SynthesisBMC medical research methodology2020
Measuring psychological safety in healthcare teams: developing an observational measure to complement survey methods.
Synthesis in BMC medical research methodology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
- A Novel 5-Item Survey Tool to Assess Psychological Safety Among Graduate Medical Education Trainees.Journal of graduate medical education · 2026Article
- Untangling standardization and administrative burden as microfoundations of agility in healthcare.BMC health services research · 2026Article
- Organizational dehumanization and career adaptability among clinical nurses: the mediating role of self-compassion and the moderating role of psychological safety.Scientific reports · 2026Article
- Psychological Safety as a Predictor of Acute Stress, Well-Being and Burnout in Health and Social Care Workers: A Predictive Correlational Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Development of a Transformative Model of Change for Mental Health Education, Research, and Service.Acta medica Philippina · 2026Article
- Exploring the strategies used by managers to support midwives experiencing adverse events in a selected district of Gauteng province.Health SA = SA Gesondheid · 2026Article
- Leadership micro-behaviors and performance stability under competitive pressure: a stepped-wedge field study in professional football.Frontiers in psychology · 2026Article
- Article
- Psychological Safety of Critical Care Nurses in Finland.Nursing in critical care · 2026Article
- Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample.European journal of psychotraumatology · 2025Article
- Protocol to examine the feasibility and acceptability of a randomized controlled trial of a chaplain-delivered compassion intervention to improve psychological safety among interprofessional healthcare teams.Pilot and feasibility studies · 2025Article
- Effectiveness- and cost effectiveness of a structured method for systematic and integrated occupational safety and health and patient safety management systems (SIOHPS) - a study protocol for a pragmatic stepped wedge cluster randomised controlled trial.BMC health services research · 2025Article
- Effectiveness of a Group-Based Psychological Safety Intervention to Prevent Workplace Bullying and Sustain Work Engagement: A Cluster Randomized Controlled Trial.Behavioral sciences (Basel, Switzerland) · 2025Article
- Patient safety competency and it associated with teamwork and psychological safety among emergency nurses in Iran.Scientific reports · 2025Article
- Psychological safety, job satisfaction, and the intention to leave among German early-career physicians.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- The Role of Servant Leadership in Fostering Psychological Safety Among Nurses in Jordanian Hospitals.Journal of nursing management · 2025Article
- Building trust in clinical research: a systems approach to ethical engagement and sustainable outcomes.Frontiers in pharmacology · 2025Article
- Psychological safety in the perioperative environment: a cost-consequence analysis.BMJ leader · 2024Article
- Culturally-aligned clinical leadership competencies for effective teamwork in Japanese healthcare.BMC medical education · 2024Article
- Psychological safety perception in community pharmacies: A randomized controlled trial of agile interventions.Exploratory research in clinical and social pharmacy · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPsychological safety is a dynamic team-level phenomenon which exists when team members believe that it is safe to take interpersonal risks. In healthcare teams, the presence of psychological safety is critical to delivering safe care. Scholars have highlighted a need for alternative measures which compliment survey-based measures of psychological safety in healthcare teams.
methodsThe exploratory phase of this study raised concerns about whether current survey measures could provide a sufficient understanding of psychological safety within healthcare teams to inform strategies to improve it. Thus, previously validated psychological safety surveys and a meeting observation measure were adapted for use in healthcare teams. First, two group feedback sessions were held with 22 healthcare professionals, as well as a systematic literature review. Then, the members of eleven healthcare teams in Ireland and The Netherlands (n = 135) took part in the pilot test of the adapted composite measure.
resultsThe final composite measure has two parts: a team meeting observation measure and an adapted survey. The observation measure has 31 observable behaviours fitting seven categories: voice, defensive voice, silence behaviours, supportive, unsupportive, learning or improvement-oriented and familiarity type behaviours. The survey part consists of 19 items in three sub-dimensions related to; the team leader, other team members and the team as a whole. Three additional items capture the perceived representativeness of the observed team meeting compared to other similar meetings. Final adaptations were made in order to integrate the observation and survey measure.
conclusionsThe resulting composite measure combines the strengths of observational and survey measures and is tailored for use in healthcare teams. It is uniquely co-developed with healthcare professionals and grounded in the psychological safety and healthcare literature. This composite measure can enable longitudinal research on psychological safety and inform future research to develop and test interventions to improve psychological safety.
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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.