Concerns about practice: supporting staff by fostering a climate of psychological safety.

Ali Richards
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Abstract

The nursing profession is under growing pressure and many nursing staff find it increasingly challenging to maintain standards and provide safe, effective and efficient care that meets the needs of patients. Nurses' job satisfaction is predicated on feeling supported, including when there are concerns about practice - whether their own or that of their colleagues. This article discusses how nurse managers can support staff to challenge suboptimal practice, admit their own errors and learn from these by fostering a climate of psychological safety. This includes adopting a relational model of leadership; cultivating open communication; providing clarity on roles and expectations; ensuring transparency and fairness in performance management; having supportive 'tough conversations' with staff; demonstrating objectivity when investigating concerns; and promoting a 'just culture'.

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关注实践:营造心理安全氛围,为员工提供支持。
护理行业面临着越来越大的压力,许多护理人员发现,要保持标准并提供安全、有效和高效的护理服务以满足病人的需求,挑战越来越大。护士对工作的满意度取决于是否能感受到支持,包括当她们对自己或同事的做法感到担忧时。本文讨论了护士管理者如何通过营造心理安全氛围来支持员工挑战次优做法、承认自己的错误并从中吸取教训。这包括采用关系型领导模式;培养开放式沟通;明确职责和期望;确保绩效管理的透明度和公平性;与员工进行支持性的 "艰难对话";在调查问题时表现出客观性;以及倡导 "公正文化"。
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Coaching members of the healthcare team to improve care provision. Identifying and addressing the challenges experienced by nursing associates. Concerns about practice: supporting staff by fostering a climate of psychological safety. Managing uncivil behaviour in the workplace. How to implement compassionate leadership in nursing teams.
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