Search Results (48)

Under intensified downward economic pressures on the economy, technological innovation is playing a pivotal role in the development of Chinese enterprises. Employees’ psychological safety significantly influences their innovative behaviors, as a climate of psychological safety fosters greater willingness among staff to engage in voice behaviors. Guanxi with a team leader may decrease this effect. This study analyzed survey data from 263 employees of China’s private manufacturing enterprises to explore the moderating role of guanxi with a team leader in the relationship between psychological safety climate and voice behavior. Results showed that psychological safety climate was positively correlated with promotive and prohibitive voices, and employees with a higher psychological safety climate were more likely to develop voice behavior. Guanxi with team leaders negatively moderated the relationship between psychological safety climate and promotive and prohibitive voices, and the association between psychological safety climate and promotive and prohibitive voices was strong when guanxi with a team leader was weak. This study expands the scope of the application of guanxi, with team leaders as a moderating variable. It helps leaders focus on the psychological safety climate of employees, maintain harmonious and friendly interpersonal relationships with employees, enable employees to spontaneously contribute to the development of the organization, and enhance cohesion in the organization. Full article

Introduction/Objective: Post-bariatric surgery patients require long-term, coordinated care to address complex nutritional, physiological, and behavioral challenges. Personalized smart nutrition, combining individualized dietary strategies with targeted monitoring, has emerged as a valuable direction for optimizing recovery and long-term outcomes. This article examines how traditional medical protocols can be enhanced by digital solutions in a multidisciplinary framework. Methods: The study analyzes current clinical practices, including personalized meal planning, physical rehabilitation, biochemical marker monitoring, and psychological counseling, as applied in post-bariatric care. These established approaches are then analyzed in relation to the NutriMonitCare system, a digital health system developed and tested in a laboratory environment. Used here as an illustrative example, the NutriMonitCare system demonstrates the potential of digital tools to support clinicians through real-time monitoring of dietary intake, activity levels, and physiological parameters. Results: Findings emphasize that medical protocols remain the cornerstone of post-surgical management, while digital tools may provide added value by enhancing data availability, supporting individualized decision making, and reinforcing patient adherence. Systems like the NutriMonitCare system could be integrated into interdisciplinary care models to refine nutrition-focused interventions and improve communication across care teams. However, their clinical utility remains theoretical at this stage and requires further validation. Conclusions: In conclusion, the integration of digital health tools with conventional post-operative care has the potential to advance personalized smart nutrition. Future research should focus on clinical evaluation, real-world testing, and ethical implementation of such technologies into established medical workflows to ensure both efficacy and patient safety. Full article

In China’s rapidly digitizing IT industry, empowering leadership has become a crucial catalyst for workplace proactivity; however, the mechanisms linking leadership practices to individual proactive behaviors remain underexplored. This study addresses this gap by proposing a multi-level framework that integrates team processes and technological contexts. Based on the job demands–resources theory, the research examines the mechanisms of empowering leadership through parallel team-level pathways and the influence of digital infrastructure on these dynamics. Data were gathered in three phases from 510 employees across 74 teams in seven IT firms. Hierarchical analyses with SPSS 27.0, AMOS 28.0, and HLM 6.08 revealed three pathways: empowering leadership significantly enhances workplace proactivity, with team job crafting and psychological safety serving as sequential mediators. Moreover, access to knowledge via ICT moderates the relationship between team job crafting and workplace proactivity. This study theoretically contests sequential mediation assumptions by demonstrating parallel, non-overlapping mechanisms and redefines ICT’s role as a contextual enhancer in digital workplaces. Practically, it offers organizations a modular strategy: leaders can prioritize either job crafting systems or psychological safety climates to foster proactivity, depending on their team’s technological readiness. These insights offer practical recommendations for optimizing leadership practices in high-pressure IT environments, where digital tools and team dynamics influence employee initiative. Full article

Objective: Psychological safety (PS) is essential for health and social care professionals (HSCPs) working in high-stress environments. While much of the existing research focuses on PS within teams, less is known about HSCPs’ lived experiences across diverse health and social care settings. This scoping review aims to synthesise the qualitative literature on PS, identifying key barriers and enablers to its development in health and social care workplaces. Methods: A systematic search was conducted across MEDLINE, PsycINFO, Embase, CINAHL, Scopus, Web of Science, and the Cochrane Library, covering a 20-year period (2004–2024). Eligible studies included primary qualitative research exploring HSCPs’ experiences of PS. Screening and data extraction were managed using Rayyan. An inductive thematic synthesis approach was applied to identify key patterns in the data. Results: The review identified several enablers and barriers to PS. The main enablers included (1) feeling safe within the team and (2) personal factors, which encompassed professional skills, experience, social support, and self-care. Conversely, key barriers were identified: (1) the normalisation of traumatic incidents, (2) unsupportive team and management structures, (3) organisational constraints, and (4) a lack of knowledge and training on PS. Conclusions: Understanding the enablers and barriers of PS is critical for improving workplace culture, resilience, and wellbeing among HSCPs. These findings provide a foundation for future research and interventions aimed at strengthening PS at individual, team, and organisational levels across diverse health and social care settings. The results also offer valuable insights for informing policies and practice to ultimately enhance both staff wellbeing and patient care quality. Full article

