Psychological safety as a mediator of relational coordination in interdisciplinary hospital care units
Psychological safety as a mediator of relational coordination in interdisciplinary hospital care units
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心理安全作为跨学科医院护理单位关系协调的中介
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发表时间：
2013
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通讯作者：
Barry C. Henrichs
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作者：
Barry C. Henrichs
心理安全作为跨学科医院护理单位关系协调的中介变量，Barry C.Henrichs，B.S.Marquette University，2013本论文研究了跨学科医疗团队中心理安全与关系协调之间的关系。在前人研究的基础上，提出了一个模型，在该模型中，心理安全--人际交往的感知安全--部分中介了关系维度--共享目标、共享知识和相互尊重--与关系协调的沟通维度--频繁、准确、及时和面向解决方案的沟通--之间的联系。对两家大型教学医院的158名产科医生、麻醉师和在产房工作的护士的调查数据进行了多元线性回归检验。研究结果不支持所提出的模型；然而，心理安全是关系质量的先行因素而不是结果的替代模型得到了很好的支持。在这些发现的基础上，讨论了一组新的关系支持沟通维度的潜在存在和性质。本研究还证明了心理安全和关系协调结构的角色水平评估的有效性。在大多数研究中，这些结构是在小组一级评估的，以便于工作组之间的比较。然而，本研究中应用的基于角色的数据收集和分析发现，心理安全、关系质量和沟通质量测量在所研究的工作组中基于角色的不同子集之间存在显著差异。当受访者的角色和与受访者互动的个人的角色都被用作分组变量时，还发现了其他差异。揭示的差异模式表明，心理安全和关系协调的维度受到几个以角色为导向的特征的影响，如等级地位或控制，以及角色在组织社会网络中的中心性或连接性。本文提出的方法和发现为更好地理解高绩效工作组的动态提供了很小的步骤。这项研究的实际应用包括开发旨在改善群体在苛刻环境中的沟通、团队合作和表现的干预措施，如医院护理单元。
PSYCHOLOGICAL SAFETY AS A MEDIATOR OF RELATIONAL COORDINATION IN INTERDISCIPLINARY HOSPITAL CARE UNITS Barry C. Henrichs, B.S. Marquette University, 2013 This thesis presents an examination of the relationship between psychological safety and relational coordination within interdisciplinary health care teams. Based on previous research, a model is proposed in which psychological safety—the perceived safety of interpersonal interaction—partially mediates the link between the relational dimensions—shared goals, shared knowledge, and mutual respect—and the communication dimensions—frequent, accurate, timely, and solution-oriented communication—of relational coordination. The proposed model was tested using multiple linear regression of survey data from 158 obstetricians, anesthesiologists, and nurses who work in the labor and delivery units at two large teaching hospitals. The findings do not support the proposed model; however, an alternative model in which psychological safety is an antecedent to rather than a consequence of relational quality is well supported. Building on these findings, the potential existence and nature of a new cluster of relationship-supporting communication dimensions is discussed. This study also demonstrates the utility of role-level assessment of the psychological safety and relational coordination constructs. In most studies these constructs are assessed at the group level to facilitate comparisons between work groups. However, the role-based data collection and analysis applied in this study identified significant differences in the psychological safety, relational quality, and communication quality measurements with respect to various role-based subsets of the studied work groups. Additional differences were found when both the respondent’s role and the role of the individual with whom the respondent was interacting were used as grouping variables. The revealed patterns of differences suggest that psychological safety and the dimensions of relational coordination are influenced by several role-oriented characteristics such as hierarchical status or control as well as a role’s centrality or connectivity within an organization’s social network. The methods and findings presented in this thesis offer small steps toward the greater understanding of the dynamics of high-performance work groups. The practical application of this research includes the development of interventions designed to improve the communication, teamwork, and performance of groups in demanding environments such as hospital care units.