Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review

IF 2.2 4区医学 Q1 NURSING Applied Nursing Research Pub Date : 2025-06-01 Epub Date: 2025-03-22 DOI:10.1016/j.apnr.2025.151946

Rose D. LaPlante MBA, MSN, RN, NEA-BC , Patricia Reid Ponte DNSc, RN, FAAN , Cherlie Magny-Normilus PhD, FNP-BC, FNYAM, FAAN

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Abstract

Background

Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.

Method

A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.

Results

Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.

Conclusion

This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.

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心理安全的基本要素和结果在医疗实践设置：一个系统的回顾

背景心理安全被认为是包括医疗机构在内的组织中高效团队合作的重要组成部分。本系统性综述对医疗实践团队中心理安全的基本要素和结果进行了研究，以确定实施心理安全的最佳实践。在 220 篇文章中，有 30 篇符合纳入标准。本综述确定了医疗保健中心理安全的五个基本要素和结果。结论本系统性综述证实了心理安全对医疗保健团队的重要性。将资源用于确保在医疗团队中实施和加强心理安全将提高提供可靠、安全和高质量医疗服务的可能性。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.