
    Simons, Tony
    Savage, Grant T.
    McCaughey, Deirdre
    Leon, Matthew R.
    [J]. JOURNAL OF OCCUPATIONAL HEALTH PSYCHOLOGY, 2013, 18 (04) : 395 - 405
  • [39] Practice-based small group learning in GP specialty training
    Hesselgreaves, Hannah
    MacVicar, Ronald
    [J]. EDUCATION FOR PRIMARY CARE, 2012, 23 (01) : 27 - 33
  • [40] Linking leader inclusiveness to work unit performance: The importance of psychological safety and learning from failures
    Hirak, Reuven
    Peng, Ann Chunyan
    Carmeli, Abraham
    Schaubroeck, John M.
    [J]. LEADERSHIP QUARTERLY, 2012, 23 (01) : 107 - 117
12345678910