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Schroeder JA, Durrani RJ, Opollo J, Latham-Sadler BA, Scoggin SN. A Review of the Psychology That Underpins the Creation of a Diversity, Equity, and Inclusion Committee. J Am Coll Radiol 2024; 21:663-667. [PMID: 37742729 DOI: 10.1016/j.jacr.2023.02.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 02/06/2023] [Accepted: 02/07/2023] [Indexed: 09/26/2023]
Abstract
Although all committee work can be fraught with difficulty and laborious time commitments, committees designed to disrupt the cycle of inequity and bias are particularly fraught with social and emotional land mines that come as baggage to years of unaddressed inequity. As such, leaders must take special care and attend to the complex psychology that underpins the difficult discussions that must be had by these committees as they begin to address topics of inequity within professional medical institutions. The authors describe, in an accessible summary format, how to lay the foundations for a smooth transition into the work of a diversity, equity, and inclusion committee, the best steps to build a team, and the core concepts that should underpin all diversity, equity, and inclusion work, starting from the intrapersonal level and moving toward the organizational level. This is done with the help of available scientific data where they are available, including literature on teamwork, health equity, and psychological safety, among other topics.
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Affiliation(s)
- Jennifer A Schroeder
- Founding Co-Chair of Radiology Departmental Diversity, Equity, and Inclusion Committee, Department of Radiology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina; Founder and Faculty Leader of Women in Radiology.
| | - Raisa J Durrani
- Founding Co-Chair of Radiology Departmental Diversity, Equity, and Inclusion Committee and Radiology Departmental Vice Chair of Diversity, Equity, and Inclusion, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
| | - Jackline Opollo
- Vice President, Talent Initiatives, and Regional Chief Diversity Officer, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
| | - Brenda A Latham-Sadler
- Associate Dean of Student Inclusion and Diversity, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
| | - Steven N Scoggin
- Associate Vice President of Behavioral Health, Executive Vice Chair of the Department of Psychiatry and Behavioral Medicine, and Associate Dean of Leadership Coaching and Care, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
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Schmidt A, Marshall D, Raso R, Sintich M, Poch N, Joseph ML. A Culture of Inquiry: Practice-Based Knowledge for Nurse Leaders. J Nurs Adm 2024; 54:240-246. [PMID: 38512085 DOI: 10.1097/nna.0000000000001416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2024]
Abstract
A culture of inquiry has not traditionally been associated with nursing leadership. As healthcare evolves, leaders must reevaluate barriers to improving healthcare outcomes. One noted barrier has been a need for more inquisitiveness to innovate. Through an American Organization for Nursing Leadership workgroup, the authors advanced the understanding of a "culture of inquiry," applying a practice-based learning approach for knowledge development. Three recommended foundational elements are psychological safety, building connections, and using design thinking at all organizational levels.
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Affiliation(s)
- Anne Schmidt
- Author Affiliations: Director (Dr Schmidt), Optum Advisory, Eden Prairie, Minnesota; Senior Vice President and Chief Nursing Executive (Dr Marshall), Cedars-Sinai, Los Angeles, California; Editor in Chief (Dr Raso), Nursing Management, Wolters Kluwer, Philadelphia, Pennsylvania; Executive Vice President and Chief Nursing Executive (Dr Sintich) Inova Health System, Fairfax, Virginia; Interim Director of Centralized Functions and Associate Chief Quality Officer (Dr Poch), The University of Iowa Health Care, Iowa City; and Distinguished Scholar in Nursing, Clinical Professor, and Director (Dr Joseph), Health Systems/Administration Program, The University of Iowa, Iowa City
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Ojute F, Gonzales PA, Berler M, Puente N, Johnston B, Singh D, Edwards A, Lin J, Lebares C. Investigating Workplace Support and the Importance of Psychological Safety in General Surgery Residency Training. J Surg Educ 2024; 81:514-524. [PMID: 38388307 DOI: 10.1016/j.jsurg.2023.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 11/27/2023] [Accepted: 12/17/2023] [Indexed: 02/24/2024]
Abstract
