Lateef Fatimah
Department of Emergency Medicine, Singapore General Hospital, Singapore.
Duke NUS Graduate Medical School, Singapore.
J Emerg Trauma Shock. 2020 Jan-Mar;13(1):5-14. doi: 10.4103/JETS.JETS_96_19. Epub 2020 Mar 19.
Psychological safety refers to the belief that one can express oneself without fear of the negative consequences or feedback that their speech, comment, or action might generate. It is about the willingness of learners or workers in an organization, in expressing themselves physically, cognitively, and emotionally. Psychological safety is very dynamic and will continue to evolve and change, with the interplay of a variety of external and internal factors affecting the individual, the organization, or the community. It is also closely linked to the culture in the organization, the institution, or the department. It has become a new norm, especially in high-frequency, high-intensity, and high-performance institutions and workplaces, that psychological safety must be mainstreamed and should not be just an incidental element. It also serves as a foundation for effective learning. When people feel safe and comfortable, they are more open to development, growth, and negotiating change. This is a current opinion piece by the author, who is the Director of The SingHealth Duke NUS Institute of Medical Simulation in Singapore. This is the largest and most comprehensive facility in Singapore, which is also the largest in South-East Asia. It has accreditation by the Society for Simulation in Healthcare. The paper is unique in sharing the perspectives of psychological safety in simulation-based education as well as many of the issues related to culture, which can trump strategy. Characteristics and attributes for facilitators, team training and dynamics, as well as the issue of power and hierarchy are also addressed.
心理安全是指相信一个人能够在无需担心其言语、评论或行为可能产生的负面后果或反馈的情况下表达自己。它关乎组织中学习者或工作者在身体、认知和情感方面表达自我的意愿。心理安全非常动态，会随着影响个人、组织或社区的各种外部和内部因素的相互作用而持续演变和变化。它还与组织、机构或部门的文化紧密相连。心理安全必须成为主流，而不应只是一个附带因素，这已成为一种新的常态，尤其是在高频、高强度和高性能的机构及工作场所。它也是有效学习的基础。当人们感到安全和舒适时，他们更愿意接受发展、成长并协商变革。这是作者撰写的一篇观点文章，作者是新加坡樟宜综合医院 - 杜克 - 国大医学模拟研究所所长。该研究所是新加坡最大、最全面的设施，也是东南亚最大的设施。它获得了医疗保健模拟协会的认证。本文的独特之处在于分享了基于模拟的教育中关于心理安全的观点以及许多与文化相关的问题，文化可能胜过战略。文中还讨论了促进者的特征和属性、团队培训与动态，以及权力和等级制度问题。
