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Psychological Safety in Intensive Care Unit Rounding Teams.

Matthew A Diabes1, Jennifer N Ervin2, Billie S Davis3

  • 1Tepper School of Business, Carnegie Mellon University, Pittsburgh, Pennsylvania.

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|December 28, 2020
PubMed
Summary
This summary is machine-generated.

Psychological safety in intensive care units (ICUs) is linked to leader inclusiveness and reduced job strain, but not directly to improved patient care practices like lung-protective ventilation.

Keywords:
intensive care unitsorganizational behaviororganizational culturepatient care teampsychological safety

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Critical Care Medicine

Background:

  • Psychological safety, where team members feel secure to take risks and voice concerns, is crucial for organizational performance.
  • Its specific role and influencing factors within the high-stakes intensive care unit (ICU) environment remain underexplored.

Purpose of the Study:

  • To identify factors associated with psychological safety among healthcare providers in critical care settings.
  • To investigate the influence of psychological safety on team performance, including perceived teamwork and adherence to evidence-based practices.

Main Methods:

  • Daily surveys assessed psychological safety, leader inclusiveness, role clarity, job strain, and teamwork among providers in 12 ICUs over two weeks.
  • Data were correlated with daily performance metrics for lung-protective ventilation and spontaneous breathing trials.
  • Regression models analyzed antecedents of psychological safety and its impact on teamwork and performance.

Main Results:

  • Higher leader inclusiveness and lower job strain were significantly associated with increased psychological safety.
  • Greater psychological safety correlated with enhanced perception of teamwork among providers.
  • No significant association was found between team psychological safety and performance on spontaneous breathing trials or lung-protective ventilation.

Conclusions:

  • Psychological safety in the ICU is influenced by modifiable factors such as leadership inclusivity and job strain.
  • While psychological safety enhances perceived teamwork, it does not directly translate to improved adherence to specific evidence-based practices in critical care.