Evidence map›Paper›PMID 33679547›Full record

ArticleFrontiers in psychology2021

Healthcare Professionals Experience of Psychological Safety, Voice, and Silence.

Róisín O'Donovan, Aoife De Brún, Eilish McAuliffe

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06477250 (Investigating the Effects of an Online Empathy-Compassion Dyad Intervention on Teacher Resilience, Mental Health, Social Emotions, Social Communication, and Interactions), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06477250 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Investigating the Effects of an Online Empathy-Compassion Dyad Intervention on Teacher Resilience, Mental Health, Social Emotions, Social Communication, and Interactions

TypeinterventionalSponsorMax Planck Social Neuroscience LabRan2024 to 2025Enrolled200ConditionsBurnoutArmsEmpathy-based socio-emotional mental training
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. 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 · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Róisín O'DonovanInterdisciplinary Research, Education and Innovation in Health Systems (IRIS), Health Sciences Centre, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Aoife De BrúnInterdisciplinary Research, Education and Innovation in Health Systems (IRIS), Health Sciences Centre, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Eilish McAuliffeInterdisciplinary Research, Education and Innovation in Health Systems (IRIS), Health Sciences Centre, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare professionals who feel psychologically safe believe it is safe to take interpersonal risks such as voicing concerns, asking questions and giving feedback. Psychological safety is a complex phenomenon which is influenced by organizational, team and individual level factors. However, it has primarily been assessed as a team-level phenomenon. This study focused on understanding healthcare professionals' individual experiences of psychological safety. We aim to gain a fuller understanding of the influence team leaders, interpersonal relationships and individual characteristics have on individuals' psychological safety and their decisions to engage in voice or silence behavior. Thirty-four interviews were conducted with healthcare professionals from across five teams working within an acute, suburban hospital. Hybrid inductive-deductive thematic analysis focused on identifying themes which captured the complexities of individuals' varied experiences of psychological safety. The themes identified were: "Personal Characteristics," "Past Experiences," "Individual Perceptions of Being Valued," and "Judged Appropriateness of Issues/Concerns." These themes are explored within the context of motivating and inhibiting factors associated with the influence of leadership, interpersonal relationships and individual characteristics on experiences of psychological safety and voice behavior. These results extend existing theoretical frameworks guiding our understanding of psychological safety by accounting for the variation in individuals' experiences and studying these significant influences on voice behavior. Important considerations for the development of interventions to enhance psychological safety are discussed.

Indexed as

healthcareindividual experienceinterviews (qualitative)psychological safetyteamwork

Identifiers

PMID33679547
PMCPMC7933795

What OpenQuestion holds

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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.