Objective: The intention to speak-up or withhold one's voice is linked to employee well-being outcomes and is considered a proxy for the quality of organisational culture in the workplace. This systematic review and meta-analysis synthesised evidence on the relationship between burnout and employee silence/voice outcomes.
Methods: An electronic database search up to May 2024 was conducted on eight databases combined with manual scoping of references and 84 studies met the inclusion criteria ( = 34,975).
Objectives: Various psychological concepts have been proposed over time as potential solutions to improving patient safety and quality of care. Psychological safety has been identified as a crucial mechanism of learning and development, and one that can facilitate optimal patient safety in healthcare. We investigated the quantitative evidence on the relationship between psychological safety and objective patient safety outcomes.
View Article and Find Full Text PDFThe history of inquiries into the failings of medical care have highlighted the critical role of communication and information sharing, meaning that speaking up and employee silence have been extensively researched. However, the accumulated evidence concerning speaking-up interventions in healthcare indicates that they achieve disappointing outcomes because of a professional and organizational culture which is not supportive. Therefore, there is a gap with regard to our understanding of employee voice and silence in healthcare, and the relationship between withholding information and healthcare outcomes (e.
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