OBJECTIVE Workplace interventions that increase support can mitigate burnout, improve workplace satisfaction, and increase well-being. Our aim is to provide evidence-based targets to inform future work for operationalizing support in general surgery residency. DESIGN This is a 2-part mixed-methods cross-sectional study. Part 1 analyzed qualitative data from focus groups (April 2021-May 2022). Part 2 comprised an online survey (informed by findings in Part 1) in May 2022 to assess the association between perceived psychological safety (PS) and flourishing, as well as PS and languishing. SETTING National multi-center study including 16 ACGME-accredited academic programs. PARTICIPANTS General surgery residents at various training levels, in both clinical and research. RESULTS A total of 28 residents participated in the focus groups which revealed both enhancers and inhibitors of support pertaining to PS in the workplace. Enhancers of support included those currently implemented (i.e., allyship of mentors) and those proposed by residents (i.e., nonpunitive analysis of mistakes). Inhibitors of support included both systems (i.e., wellness initiatives as a 'band-aid' for systems issues) and culture (i.e., indefatigability, stoicism). About 251 residents (31%) responded to the survey which revealed higher perception of PS was significantly associated with flourishing at the level of residency program and departmental leadership. Lower perception of PS was significantly associated with languishing at the level of residency program leadership only. CONCLUSION Our findings highlight the promotion of PS, such as expansion of mentorship to include advocacy (advocating on a resident's behalf, recognition when mistreated) and affirmation (i.e., soliciting opinions on controversial social matters/events, recognizing different life experiences), cultural acceptance of asking for help (without being perceived as weak), formal help navigating interpersonal dynamics (i.e., guidance from senior residents), and leadership presentations and modeling to destigmatize asking for help, as a means of operationalizing workplace support to increase flourishing and decrease languishing.
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Affiliation(s)
- Feyisayo Ojute
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Paul Adam Gonzales
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Michael Berler
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Nicole Puente
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Brianna Johnston
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Damin Singh
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Anya Edwards
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Joseph Lin
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California
| | - Carter Lebares
- UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California.
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Weis-Rappaport H, Kluger AN. The effects of listening with "time-sharing" on psychological safety and social anxiety: the moderating role of narcissism and depression. J Soc Psychol 2024; 164:218-229. [PMID: 36573650 DOI: 10.1080/00224545.2022.2161337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 12/12/2022] [Indexed: 12/28/2022]
Abstract
Listeners who interrupt speakers upset the speakers and prevent the benefits of good listening. Interruptions can be avoided with "time-sharing," where each partner listens (silently) for an equal amount of time. Yet, is time-sharing good for all? In an experiment with 50 pairs (95 participants with useable data), participants conversed freely for one minute and were then assigned either to a time-sharing (of three minutes each) or a free conversation condition. Consistent with our hypotheses, speakers in the time-sharing condition showed reduced social anxiety if they were high on narcissism but elevated social anxiety if high on depression, explaining past inconsistent effects of time-sharing.
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Wolf L, Nash V, Strout T, Clark P, Moon MD. Protecting the Physical and Psychological Safety of the Research Team. J Emerg Nurs 2024; 50:204-206. [PMID: 38453342 DOI: 10.1016/j.jen.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 10/06/2023] [Accepted: 10/08/2023] [Indexed: 03/09/2024]
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Walton CC, Purcell R, Pilkington V, Hall K, Kenttä G, Vella S, Rice SM. Psychological Safety for Mental Health in Elite Sport: A Theoretically Informed Model. Sports Med 2024; 54:557-564. [PMID: 37737542 PMCID: PMC10978613 DOI: 10.1007/s40279-023-01912-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2023] [Indexed: 09/23/2023]
Abstract
Elite sports contexts are highly pressurised and frequently enforce a win-at-all-costs approach. This narrow focus on performance outcomes can potentially contribute in negative ways to the mental health of those within these environments. In this Current Opinion paper, we propose a model that outlines how key elements contributing to psychologically safe or unsafe environments may contribute to better or worse mental health outcomes, respectively. In an environment in which individuals feel safe to show their authentic selves rather than 'wear a mask', different experiences of mental health are likely to be normalised, help-seeking behaviour increased, and thus, mental health outcomes enhanced. We outline how sports teams and organisations can contribute to this through the creation of appropriate policies and procedures, in addition to leaders modelling and reinforcing positive cultural norms. It is intended that the theoretical model can inform stakeholders in elite sport as well as future research directions.
