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Author:Nembhard, I.M.
Edmondson, A.C.
Title:Making it safe: the effects of leader inclusiveness and professional status on psychological safety and improvement efforts in health care teams
Journal:Journal of Organizational Behavior
2006 : NOV, VOL. 27:10, p. 941-966
Index terms:health service
leadership
safety
Language:eng
Abstract:This article discusses the construct of leader inclusiveness - words and deeds exhibited by leaders that invite and appreciate others' contributions. The authors suggest that leader inclusiveness helps cross-disciplinary teams overcome the inhibiting effects of status differences, allowing members to collaborate in process improvement. It is claimed that the profession-derived status is positively associated with psychological safety - a key antecedent of speaking up and learning behaviour - in health care teams. It is also hypothesized that this impact varies across teams, that leader inclusiveness predicts psychological safety and moderates the relationship between status and psychological safety, and that psychological safety predicts engagement in quality improvement work and mediates the relationship between leader inclusiveness and engagement. Survey data from 23 neonatal intensive care units involved in quality improvement projects support these hypotheses.
SCIMA record nr: 263078
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