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Psychological Safety in Pediatrics: A Scoping Review.

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Psychological safety is crucial for interprofessional teams in pediatrics, especially oncology. Understanding its factors and promoting it can improve team retention and well-being in healthcare settings.

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Area of Science:

  • Healthcare Management
  • Team Dynamics
  • Pediatric Care

Background:

  • Interprofessional teamwork is essential in pediatrics, particularly pediatric oncology.
  • Psychological safety is a fundamental requirement for effective teamwork.
  • Limited literature exists on psychological safety within pediatric healthcare settings.

Purpose of the Study:

  • To describe the current literature on psychological safety in pediatrics.
  • To identify factors that hinder or facilitate psychological safety in pediatric teams.
  • To highlight best practice examples and approaches for establishing psychological safety.

Main Methods:

  • A scoping review was conducted following PRISMA guidelines.
  • PubMed database was searched between March 25 and April 14, 2024.
  • Twenty-seven relevant articles were included from an initial 924 retrieved papers.

Main Results:

  • Key factors influencing psychological safety include communication, the work environment, and employee mental health.
  • The review identified facilitators and hindrances to psychological safety in pediatric subspecialties.
  • The study discusses the impact of these factors on team turnover and retention.

Conclusions:

  • Addressing psychological safety is critical due to workforce shortages and turnover intentions in pediatrics.
  • Further research is needed to identify effective interventions for sustained positive influence on psychological safety.
  • Establishing psychological safety requires specialized knowledge within pediatric healthcare.