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Affiliation(s)
- Courtney C Walton
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
- Elite Sports and Mental Health, Orygen, Melbourne, Australia.
| | - Rosemary Purcell
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Vita Pilkington
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
| | - Kate Hall
- Australian Football League, Melbourne, Australia
- School of Psychology, Deakin University, Geelong, Australia
| | - Göran Kenttä
- The Swedish School of Sport and Health Sciences, Stockholm, Sweden
- School of Human Kinetics, University of Ottawa, Ottawa, Canada
| | - Stewart Vella
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Wollongong, Australia
| | - Simon M Rice
- Elite Sports and Mental Health, Orygen, Melbourne, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
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Gilmartin HM, Saint S, Ratz D, Chrouser K, Fowler KE, Greene MT. The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic. Infect Control Hosp Epidemiol 2024; 45:310-315. [PMID: 37702064 PMCID: PMC10933498 DOI: 10.1017/ice.2023.184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 06/28/2023] [Accepted: 07/14/2023] [Indexed: 09/14/2023]
Abstract
OBJECTIVE To explore infection preventionists' perceptions of hospital leadership support for infection prevention and control programs during the coronavirus disease 2019 (COVID-19) pandemic and relationships with individual perceptions of burnout, psychological safety, and safety climate. DESIGN Cross-sectional survey, administered April through December 2021. SETTING Random sample of non-federal acute-care hospitals in the United States. PARTICIPANTS Lead infection preventionists. RESULTS We received responses from 415 of 881 infection preventionists, representing a response rate of 47%. Among respondents, 64% reported very good to excellent hospital leadership support for their infection prevention and control program. However, 49% reported feeling burned out from their work. Also, ∼30% responded positively for all 7 psychological safety questions and were deemed to have "high psychological safety," and 76% responded positively to the 2 safety climate questions and were deemed to have a "high safety climate." Our results indicate an association between strong hospital leadership support and lower burnout (IRR, 0.61; 95% CI, 0.50-0.74), higher perceptions of psychological safety (IRR, 3.20; 95% CI, 2.00-5.10), and a corresponding 1.2 increase in safety climate on an ascending Likert scale from 1 to 10 (β, 1.21; 95% CI, 0.93-1.49). CONCLUSIONS Our national survey provides evidence that hospital leadership support may have helped infection preventionists avoid burnout and increase perceptions of psychological safety and safety climate during the COVID-19 pandemic. These findings aid in identifying factors that promote the well-being of infection preventionists and enhance the quality and safety of patient care.
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Affiliation(s)
- Heather M. Gilmartin
- Denver/Seattle Center of Innovation for Veteran-Centered and Value Driven Care, Veterans Health Administration Eastern Colorado Healthcare System, Aurora, Colorado
- Department of Health Systems, Management and Policy, University of Colorado, Colorado School of Public Health, Aurora, Colorado
- University of Michigan/VA Ann Arbor Patient Safety Enhancement Program, Ann Arbor, Michigan
| | - Sanjay Saint
- VA Ann Arbor Healthcare System, Ann Arbor, Michigan
- Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
- University of Michigan/VA Ann Arbor Patient Safety Enhancement Program, Ann Arbor, Michigan
| | - David Ratz
- VA Ann Arbor Healthcare System, Ann Arbor, Michigan
- University of Michigan/VA Ann Arbor Patient Safety Enhancement Program, Ann Arbor, Michigan
| | - Kristin Chrouser
- VA Ann Arbor Healthcare System, Ann Arbor, Michigan
- Department of Urology, University of Michigan Medical School, Ann Arbor, Michigan
- University of Michigan/VA Ann Arbor Patient Safety Enhancement Program, Ann Arbor, Michigan
| | - Karen E. Fowler
- VA Ann Arbor Healthcare System, Ann Arbor, Michigan
- University of Michigan/VA Ann Arbor Patient Safety Enhancement Program, Ann Arbor, Michigan
| | - M. Todd Greene
- VA Ann Arbor Healthcare System, Ann Arbor, Michigan
- Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
- University of Michigan/VA Ann Arbor Patient Safety Enhancement Program, Ann Arbor, Michigan
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McElroy C, Skegg E, Mudgway M, Murray N, Holmes L, Weller J, Hamill J. Psychological Safety and Hierarchy in Operating Room Debriefing: Reflexive Thematic Analysis. J Surg Res 2024; 295:567-573. [PMID: 38086257 DOI: 10.1016/j.jss.2023.11.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 09/30/2023] [Accepted: 11/12/2023] [Indexed: 02/25/2024]
Abstract
INTRODUCTION Debriefing is a team discussion in a constructive, supportive environment. Barriers exist to consistent, effective team debriefing in the clinical setting, especially in operating theaters. The purpose of this study was to gain insights from frontline workers on how to set up an effective debriefing policy for our operating room. METHODS This was a qualitative study in which we interviewed operating room workers in a tertiary children's hospital. Interviews were audio-recorded, transcribed, and coded. Data were analysed using the reflexive thematic analysis technique within a critical realism paradigm. RESULTS Interviews were analysed from 40 operating room staff: 14 nurses, seven anesthetic technicians, seven anaesthetists, and 12 surgeons; 25 (65%) were female. The three key themes were (1) "commitment to learning"-healthcare workers are committed to teamwork and quality improvement; (2) "it is a safe space"-psychological safety is a prerequisite for, and is enhanced by, debriefing; and (3) "natural leader"-the value of leadership, but also constructs around leadership that maintain hierarchies. CONCLUSIONS Psychological safety is both a prerequisite for and a product of debriefing. Leadership, if viewed as a collective responsibility, could help break down power structures. Given the results of this study and evidence in the literature, it is likely that routine debriefing, if well done, will improve psychological safety, facilitate team learning, reduce errors, and improve patient safety.
