Let's Talk About the Elephant in the Room: A Psychological Safety Climate Intervention Among Nursing Teams - A Qualitative Evaluation

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cris.lastimport.scopus2025-11-29T04:14:03Z
dc.abstract.enAim: 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.
dc.affiliationInstytut Psychologii
dc.contributor.authorMazzocato, Pamela
dc.contributor.authorDel Villar Pérez, Jenny
dc.contributor.authorHerber, Karin
dc.contributor.authorKeita, My
dc.contributor.authorRoczniewska, Marta
dc.date.access2025-07-04
dc.date.accessioned2025-11-07T12:22:35Z
dc.date.available2025-11-07T12:22:35Z
dc.date.created2025-06-24
dc.date.issued2025-07-04
dc.description.abstract<jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>To explore how a staff and managers experienced a multi‐component and multi‐level intervention to influence the psychological safety climate within nursing teams.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Qualitative, to explore the experiences of registered nurses, licensed practical nurses, and managers in a Swedish hospital.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Four focus group discussions were conducted in March 2023 with staff and managers (<jats:italic>n</jats:italic> = 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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Implications for the Profession and/or Patient Care</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Impact</jats:title><jats:p><jats:italic>Problem addressed</jats:italic>: Inadequate psychological safety among nursing teams, hindering effective collaboration. <jats:italic>Main findings</jats:italic>: By changing work conditions, the intervention led to improved perceived psychological safety. <jats:italic>Research impact</jats:italic>: Creating conditions for psychological safety can improve how teams function.</jats:p></jats:sec><jats:sec><jats:title>Reporting Method</jats:title><jats:p>COREQ‐checklist.</jats:p></jats:sec><jats:sec><jats:title>Patient or Public Contribution</jats:title><jats:p>No PPI patient or public contribution.</jats:p></jats:sec>
dc.description.accesstimebefore_publication
dc.description.physical1-16
dc.description.sdgGenderEquality
dc.description.sdgDecentWorkAndEconomicGrowth
dc.description.versionfinal_published
dc.identifier.doi10.1111/jan.70059
dc.identifier.eissn1365-2648
dc.identifier.issn0309-2402
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/1969
dc.identifier.weblinkhttps://onlinelibrary.wiley.com/doi/10.1111/jan.70059?af=R
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY-NC
dc.rights.questionYes_rights
dc.share.articleOTHER
dc.subject.enintervention
dc.subject.ennursing teams
dc.subject.enpsychological safety
dc.swps.sciencecloudnosend
dc.titleLet's Talk About the Elephant in the Room: A Psychological Safety Climate Intervention Among Nursing Teams - A Qualitative Evaluation
dc.title.journalJournal of Advanced Nursing
dc.typeJournalArticle
dspace.entity.typeArticle