医疗实践环境中心理安全的基本要素与结果：一项系统综述。
Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review.
作者信息
LaPlante Rose D, Ponte Patricia Reid, Magny-Normilus Cherlie
机构信息
Connell School of Nursing, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA 02467, USA.
Connell School of Nursing, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA 02467, USA.
出版信息
Appl Nurs Res. 2025 Jun;83:151946. doi: 10.1016/j.apnr.2025.151946. Epub 2025 Mar 22.
BACKGROUND
Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.
METHOD
A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.
RESULTS
Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.
CONCLUSION
This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.
背景
心理安全被视为包括医疗保健组织在内的各类组织中高效团队合作的重要组成部分。本系统综述旨在探讨医疗实践团队中心理安全的关键要素和结果，以确定实施心理安全的最佳实践方法。
方法
对已发表的将心理安全描述为医疗实践环境变量的研究进行系统文献综述。纳入标准为：以英文发表、经过同行评审、单独或作为团队一部分纳入护士或医生、纳入心理安全内容、呈现劳动力或患者相关结果且发表于过去10年。
结果
在220篇文章中，30篇符合纳入标准。本综述确定了医疗保健中心理安全的五个关键要素和结果。
结论
本系统综述证实了心理安全对医疗团队的重要性。将资源用于确保医疗团队中心理安全的实施和提升，将提高提供可靠、安全和高质量医疗服务的可能性。
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