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Affiliation(s)
- Canice McElroy
- Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand
| | - Emma Skegg
- Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand
| | - Mercedes Mudgway
- Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand
| | - Ngaire Murray
- Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand
| | - Linda Holmes
- Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand
| | - Jennifer Weller
- Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New Zealand
| | - James Hamill
- Department of Paediatric Surgery, Starship Children's Hospital, Auckland, New Zealand; Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New Zealand; Department of Paediatrics, Child and Youth Health, The University of Auckland, Auckland, New Zealand.
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Lee SE, Seo JK, Squires A. Voice, silence, perceived impact, psychological safety, and burnout among nurses: A structural equation modeling analysis. Int J Nurs Stud 2024; 151:104669. [PMID: 38160639 DOI: 10.1016/j.ijnurstu.2023.104669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Revised: 11/14/2023] [Accepted: 12/02/2023] [Indexed: 01/03/2024]
Abstract
BACKGROUND The organizational studies' literature suggests that employees' expressions of voice and silence may be distinct concepts with different predictors. Organizational researchers also argue that both employees' voice and silence are related to burnout; however, these relationships have not been adequately examined in the healthcare context. OBJECTIVE This study aimed to investigate the relationships among nurses' perceived impact, psychological safety, voice behaviors, and burnout using a theoretical model. Voice behaviors were conceptualized as voice and silence. DESIGN A cross-sectional, correlational study design was employed. SETTINGS Study data were collected in 34 general hospitals in South Korea. PARTICIPANTS A total of 1255 registered nurses providing direct care to patients were included in this study. METHODS Using a convenience sampling method, a web-based survey was conducted to obtain data. All variables were measured using standardized instruments. A structural equation modeling analysis was employed to test a hypothesized model positing that perceived impact and psychological safety have both direct and indirect effects on nurse burnout through voice and silence. The response rate was 72.8 %. RESULTS The findings supported the hypothesized model. Both perceived impact and psychological safety were positively related to expressions of voice, but both were negatively associated with silence. We also found that perceived impact was more strongly associated with voice than with silence, while psychological safety had a stronger impact on silence than on voice. Furthermore, voice reduced burnout, while silence increased it. Finally, perceived impact reduced burnout through voice (β = -0.10, 95 % confidence interval [-0.143, -0.059]) and silence (β = -0.04, 95 % confidence interval [-0.058, -0.014]), and psychological safety also decreased burnout through voice (β = -0.04, 95 % confidence interval [-0.057, -0.016]) and silence (β = -0.07, 95 % confidence interval [-0.101, -0.033]). Additional analyses revealed that prohibitive voice and silence significantly mediated the associations between psychological safety and burnout and perceived impact and burnout, but the mediating role of promotive voice was not statistically significant. CONCLUSIONS It is important to recognize that voice and silence are distinct concepts. Moreover, to reduce nurse burnout, nurse managers and hospital administrators should develop separate strategies for promoting nurses' perceived impact and psychological safety, as their influences on voice and silence differ. REGISTRATION Not applicable. TWEETABLE ABSTRACT Voice and silence both influence nurse burnout. Separate strategies should be applied to voice and silence, as they are different concepts.
