ArticleJournal of advanced nursing2026
Let's Talk About the Elephant in the Room: A Psychological Safety Climate Intervention Among Nursing Teams-A Qualitative Evaluation.
Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Job Satisfaction Among Frontline Caregivers: The Mediating Role of Psychological Safety and Personality Traits.Healthcare (Basel, Switzerland) · 2026Article
- Transformative Learning Through Implementation: A Realist Case Study of Frostbite Care Protocol Implementation.Advances in medical education and practice · 2026Article
- Improving Nursing Team Collaboration Through Nurses' Digital Literacy: A Variable-Centered and Person-Centered Perspective.Journal of nursing management · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore how a staff and managers experienced a multi-component and multi-level intervention to influence the psychological safety climate within nursing teams.
designQualitative, to explore the experiences of registered nurses, licensed practical nurses, and managers in a Swedish hospital.
methodsFour focus group discussions were conducted in March 2023 with staff and managers (n = 20). A deductive thematic analysis was conducted, guided by a theoretical model of psychological safety, to examine work climate perceptions and antecedent conditions. An inductive approach was used to explore how participants experienced the intervention.
resultsParticipants experienced a shift from a blame-oriented to a more psychologically safe work climate. These developments were enabled by enhanced self-awareness, more supportive interpersonal dynamics, and leaders adopting a more accessible and vulnerable role. The intervention created a safe space to reflect on team dynamics.
conclusionSustained efforts that integrate self-awareness, interpersonal dynamics, and managerial support are important to intentionally develop psychological safety. The creation of safe spaces can serve as a first step to confront unaddressed group beliefs. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Interventions aimed at improving psychology safety can have positive effects if they focus on developing individual trust and vulnerability, targeting group dynamics, and including leaders. IMPACT: Problem addressed: Inadequate psychological safety among nursing teams, hindering effective collaboration. MAIN
findingsBy changing work conditions, the intervention led to improved perceived psychological safety. Research impact: Creating conditions for psychological safety can improve how teams function. REPORTING
methodCOREQ-checklist. PATIENT OR PUBLIC CONTRIBUTION: No PPI patient or public contribution.
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