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Psychological Safety as a Mediator of the Relationship Between Inclusive Leadership and Nurse Voice Behaviors and Error Reporting

Authors
 Seung Eun Lee  ;  V Susan Dahinten 
Citation
 JOURNAL OF NURSING SCHOLARSHIP, Vol.53(6) : 737-745, 2021-11 
Journal Title
JOURNAL OF NURSING SCHOLARSHIP
ISSN
 1527-6546 
Issue Date
2021-11
Keywords
employee voice ; error reporting intention ; inclusive leadership ; mediation analysis ; psychological safety ; speaking up ; withholding voice
Abstract
Purpose: 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.

Design: 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.

Methods: 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.

Findings: 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.

Conclusions: 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.

Clinical relevance: 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.
Full Text
https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.12689
DOI
10.1111/jnu.12689
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Seung Eun(이승은) ORCID logo https://orcid.org/0000-0002-4173-3337
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187241
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