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Affiliation(s)
- Seung Eun Lee
- College of Nursing, Yonsei University, Seoul, South Korea.
| | - Ja-Kyung Seo
- Department of Psychology, Yonsei University, Seoul, South Korea
| | - Allison Squires
- Rory Meyers College of Nursing, New York University, New York, USA
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Rennie SC, Rudland JR. Psychological safety in surgery: the negative impact of bullying for surgeons and patients and how we can all do better. ANZ J Surg 2024; 94:6-7. [PMID: 38407559 DOI: 10.1111/ans.18868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 01/08/2024] [Indexed: 02/27/2024]
Affiliation(s)
- Sarah C Rennie
- Dean's Department, Te Kura Hauora o Ōtākou Otago Medical School, Ōtepoti Dunedin, Aotearoa New Zealand
| | - Joy R Rudland
- Faculty Education Unit, Te Kura Hauora o Ōtākou Otago Medical School, Ōtepoti Dunedin, Aotearoa New Zealand
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Ma Y, Gao Y, Zhai H, Xian M, Ma H. Improving learning psychological safety for medical undergraduates in blended classroom. Med Educ 2024; 58:260-261. [PMID: 38047710 DOI: 10.1111/medu.15281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 10/12/2023] [Indexed: 12/05/2023]
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Abstract
It is recognised that simulation-based education can be stressful, and this can impact negatively on learning. A fundamental aspect of facilitating simulation is creating a safe educational environment. Edmondson's seminal work on creating psychological safety among interpersonal teams has been embraced by the healthcare simulation community. Psychological safety is an underpinning philosophy for creating simulation experiences in which learners can develop within a stimulating and challenging yet supportive social atmosphere. Through careful design and thoughtful delivery, the introductory phase of simulation, the pre-briefing, can effectively prepare learners for simulation, reduce learner anxiety, and promote psychological safety, to enhance learning experiences. These twelve tips provide guidance for conducting a pre-brief and promoting a psychologically safe environment for simulation-based education.
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Affiliation(s)
| | - Neil Malcolm Harrison
- Clinical Skills Centre, Dundee Institute for Healthcare Simulation, School of Medicine, University of Dundee, Dundee, Scotland
| | - Steven Anthony Lewis
- Clinical Skills Centre, Dundee Institute for Healthcare Simulation, School of Medicine, University of Dundee, Dundee, Scotland
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Vassar M, Lewis SJ. RESPONSE: Psychological Safety for Cardiology Trainees. J Am Coll Cardiol 2023; 82:2066-2067. [PMID: 37968023 DOI: 10.1016/j.jacc.2023.02.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2023]
Affiliation(s)
- Margo Vassar
- The Queen's Medical Center, Honolulu, Hawaii, USA
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Pfeifer L, Vessey J, Cazzell M, Ponte PR, Geyer D. Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. J Pediatr Nurs 2023; 73:130-136. [PMID: 37683304 DOI: 10.1016/j.pedn.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 08/31/2023] [Accepted: 09/01/2023] [Indexed: 09/10/2023]
Abstract
PURPOSE The purpose of this study was to explore relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. Patient safety events are underreported and costly. To promote reporting, many healthcare organizations have adopted the high reliability framework with strategies to foster team psychological safety. DESIGN A web-based survey was distributed through the Society of Pediatric Nurses and the National Pediatric Nurse Scientist Collaborative. Data were collected from 244 pediatric nurses using a demographic form, Safety Organizing Scale, Team Psychological Safety Scale, and Intention to Report Safety Events Scale. Data were analyzed using logistic and linear regression. RESULTS Psychological safety and perception of working in a high reliability organization (HRO) showed positive statistically significant relationships with reporting intentions (p = 0.034). Odds of nurses achieving highest reporting intention scores increased by a factor of 0.3 with each practice year. CONCLUSIONS Psychological safety was found to be a predictor for intention to report safety events among pediatric nurses. Findings also demonstrated that nurses' perceptions of whether they worked in a high reliability setting also profoundly affect their attitude towards reporting. PRACTICE IMPLICATIONS Focusing organizational efforts on cultivating psychological safety and embedding the high reliability framework into professional practice may significantly affect attitudes towards safety event reporting.
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Affiliation(s)
- Lauren Pfeifer
- Boston College, Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA.
| | - Judith Vessey
- Boston College, Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA
| | - Mary Cazzell
- Cook Children's Medical Center, 801 Seventh Avenue, Fort Worth, TX 76104, USA
| | - Pat Reid Ponte
- Boston College, Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA
| | - David Geyer
- Boston College, Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA
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