Faculty of Business and Economics, KU Leuven, Naamsestraat 69–Post Box 3545, 3000 Leuven, Belgium.
J Appl Psychol. 2012 Nov;97(6):1273-81. doi: 10.1037/a0030076. Epub 2012 Sep 17.
This article clarifies how leader behavioral integrity for safety helps solve follower's double bind between adhering to safety protocols and speaking up about mistakes against protocols. Path modeling of survey data in 54 nursing teams showed that head nurse behavioral integrity for safety positively relates to both team priority of safety and psychological safety. In turn, team priority of safety and team psychological safety were, respectively, negatively and positively related with the number of treatment errors that were reported to head nurses. We further demonstrated an interaction effect between team priority of safety and psychological safety on reported errors such that the relationship between team priority of safety and the number of errors was stronger for higher levels of team psychological safety. Finally, we showed that both team priority of safety and team psychological safety mediated the relationship between leader behavioral integrity for safety and reported treatment errors. These results suggest that although adhering to safety protocols and admitting mistakes against those protocols show opposite relations to reported treatment errors, both are important to improving patient safety and both are fostered by leaders who walk their safety talk.
本文阐明了领导者在安全方面的行为诚信如何帮助解决下属在遵守安全规程和报告违反规程的错误之间的双重困境。对 54 个护理团队的调查数据进行路径建模的结果表明，护士长在安全方面的行为诚信与团队对安全的重视程度和心理安全感呈正相关。反过来，团队对安全的重视程度和团队心理安全感分别与向护士长报告的治疗错误数量呈负相关和正相关。我们进一步证明了团队对安全的重视程度和心理安全感之间的交互效应对报告错误的影响，即团队对安全的重视程度与错误数量之间的关系在团队心理安全感较高时更强。最后，我们表明，团队对安全的重视程度和团队心理安全感均在领导者行为诚信与报告治疗错误之间起中介作用。这些结果表明，尽管遵守安全规程和承认违反规程的错误与报告的治疗错误呈相反关系，但两者对于提高患者安全都很重要，并且都可以通过遵守安全承诺的领导者来培养。
