ArticleInternational journal of mental health nursing2019
Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff.
Article in International journal of mental health nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring Students' Perceptions and Experiences of Raising Concerns During Pre-Registration Training in England: A Systematic Review.Journal of advanced nursing · 2025Pooled it
- Patient safety incidents in the psychiatric inpatient setting: determinants, consequences, and strategies. A systematic review.Frontiers in psychiatry · 2025Pooled it
- 'If You Don't Speak Up, It Will Eat You Up': A Critical Discourse Analysis of Voice and Silence in a Multicultural Clinical Healthcare System.Nursing inquiry · 2026Article
- Patient safety as an ethical interface: alignment between staff safety culture, speaking up climate and inpatient perceptions in Romania: a cross-sectional multi-informant survey.BMC health services research · 2026Article
- Factors influencing hand hygiene speak-up as perceived by nursing students with clinical practice experience: an application of the theory of planned behavior.BMC nursing · 2026Article
- Putting patients first: how risk awareness drives action among healthcare professionals in Slovakia.Frontiers in psychology · 2026Article
- The relationship between nurses' speaking up about patient safety and nursing work environment in Saudi Arabia: A cross-sectional study.Belitung nursing journal · 2026Article
- The Sounds of Silence: Problematizing Voicelessness in Nursing Practice.Nursing inquiry · 2026Article
- Network analysis of the relationships between voice behavior and team psychological safety climate among Chinese nurses.BMC nursing · 2025Article
- 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
- Assertiveness in Nursing: A Systematic Review of Its Role and Impact in Healthcare Settings.Nursing reports (Pavia, Italy) · 2025Review
- Assessing employee silence about patient safety and its association with environmental factors among nurses in Ardabil: a cross-sectional study.BMC health services research · 2025Article
- The relationship between affective leadership and the voice behavior of nurses: a cross-level moderated mediation model.BMC nursing · 2025Article
- Accreditation Modules According to Hospital Types: A Scoping Review.Iranian journal of public health · 2024Article
- What inhibits "speaking up" for patient safety among healthcare workers? A cross-sectional study in Malaysia.Human resources for health · 2024Article
- Adaptation and validation of a Korean version of the speaking up about patient safety questionnaire (KSUPS-Q).BMC nursing · 2024Article
- Iranian nurses' attitudes towards the disclosure of patient safety incidents: a qualitative study.BMJ open · 2024Article
- Cluster of Speaking-Up Behavior in Clinical Nurses and Its Association With Nursing Organizational Culture, Teamwork, and Working Condition: A Cross-Sectional Study.Journal of nursing management · 2024Article
- 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
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2 authors.
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Abstract
Speaking up is an important communication strategy to prevent patient harm. The aim of this study was to examine speak up-related behaviour and climate for the first time in psychiatric hospitals. A cross-sectional survey was conducted among healthcare workers (HCWs) in six psychiatric hospitals with nine sites in Switzerland. Measures assessed speak up-related behaviour with 11 items organized in three scales (the frequency of perceived safety concerns, the frequency of withholding voice, and the frequency of speaking up). Speak up-related climate was assessed by 11 items organized in 3 subscales (psychological safety for speaking up, encouraging environment for speaking up, and resignation). Statistical analyses included descriptive statistics, reliability, correlations and multiple regression analysis, confirmatory factor analysis, and analysis of variance for comparing mean scores between professional groups. A total of 817 questionnaires were completed (response rate: 23%). In different items, 45%-65% of HCWs reported perceived safety concerns at least once during the past four weeks. Withholding voice was reported by 13-25% of HCWs, and speaking up was reported by 53%-72% of HCWs. Systematic differences in scores were found between professional groups (nurses, doctors, psychologists) and hierarchical groups (lower vs higher status). The vignette showed that hierarchical level and perceived risk of harm for the patient were significant predictors for the self-reported likelihood to speak up. Situations triggering safety concerns occur frequently in psychiatric hospitals. Speaking up and voicing concerns should be further promoted as an important safety measure.
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