ArticleHealth care management review
How psychological safety and feeling heard relate to burnout and adaptation amid uncertainty.
Article in Health care management review. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review.Applied nursing research : ANR · 2025Pooled it
- Effectiveness of a Participatory Voice Intervention on Psychological Well-Being Among Warehouse Workers: Results From the Fulfillment Center Intervention Study, United States, 2021‒2023.American journal of public health · 2026Trial
- Enhancing eXcellence Through Community, Empowerment, and Learning (EXCEL): a Pilot Study of a Self-Determination Theory-Informed Peer-Facilitated Psychoeducational Intervention for Health Sciences Trainees.Medical science educator · 2026Article
- The Role of Self-Compassion and Body Perception in Predicting Psychological Safety.Journal of clinical medicine · 2026Article
- Unlocking the Full Potential of Health Care Teams: How Artificial Intelligence Can Help.JMIR AI · 2026Article
- Integrating Emotional Contagion into Leadership Theorizing: Development and Validation of the Leader Awareness of Holistic Contagion Scale.European journal of investigation in health, psychology and education · 2026Article
- Pathway to Excellence Designation, Nurse Work Environment, and Hospital Quality and Safety: A Multi-State Hospital Study.Research in nursing & health · 2026Article
- The Dynamic and Multisource Nature of Support for Frontline-Led Innovation Teams.Medical care research and review : MCRR · 2026Article
- Psychological safety and primary care physicians' well-being, work conditions and guideline adherence behavior: a cross-sectional study in China.Global health action · 2025Article
- Understanding resilience in medical interns through ecological momentary assessments, predictive modelling, and topic analysis.Communications medicine · 2025Article
- Barriers and Facilitators to Surgical Trainee Psychological Safety.JAMA network open · 2025Article
- Examining the effects of despotic leadership on nurses in the face of emotional exhaustion, organizational silence, and revanchist behaviors.BMC nursing · 2025Article
- Perceptions of Patient-Clinician Communication Among Adults With and Without Serious Illness.JAMA network open · 2025Article
- Association of Psychological Safety with Burnout and Intent to Leave Among Physician Faculty in New York City.Journal of general internal medicine · 2025Article
- Enhancing listening skills among future public health professionals: a pre-post educational intervention study.Frontiers in public health · 2025Article
- Psychological safety in the perioperative environment: a cost-consequence analysis.BMJ leader · 2024Article
- Promoting Resilience in Healthcare Workers: A Preventative Mental Health Education Program.International journal of environmental research and public health · 2024Article
- Engaging Interdisciplinary Innovation Teams in Federally Qualified Health Centers.Medical care research and review : MCRR · 2024Article
- 'We are expected to be problem solvers'-Paramedics' performance expectations through the lens of organizational socialization: An interview study.Nursing open · 2024Article
- Quality improvement in the era of boarding and burnout: A postpandemic blueprint.Journal of the American College of Emergency Physicians open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPsychological safety-the belief that it is safe to speak up-is vital amid uncertainty, but its relationship to feeling heard is not well understood. PURPOSE: The aims of this study were (a) to measure feeling heard and (b) to assess how psychological safety and feeling heard relate to one another as well as to burnout, worsening burnout, and adaptation during uncertainty. METHODOLOGY: We conducted a cross-sectional survey of emergency department staff and clinicians (response rate = 52%; analytic N = 241) in July 2020. The survey measured psychological safety, feeling heard, overall burnout, worsening burnout, and perceived process adaptation during the COVID-19 crisis. We assessed descriptive statistics and construct measurement properties, and we assessed relationships among the variables using generalized structural equation modeling.
resultsPsychological safety and feeling heard demonstrated acceptable measurement properties and were correlated at r = .54. Levels of feeling heard were lower on average than psychological safety. Psychological safety and feeling heard were both statistically significantly associated with lower burnout and greater process adaptation. Only psychological safety exhibited a statistically significant relationship with less worsening burnout during crisis. We found evidence that feeling heard mediates psychological safety's relationship to burnout and process adaptation.
conclusionPsychological safety is important but not sufficient for feeling heard. Feeling heard may help mitigate burnout and enable adaptation during uncertainty. PRACTICE IMPLICATIONS: For health care leaders, expanding beyond psychological safety to also establish a feeling of being heard may further reduce burnout and improve care processes.
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What OpenQuestion holds
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.