Background: Medical errors are common, and in particular, medication errors are one of the leading causes of morbidity and mortality in healthcare. Nurses must disclose errors to build trust and ensure patient safety despite communication barriers and fear of reprisals. Truthful documentation and better collaboration can improve patient outcomes. Aim: The aim of this study was to assess barriers to error disclosure among nurses in the Kingdom of Saudi Arabia. Methods: A descriptive cross-sectional survey was conducted in the months of June and August 2024 using a convenience sample of 255 nurses at King Fahad Hospital (KFH), Hofuf. A self-administered questionnaire that contained socio-demographic questions, as well as the Barriers to Error Disclosure Assessment (BEDA) tool, was deployed. Results: The majority of the sample were female (92.2%) and Bachelor’s degree holders (80.8%) who had 1–5 or 6–10 years of experience, representing 45.5% and 29.0% of the sample, respectively. When medical errors occur, only 18% of the nurses disclosed them to patients and their families, and 34.5% of the respondents disclosed medical errors to another team of healthcare professionals. The types of barriers to error disclosure were identified as relating to confidence and knowledge barriers, institutional barriers, psychological barriers, and financial concern barriers. The overall barrier score had an average of 63%. The barriers with the highest scores were those relating to psychological barriers (68.2%), followed by institutional barriers (66.5%) and financial concern barriers (64.5%). Conclusions: Targeted interventions are required for addressing the identified specific needs to support healthcare providers, specifically nurses. New regulations and policy changes are crucial for training programs implementation, enhancing safety culture, and tackling job-related insecurities to minimize barriers to error disclosure and ultimately provide better patient care quality. Further investigations may include a different approach, and it is recommended to provide deeper insights into nurse experiences. Full article

Background/Objectives: The present study examined the predictive relationships between transformational leadership, psychological safety, and concussion reporting intentions. Interviews were used to understand the impact of the coach and teammates on the team environment and how this might lead to greater concussion reporting in team-sport athletes. Methods: This study employed a mixed-methods explanatory sequential design. 233 team-sport athletes (n = 160 males, n = 73 females, mean age = 19.83 years, SD = 3.15) completed quantitative measures of transformational leadership, psychological safety, and concussion reporting intentions, while five participants (n = 2 males, n = 3 females, mean age = 18.40 years, SD = 0.55) were subsequently interviewed about their experiences. Results: Quantitative results indicated that transformational leadership predicted a psychologically safe environment (p < 0.001), and social norms for team-sport athletes predicted concussion reporting intentions (p < 0.001). Qualitative findings highlighted the important role that coaches and teammates play in creating an open environment that encourages concussion reporting. Education and awareness were also seen to further develop such an environment, while athletes identified several barriers to reporting symptoms of concussion. Conclusions: The findings from this study provide researchers and practitioners with preliminary evidence that can shape the design of interventions to support the development of a team environment that can promote concussion reporting and, thus, prioritise player health. Full article

Background: Disruptive clinician behavior (DCB) negatively affects patient safety by impairing healthcare team communication. In Japanese hospitals, hierarchical structures and traditional leadership styles contribute to its persistence. This study examines the prevalence and impact of DCB in two general hospitals and evaluates the role of response strategies in mitigating its effects. Methods: A quantitative web-based survey was conducted among 256 healthcare professionals from two general hospitals (751 and 661 beds). The survey included demographic data, a validated DCB scale, and a structured questionnaire assessing triggers, responses, and impacts. Statistical analyses included principal component analysis (PCA), structural equation modeling (SEM), and moderated mediation analysis. Results: Among participants, 79.3% reported experiencing or witnessing DCB. Psychological/social impact partially mediated the relationship between DCB and hospital management issues (β = 0.19, p = 0.001). Response strategies reduced the psychological/social impact of DCB (β = −0.20, p < 0.001) but did not mitigate its direct effect on hospital management. Conclusions: While prompt responses can alleviate the psychological burden on victims, they do not prevent broader institutional damage caused by DCB. Effective interventions should focus on both individual and organizational measures to reduce the occurrence of DCB. Full article

