Lambda Alpha at-Large, Assistant Professor, College of Nursing, Yonsei University, Seoul, South Korea.
Associate Professor, School of Nursing, University of British Columbia, Vancouver, BC, Canada.
J Nurs Scholarsh. 2021 Nov;53(6):737-745. doi: 10.1111/jnu.12689. Epub 2021 Jul 26.
The purpose of this study was to examine psychological safety as a mediator of the relationship between inclusive leadership and nurses' voice behaviors and error reporting. Voice behaviors were conceptualized as speaking up and withholding voice.
This correlational study used a web-based survey to obtain data from 526 nurses from the medical/surgical units of three tertiary general hospitals located in two cities in South Korea.
We used model 4 of Hayes' PROCESS macro in SPSS to examine whether the effect of inclusive leadership on the three outcome variables was mediated by psychological safety.
Mediation analysis showed significant direct and indirect effects of nurse managers' inclusive leadership on each of the three outcome variables through psychological safety after controlling for participant age and unit tenure. Our results also support the conceptualization of employee voice behavior as two distinct concepts: speaking up and withholding voice.
When leader inclusiveness helps nurses to feel psychologically safe, they are less likely to feel silenced, and more likely to speak up freely to contribute ideas and disclose errors for the purpose of improving patient safety.
Leader inclusiveness would be especially beneficial in environments where offering suggestions, raising concerns, asking questions, reporting errors, or disagreeing with those in more senior positions is discouraged or considered culturally inappropriate.
本研究旨在探讨心理安全感在包容型领导与护士建言行为和差错报告之间的关系中的中介作用。建言行为被概念化为直言不讳和保留意见。
这是一项相关性研究，使用基于网络的调查从韩国两个城市的三家三级综合医院的内科/外科病房中的 526 名护士中获取数据。
我们使用 SPSS 中的 Hayes' PROCESS 宏模型 4 检验包容型领导对三个结果变量的影响是否通过心理安全感进行中介。
在控制了参与者年龄和科室任期后，中介分析显示，护士长的包容型领导对三个结果变量中的每一个都通过心理安全感产生了显著的直接和间接影响。我们的研究结果还支持将员工的建言行为概念化为两个不同的概念：直言不讳和保留意见。
当领导的包容性有助于护士感到心理安全时，他们不太可能感到被压制，更有可能自由地表达意见并披露错误，以提高患者安全。
在那些不鼓励提出建议、表达关切、提问、报告错误或与更高级别的人持不同意见，或者认为这种行为不恰当或不符合文化的环境中，领导的包容性将特别有益。
