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Article

Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care

by
Johanna Elisa Dietl
1,
Christina Derksen
1,
Franziska Maria Keller
1,2,
Martina Schmiedhofer
1 and
Sonia Lippke
1,*
1
Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, 28759 Bremen, Germany
2
Klinikum Bremerhaven Reinkenheide gGmbH, Treatment Center for Psychiatry, Psychotherapy and Psychosomatic, 27574 Bremerhaven, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(9), 5698; https://doi.org/10.3390/ijerph20095698
Submission received: 30 March 2023 / Revised: 23 April 2023 / Accepted: 28 April 2023 / Published: 1 May 2023
(This article belongs to the Special Issue Social, Group, and Identity Determinants of Well-Being and Health)
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Abstract

Interpersonal communication, as a central form of social resource derived from social relations, is crucial for individuals coping with threats in the workplace, especially for hospitals that provide high-quality care and patient safety. Using social system mentalization as a theoretical background, we applied psychosocial processes and a psychodynamic system approach to get insights on how healthcare workers interact with team members and patients. The goal was to test the following hypotheses: H1: Better communication is associated with fewer patient safety threats (H1a) and higher-quality care (H1b). H2: The associations between communication and patient safety threats (H2a) and higher-quality care (H2b) are mediated by psychological safety. In this two-studies design, we conducted a cross-sectional hospital survey (N = 129) and a survey of obstetric team members (N = 138) in Germany. Simple mediation analyses were run. Results revealed that communication is associated with safety performance. Further, the mediating effect of psychological safety between communication and safety performance was demonstrated. These findings contribute to an understanding of social relation representations, as individuals’ communication interrelates with safety performance mediated by psychological safety to complement healthcare and public health strategies. With a better understanding of communication and psychological safety, tools, routines, and concrete trainings can be designed.
Keywords: interpersonal communication; social relations; psychological safety; patient safety interpersonal communication; social relations; psychological safety; patient safety

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MDPI and ACS Style

Dietl, J.E.; Derksen, C.; Keller, F.M.; Schmiedhofer, M.; Lippke, S. Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care. Int. J. Environ. Res. Public Health 2023, 20, 5698. https://doi.org/10.3390/ijerph20095698

AMA Style

Dietl JE, Derksen C, Keller FM, Schmiedhofer M, Lippke S. Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care. International Journal of Environmental Research and Public Health. 2023; 20(9):5698. https://doi.org/10.3390/ijerph20095698

Chicago/Turabian Style

Dietl, Johanna Elisa, Christina Derksen, Franziska Maria Keller, Martina Schmiedhofer, and Sonia Lippke. 2023. "Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care" International Journal of Environmental Research and Public Health 20, no. 9: 5698. https://doi.org/10.3390/ijerph20095698

APA Style

Dietl, J. E., Derksen, C., Keller, F. M., Schmiedhofer, M., & Lippke, S. (2023). Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care. International Journal of Environmental Research and Public Health, 20(9), 5698. https://doi.org/10.3390/ijerph20095698

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