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Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care

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Listed:
  • Johanna Elisa Dietl

    (Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, 28759 Bremen, Germany)

  • Christina Derksen

    (Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, 28759 Bremen, Germany)

  • Franziska Maria Keller

    (Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, 28759 Bremen, Germany
    Klinikum Bremerhaven Reinkenheide gGmbH, Treatment Center for Psychiatry, Psychotherapy and Psychosomatic, 27574 Bremerhaven, Germany)

  • Martina Schmiedhofer

    (Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, 28759 Bremen, Germany)

  • Sonia Lippke

    (Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, 28759 Bremen, Germany)

Abstract

Interpersonal communication, as a central form of social resource derived from social relations, is crucial for individuals coping with threats in the workplace, especially for hospitals that provide high-quality care and patient safety. Using social system mentalization as a theoretical background, we applied psychosocial processes and a psychodynamic system approach to get insights on how healthcare workers interact with team members and patients. The goal was to test the following hypotheses: H1: Better communication is associated with fewer patient safety threats (H1a) and higher-quality care (H1b). H2: The associations between communication and patient safety threats (H2a) and higher-quality care (H2b) are mediated by psychological safety. In this two-studies design, we conducted a cross-sectional hospital survey ( N = 129) and a survey of obstetric team members ( N = 138) in Germany. Simple mediation analyses were run. Results revealed that communication is associated with safety performance. Further, the mediating effect of psychological safety between communication and safety performance was demonstrated. These findings contribute to an understanding of social relation representations, as individuals’ communication interrelates with safety performance mediated by psychological safety to complement healthcare and public health strategies. With a better understanding of communication and psychological safety, tools, routines, and concrete trainings can be designed.

Suggested Citation

  • Johanna Elisa Dietl & Christina Derksen & Franziska Maria Keller & Martina Schmiedhofer & Sonia Lippke, 2023. "Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care," IJERPH, MDPI, vol. 20(9), pages 1-19, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:9:p:5698-:d:1137956
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    References listed on IDEAS

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    1. Natasha Khamisa & Brian Oldenburg & Karl Peltzer & Dragan Ilic, 2015. "Work Related Stress, Burnout, Job Satisfaction and General Health of Nurses," IJERPH, MDPI, vol. 12(1), pages 1-15, January.
    2. Martina Schmiedhofer & Christina Derksen & Johanna Elisa Dietl & Freya Haeussler & Reinhard Strametz & Beate Huener & Sonia Lippke, 2022. "The Impact of a Communication Training on the Birth Experience: Qualitative Interviews with Mothers after Giving Birth at Obstetric University Departments in Germany," IJERPH, MDPI, vol. 19(18), pages 1-17, September.
    3. Martina Schmiedhofer & Christina Derksen & Johanna Elisa Dietl & Freya Häussler & Frank Louwen & Beate Hüner & Frank Reister & Reinhard Strametz & Sonia Lippke, 2022. "Birthing under the Condition of the COVID-19 Pandemic in Germany: Interviews with Mothers, Partners, and Obstetric Health Care Workers," IJERPH, MDPI, vol. 19(3), pages 1-24, January.
    4. Sonia Lippke & Christina Derksen & Franziska Maria Keller & Lukas Kötting & Martina Schmiedhofer & Annalena Welp, 2021. "Effectiveness of Communication Interventions in Obstetrics—A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    5. Khalil Rhaiem & Nabil Amara, 2021. "Learning from innovation failures: a systematic review of the literature and research agenda," Review of Managerial Science, Springer, vol. 15(2), pages 189-234, February.
    6. Martina Schmiedhofer & Christina Derksen & Franziska Maria Keller & Johanna Elisa Dietl & Freya Häussler & Reinhard Strametz & Ilona Koester-Steinebach & Sonia Lippke, 2021. "Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses," IJERPH, MDPI, vol. 18(3), pages 1-16, January.
    7. Alessio Gori & Alessandro Arcioni & Eleonora Topino & Letizia Palazzeschi & Annamaria Di Fabio, 2021. "Constructing Well-Being in Organizations: First Empirical Results on Job Crafting, Personality Traits, and Insight," IJERPH, MDPI, vol. 18(12), pages 1-16, June.
    8. Amy C. Edmondson, 2003. "Speaking Up in the Operating Room: How Team Leaders Promote Learning in Interdisciplinary Action Teams," Journal of Management Studies, Wiley Blackwell, vol. 40(6), pages 1419-1452, September.
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