Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study.
J Appl Psychol
; 97(6): 1273-81, 2012 Nov.
Article
en En
| MEDLINE
| ID: mdl-22985115
ABSTRACT
This article clarifies how leader behavioral integrity for safety helps solve follower's double bind between adhering to safety protocols and speaking up about mistakes against protocols. Path modeling of survey data in 54 nursing teams showed that head nurse behavioral integrity for safety positively relates to both team priority of safety and psychological safety. In turn, team priority of safety and team psychological safety were, respectively, negatively and positively related with the number of treatment errors that were reported to head nurses. We further demonstrated an interaction effect between team priority of safety and psychological safety on reported errors such that the relationship between team priority of safety and the number of errors was stronger for higher levels of team psychological safety. Finally, we showed that both team priority of safety and team psychological safety mediated the relationship between leader behavioral integrity for safety and reported treatment errors. These results suggest that although adhering to safety protocols and admitting mistakes against those protocols show opposite relations to reported treatment errors, both are important to improving patient safety and both are fostered by leaders who walk their safety talk.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
/
Actitud del Personal de Salud
/
Seguridad del Paciente
/
Personal de Enfermería en Hospital
Tipo de estudio:
Clinical_trials
/
Guideline
/
Prognostic_studies
Límite:
Adult
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Appl Psychol
Año:
2012
Tipo del documento:
Article
País de afiliación:
Bélgica