Provider Approachability: An All-Staff Survey Approach to Creating a Culture of Safety

Deyo-Svendsen, Mark E.; Palmer, Karl B.; Albright, Jill K.; Phillips, Michael; Schilling, Keith A.; Svendsen, Matthew E. Cabrera

doi:10.1097/pts.0000000000000409

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…Approachability is an intangible concept in health professions education. As Deyo-Svendsen et al [ 24 ] highlight, there exists no universally accepted, or empirically derived, definition of approachability within healthcare teams. As a starting point, their group defined approachability as the “words and actions that promote trust and reduce or eliminate fear of interaction” [ 24 ], p.e64.…”

Section: Discussionmentioning

confidence: 99%

“…As Deyo-Svendsen et al [ 24 ] highlight, there exists no universally accepted, or empirically derived, definition of approachability within healthcare teams. As a starting point, their group defined approachability as the “words and actions that promote trust and reduce or eliminate fear of interaction” [ 24 ], p.e64. Our study provides empirical evidence that affirms this definition and illuminates the dynamic and fragile nature of the construct.…”

Section: Discussionmentioning

confidence: 99%

“…Our study provides empirical evidence that affirms this definition and illuminates the dynamic and fragile nature of the construct. Deyo-Svendsen and colleagues hinted at the fragile nature of approachability when they wondered about “the ‘staying power’ of past experiences when trying to measure and improve current perceptions of approachability” [ 24 ], p.e68. Our work suggests that previous experiences in which team leader approachability is compromised not only have staying power, but can also influence other team members’ perceptions of the leader’s approachability, regardless of whether the other team members were present or involved.…”

Section: Discussionmentioning

confidence: 99%

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“Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors

Pack

Columbus²,

Duncliffe³

et al. 2022

Adv Simul

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Background Simulation research that seeks to solve the problem of silence among interprofessional teams has focused almost exclusively on training subordinate team members to be more courageous and to speak up to team leaders using direct challenge scripts despite the great interpersonal cost. Consequently, the existing literature overemphasizes the responsibility of subordinate team members for speaking up and fails to consider the role and responsibilities of team leaders in sustaining silence. The purpose of this study is to identify and describe the subtle behaviors and actions of team leaders that both promote and discourage speaking up. Methods This study used a simulation-primed qualitative inquiry approach. Obstetricians (OB) at one academic center participated in an interprofessional simulation as an embedded participant. Five challenge moments (CM) were scripted for the OB involving deliberate clinical judgment errors or professionalism infractions. Other participants were unaware of the OB embedded participant role. Thirteen iterations were completed with 39 participants. Twelve faculty members completed a subsequent semi-structured interview. Scenarios were videotaped; debriefs and interviews were audio-recorded and transcribed verbatim. Data were analyzed using an inductive thematic approach. Results After participating in an interprofessional simulation, faculty participants reflected that being an approachable team leader requires more than simply avoiding disruptive behaviors. We found that approachability necessitates that team leaders actively create the conditions in which team members perceive that speaking up is welcomed, rather than an act of bravery. In practice, this conceptualization of approachability involves the tangible actions of signaling availability through presence, uncertainty through thinking aloud, and vulnerability through debriefing. Conclusions By using faculty as embedded participants with scripted errors, our simulation design provided an ideal learning opportunity to prompt discussion of the subtle behaviors and actions of team leaders that both promote and discourage speaking up. Faculty participants gained a new appreciation that their actions create the conditions for speaking up to occur before critical incidents through their verbal and non-verbal communication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

“Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors

Pack

Columbus²,

Duncliffe³

et al. 2022

Adv Simul

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Healing and Learning: A Restorative Just Culture

Savage,

Jamarik

2024

The Nexus Between Nursing and Patient Safety

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Worker and manager perceptions of the utility of work-related mental health literacy programmes delivered by community organisations: a qualitative study based on the theory of planned behaviour

et al. 2022

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ObjectivesReluctance to seek help is a leading contributor to escalating mental injury rates in Australian workplaces. We explored the benefit of using community organisations to deliver mental health literacy programmes to overcome workplace barriers to help-seeking behaviours.DesignThis study used a qualitative application of the theory of planned behaviour to examine underlying beliefs that may influence worker’s intentions to participate in mental health literacy programmes delivered by community organisations and manager support for them.SettingThis study took place within three large white-collar organisations in the Australian state of Victoria.ParticipantsEighteen workers and 11 managers (n=29) were interviewed to explore perspectives of the benefits of such an approach.ResultsCommunity organisations have six attributes that make them suitable as an alternative mental health literacy programme provider including empathy, safety, relatability, trustworthiness, social support and inclusivity. Behavioural beliefs included accessibility, understanding and objectivity. The lack of suitability and legitimacy due to poor governance and leadership was disadvantages. Normative beliefs were that family and friends would most likely approve, while line managers and colleagues were viewed as most likely to disapprove. Control beliefs indicated that endorsements from relevant bodies were facilitators of participation. Distance/time constraints and the lack of skills, training and lived experiences of coordinators/facilitators were seen as barriers.ConclusionsIdentifying workers’ beliefs and perceptions of community organisations has significant implication for the development of effective community-based strategies to improve worker mental health literacy and help seeking. Organisations with formal governance structures, allied with government, peak bodies and work-related mental health organisations would be most suitable. Approaches should focus on lived experience and be delivered by qualified facilitators. Promoting supervisor and colleague support could improve participation. Models to guide cross-sector collaborations to equip community organisations to deliver work-related mental health literacy programmes need to be explored.

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Provider Approachability: An All-Staff Survey Approach to Creating a Culture of Safety

Abstract: Provider approachability surveys are a safe, effective method of assessing and encouraging positive interactions that promote trust and influence positive communication. The process created an opportunity to identify and assist providers who were less approachable.

Cited by 3 publications

References 14 publications

“Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors

“Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors

Healing and Learning: A Restorative Just Culture

Worker and manager perceptions of the utility of work-related mental health literacy programmes delivered by community organisations: a qualitative study based on the theory of planned behaviour

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