Let's Talk About the Elephant in the Room: A Psychological Safety Climate Intervention Among Nursing Teams - A Qualitative Evaluation
Let's Talk About the Elephant in the Room: A Psychological Safety Climate Intervention Among Nursing Teams - A Qualitative Evaluation
StatusVoR
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Authors
Mazzocato, Pamela
Del Villar Pérez, Jenny
Herber, Karin
Keita, My
Roczniewska, Marta
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Date
2025-07-04
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Journal of Advanced Nursing
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1-16
ISSN
0309-2402
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2025-07-04
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Abstract EN
Aim: To explore how a staff and managers experienced a multi-component and multi-level intervention to influence the psychological safety climate within nursing teams. Design: Qualitative, to explore the experiences of registered nurses, licensed practical nurses, and managers in a Swedish hospital. Methods: Four 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. Results: Participants 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. Conclusion: Sustained 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 findings: By changing work conditions, the intervention led to improved perceived psychological safety. Research impact: Creating conditions for psychological safety can improve how teams function. Reporting Method: COREQ-checklist. Patient or Public Contribution: No PPI patient or public contribution.
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Keywords PL
Keywords EN
intervention
nursing teams
psychological safety
nursing teams
psychological safety
Keywords other
Sustainable Development Goals
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