This study explores first-year university students’ perceptions of psychological safety, team creativity, and academic well-being in problem-based learning (PBL) teams at Aalborg University, where PBL is systematically implemented. These constructs are vital for fostering effective collaboration and positive academic outcomes, yet their interrelations in educational contexts remain underexplored. A survey was administered to 893 students across STEM and Health programs, using validated instruments for psychological safety, team creativity, and academic well-being. Results indicate moderate to strong correlations among the three constructs, underscoring the interplay and connection between psychological safety, team creativity and academic well-being in team settings. Gender and program-based differences were examined, revealing small but significant distinctions, such as higher team creativity scores among STEM students and greater psychological safety reported by male students. These findings highlight the importance of fostering trust and inclusivity within PBL teams, particularly for students transitioning to university-level education. This study contributes to understanding the interplay between psychological safety, creativity, and academic well-being in collaborative learning environments and highlights the need for further research to explore both the development and distribution of these critical concepts, especially during students’ transition to higher education. Full article

The reality in South Africa is that township school environments are not safe for early-career educators. According to South Africa’s Constitution in the Bill of Rights, every learner has the right to a free, reputable education. Although educators are obligated to facilitate this free education, the right to education does not supersede the right to safety because, without protection, more rights will be violated. This study aimed to explore forms of violence perpetrated by school management teams and learners against early-career educators in township schools in Soshanguve, South Africa. A qualitative research method was used to access deeper information on the topic. Clarke’s six steps of thematic analysis were used to analyse the data. Semi-structured interviews were used to gather information. The major findings of this study revealed four forms of violence experienced by early-career educators, which included physical and verbal violence, financial violence and sexual violence. This study recommends that parents should make a habit of checking their children’s schoolwork. This will hold learners accountable for their work. Parents should minimise engaging in conflict in the presence of their children, as this can have adverse emotional and psychological effects on them. They should provide a supportive environment for their children, which can foster a positive parent–child relationship. In addition, the community should play a proactive role in combating substance abuse by ensuring that substances are not accessible to children. Full article

Since 2014, the health sector in the Democratic Republic of the Congo has been undergoing reforms aimed at strengthening the Provincial Health Administration (PHA) to better support health district development through technical support to district health management teams (DHMTs). However, there is limited understanding of how, for whom, and under what conditions this support works. Using a realist evaluation approach, this study aimed to test an initial program theory of technical support to DHMTs by PHA staff in Kasai Central Province. Data were collected from document reviews, interviews, questionnaires, and routine health information systems. After thematically analysing the implementation, context, actors, mechanisms, and outcomes, we applied retroductive reasoning to connect these elements using the Intervention–Context–Actors–Mechanisms–Outcomes configurations (ICAMOcs) heuristic. We identified nine ICAMOcs showing how resource constraints and political and organisational challenges hindered the effective delivery of technical support. These challenges triggered disabling mechanisms, such as low motivation, self-efficacy, a sense of accountability, psychological safety, reflexivity, the perceived relevance of support, the perceived credibility of PHA staff, and perceived autonomy, resulting in mixed outcomes. The performance-based financing scheme helped mitigate some issues by providing resources and boosting extrinsic motivation, but concerns persist about its sustainability due to reliance on external funding. These findings highlight the need for strong political commitment and coordinated efforts to address these challenges. Full article

Psychological safety is essential for rest, recovery, and fostering social connections, particularly for health and social care workers (HSCWs) who frequently operate in high-pressure environments. These workers are prone to traumatic stress, which can elevate their sense of threat and undermine their psychological safety. This study aimed to validate the Neuroception of Psychological Safety Scale (NPSS) among HSCWs in the UK (n = 443). The NPSS is based on polyvagal theory and assesses the dimensions of compassion, social engagement and bodily sensations. Internal consistency, test–retest reliability, convergent, discriminant, and concurrent validity were examined, along with the scale’s dimensionality. A three-factor structure was confirmed, with internal consistencies ranging from acceptable to excellent across subscales. Validity was supported by significant associations with measures of team psychological safety, well-being, post-traumatic stress, burnout, body perception, and personality. The NPSS also demonstrated strong test–retest reliability. These results validate the NPSS as a reliable and multidimensional tool for assessing psychological safety in health and social care settings. The study highlights the importance of psychological safety for HSCWs and provides a valuable measure to support interventions aimed at fostering safer and more supportive work environments. Full article

