ArticleHealthcare (Basel, Switzerland)2024
Speaking Up and Taking Action: Psychological Safety and Joint Problem-Solving Orientation in Safety Improvement.
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Courageous leadership and nurses' speaking-up' behavior - the indirect roles of just culture and psychological safety: a cross-sectional study.International journal of nursing studies advances · 2026Article
- The Role of Nurse Managers in Promoting Psychological Safety and Patient Safety Culture in Nursing Teams: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Building Safety Through Orientation: Current Practices of Client and Patient Safety Onboarding in Finland.Healthcare (Basel, Switzerland) · 2026Article
- Nurses' Experiences of Psychological Safety in Ad Hoc Teams During Emergency Care: An Interview Study.Journal of advanced nursing · 2026Article
- Assessment of the relationships between leader behavior, organizational silence, work engagement, and extra role behaviors in hospitals.BMC health services research · 2026Article
- ICU toolbox: negotiation skills for family conversations in the ICU.Intensive care medicine · 2026Article
- An Umbrella Review of Relational Enablers of Psychological Safety and Identity-Related Gaps in the Evidence: Implications for Healthcare and Organizational Settings.Journal of healthcare leadership · 2026Review
- The cooperative difference: perceived drivers of higher care quality at home care cooperatives.Health affairs scholar · 2025Article
- The relevance of Spiritual Leadership to public health: values, meaning and purpose.Frontiers in public health · 2025Review
- Assessment of Patient Safety Culture Among Healthcare Professionals in Oman: A Cross-Sectional Study.TheScientificWorldJournal · 2025Article
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Authors and funding
3 authors.
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Abstract
Healthcare organizations face stubborn challenges in ensuring patient safety and mitigating clinician turnover. This paper aims to advance theory and research on patient safety by elucidating how the role of psychological safety in patient safety can be enhanced with joint problem-solving orientation (JPS). We hypothesized and tested for an interaction between JPS and psychological safety in relation to safety improvement, leveraging longitudinal survey data from a sample of 14,943 patient-facing healthcare workers. We found a moderation effect, in which psychological safety was positively associated with safety improvement, and the relationship was stronger in the presence of JPS. Psychological safety and JPS also interacted positively in predicting clinicians' intent to stay with the organization. For theory and research, our findings point to JPS as a measurable factor that may enhance the value of psychological safety for patient safety improvement-perhaps because voiced concerns about patient safety often require joint problem-solving to produce meaningful change. For practice, our conceptual framework, viewing psychological safety and JPS as complementary factors, can help organizations adopt a more granular approach towards assessing the interpersonal aspect of their safety climate. This will enable organizations to obtain a more nuanced understanding of their safety climate and identify areas for improvement accordingly.
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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.