ArticlePloS one2019
Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05422872 (Exploring What Psychological Safety Competencies Are Being Acquired During the Training Period of Healthcare Students), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Exploring What Psychological Safety Competencies Are Being Acquired During the Training Period of Healthcare Students: A Delphi Study of Trainee Mentors
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Unveiling the hidden struggle of healthcare students as second victims through a systematic review.BMC medical education · 2024Pooled it
- Defining Speaking Up in the Healthcare System: a Systematic Review.Journal of general internal medicine · 2023Pooled it
- Gender-based discrimination shapes psychological safety and professional identity in clinical settings: a qualitative study of nursing, midwifery, and medical students.BMC medical education · 2026Article
- Speaking up or staying silent? Confidence, barriers and institutional readiness among Syrian medical and dental students: a cross-sectional survey.BMC medical education · 2026Article
- Conflict resolution strategies and their association with perceived stress among German medical students: a cross-sectional study.Frontiers in medicine · 2026Article
- Exploring the barriers to nursing students' speaking up for patient safety in Iran: a qualitative study.BMC nursing · 2025Article
- Nurses' Perceptions of Patient Safety Culture and Voice Behaviors: A Descriptive and Correlational Study.Journal of evaluation in clinical practice · 2025Article
- Psychological Safety Competency Training During the Clinical Internship From the Perspective of Health Care Trainee Mentors in 11 Pan-European Countries: Mixed Methods Observational Study.JMIR medical education · 2024Observational
- Speaking Up About Patient Safety, Withholding Voice and Safety Climate in Clinical Settings: a Cross-Sectional Study Among Ibero-American Healthcare Students.International journal of public health · 2024Article
- Medical students' experiences, perceptions, and management of second victim: an interview study.BMC medical education · 2023Article
- Article
- The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.BMC nursing · 2023Article
- "Asking for help is a strength"-how to promote undergraduate medical students' teamwork through simulation training and interprofessional faculty.Frontiers in psychology · 2023Article
- Speaking up about patient safety concerns: view of nursing students.BMC health services research · 2022Article
- A behavioural study of obedience in health professional students.Advances in health sciences education : theory and practice · 2022Article
- Conformity, obedience, and the Better than Average Effect in health professional students.Canadian medical education journal · 2022Article
- A multi-method exploratory study of health professional students' experiences with compliance behaviours.BMC medical education · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpeaking up behavior is a manifestation the culture of safety in an organization; however, withholding voice is commonly observed. Within one academic teaching hospital, it was the aim to assess students' speaking up behaviors and perceived culture in order to stimulation of the academic development in terms of patient safety.
methodsSurvey amongst medical students using a validated questionnaire. Data were analysed using descriptive statistics.
results326 individuals completed the questionnaire (response rate 24%). 37% of responders were in their 5th- 6th clinical term, 32% were in their 7th-8th term and 31% were in the 9th-12th term. 69% of students had a specific safety concern in the past four weeks, 48% had observed an error and 68% noticed the violation of a patient safety rule. Though students perceived specific patient safety concerns, 56% did not speak up in a critical situation. All predefined barriers seemed to play an important role in inhibiting students' voicing concerns. The scores on the psychological safety scale were overall moderately favourable. Students felt little encouraged by colleagues and, in particular, by supervisors to speak up.
conclusionSpeaking up behaviour of students was assessed for the first time in an Austrian academic teaching hospital. The higher the term the more frequent students reported perceived patient safety concerns or rule violations and withholding voice. These results suggest the need to adapt the curriculum concept of the faculty in order to address patient safety as a relevant topic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.