Leadership behavior profoundly influences organizational culture, serving as a cornerstone for environments that foster safety, innovation, and employee satisfaction. This article utilizes research from the primary literature to demonstrate how leaders’ actions and underlying fears influence organizational dynamics and employee outcomes, highlighting the importance of respect, transparency, and trust. Studies have shown that leadership styles shape the work environment, driving innovation and performance. However, concerns over productivity, evaluation, and control can lead to poor communication, low transparency, reduced innovation, and diminished performance, creating a culture of mistrust and anxiety. Authoritarian control or neglect of employees’ needs exacerbates these issues, stifling creativity. The Pygmalion and Golem effects demonstrate how positive reinforcement enhances morale, productivity, and retention, while negative reinforcement is detrimental. Leaders operating under fears of failure or loss of control or political capital inadvertently create a culture of fear and increasingly severe feedback loops of reduced employee trust, satisfaction, and commitment. Addressing these fears fosters open communication, psychological safety, transparency, and mutual respect. Strategies for transforming leadership fears into positive change include promoting open communication, decentralizing decision-making, and implementing positive reinforcement mechanisms. Constructive feedback mechanisms encourage bidirectional communication and help mitigate the negative impacts of leadership fears. Leaders who address their fears can strengthen team trust, enhancing collaboration and engagement. Ultimately, managing leadership fears proactively catalyzes organizational learning and development, promoting a mindset where challenges are seen as opportunities for growth. This approach enhances adaptability and resilience while fostering continuous improvement. Addressing leadership fears and fostering a supportive culture is essential for sustainable productivity and success, serving as a starting point for exploring strategies that support employee performance and development, ultimately contributing to organizational success. Full article

Background/Objectives: The stress levels in emergency services are enormous. The resulting stress can range from psychological irritation to burnout. This study examines the importance of resilience in the German EMS and its significance for the risk of irritation and burnout among EMS personnel. Methods: A quantitative cross-sectional online survey was conducted among 285 EMS personnel in Germany. Resilience was measured by the RS-13 Scale, irritation by the Irritation Scale (IS), and burnout by the Maslach Burnout Inventory (MBI). Sociodemographic and job-related data were also collected. A classification into resilient groups was used to compare stress levels. Results: More than one-third (39%) of the participants had a low level of resilience. EMS personnel with high levels of resilience had significantly lower scores on the cognitive and emotional irritation dimensions, as well as on the burnout dimensions of emotional exhaustion and cynicism. Conclusions: Resilience plays an important role in the safety culture of emergency services. The results support the hypothesis that high levels of resilience lead to less stress and help people cope better with stress. Almost two-fifths of the participants had lower resilience, underscoring the need for safe communication and targeted measures to strengthen resilience. Regular training, a supportive work environment, and promoting team cohesion and social support can improve emergency responders’ mental health and job performance. Future research should develop specific intervention strategies and evaluate their effectiveness to ensure the long-term health of emergency responders and improve the quality of emergency care. Full article

The intelligent transformation of coal mines is one of the current trends in developing China’s coal mining industry. To explore the impact of miners’ insecurity on their safety behavior under this trend, miners’ psychological resilience was introduced as the mediating variable, and team safety climate was used as the moderating variable to conduct a questionnaire survey of frontline miners. The data analysis was carried out using descriptive statistics, correlation analysis, structural equation modeling (SEM), and the fsQCA method to explore the impact of job insecurity on miners’ risk behavior through psychological resilience from the dimensions of job loss insecurity, job performance insecurity, and interpersonal insecurity. The results show that the sense of insecurity of the miners has a significant negative correlation with security behavior and a significant negative correlation with psychological toughness; miners’ psychological resilience plays an intermediary role in the correlation between job loss insecurity and miners’ risk behavior. Meanwhile, team safety climate has a significant moderating effect on the relationship between job insecurity and psychological resilience, as well as the relationship between psychological resilience and safety behavior; that is, a good team safety climate can effectively reduce the negative impact of job insecurity brought about by the transformation and upgrading of coal mines. Full article

While public service motivation (PSM) and teamwork are widely recognized as crucial drivers for effective public service delivery, researchers primarily analyze these factors independently and at a personal level. The existing literature rarely explores the interplay between PSM, the project team learning process (PTLP), and psychological safety (PS) within research and development (R&D) project teams, particularly in national R&D organizations. This study addresses this gap by proposing a theoretical model that examines the combined effect of individual motivation and team collaboration, mediated by PS, on R&D PTLP. Additionally, it investigates the moderating influence of project management (PM) styles—fully agile and partially agile—on these relationships. The proposed method utilizes partial least squares structural equation modeling (PLS-SEM) for quantitative data analysis. Our findings revealed a positive relationship between PSM, PS, and R&D PTLP, with PS acting as a significant mediator. Notably, the relationship between PSM and R&D PTLP was stronger under fully agile project management compared to partially agile settings. These findings suggest that both project teams and organizations should prioritize promoting PS and consider the moderating effects of project management styles to foster a sustainable R&D team learning process, particularly within national R&D institutions. Full article