ArticleHealth affairs scholar2024
Psychological safety is associated with better work environment and lower levels of clinician burnout.
Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 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
- [Toxic working environment-A widespread frequently repressed problem].Die Anaesthesiologie · 2026Article
- Association of Psychological Safety with PTSD Symptoms Among Regional Firefighters in South Korea: Moderating Roles of Occupational Identity and Peer Support.International journal of environmental research and public health · 2026Article
- Pathway to Excellence Designation, Nurse Work Environment, and Hospital Quality and Safety: A Multi-State Hospital Study.Research in nursing & health · 2026Article
- Chronobiology-Driven Anti-Aging Strategies for Enhancing Dentists' Occupational Health and Quality of Life: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Conceptual Framework and Methods for Evaluating an Intervention to Improve Psychological Safety in Graduate Medical Education.Family medicine · 2026Article
- The social hierarchies and intra-group dynamics of symphony orchestras: a psychological perspective on ensemble cohesion.Frontiers in psychology · 2026Review
- Association of combinations of perceived workplace disagreement and friendliness with long-term sickness absence due to mental disorders among Japanese employees: a one-year prospective cohort study using items from the Brief Job Stress Questionnaire.Environmental and occupational health practice · 2026Article
- The National Dementia Workforce Study: Perspective From the National Institute on Aging.Journal of the American Geriatrics Society · 2025Article
- Enhancing Dentists' Resilience and Occupational Sustainability Through Physical Activity: A Systematic Review in the Post-Pandemic Context.Healthcare (Basel, Switzerland) · 2025Review
- Building Resilience and Competence in Bachelor Nursing Students: A Narrative Review Based on Social Cognitive Theory.Nursing reports (Pavia, Italy) · 2025Review
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Burnout is attributed to negative work environments and threatens patient and clinician safety. Psychological safety is the perception that the work environment is safe for interpersonal risk-taking and may offer insight into the relationship between the work environment and burnout. In this cross-sectional analysis of survey data from 621 nurse practitioners in California, we found that one-third (34%) experienced high burnout. Four factors in the work environment were negatively associated with burnout and positively associated with psychological safety. Significant mediation effects of psychological safety were observed on the relationships between each work environment factor and both emotional exhaustion and depersonalization. The largest mediation effects were observed on the total effects of Nurse Practitioner-Physician Relations and Practice Visibility on Emotional Exhaustion (37% and 32%, respectively) and Independent Practice and Support and NP-Administration Relations on Depersonalization (32% and 29%, respectively). We found, overall, that psychological safety decreased the strength of the negative relationship between work environment and burnout. We argue that research, practice, and policy efforts to mitigate burnout and improve the work environment should consider psychological safety as a metric for system-level well-being.
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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.