Staying silent about safety issues: Conceptualizing and measuring safety silence motives

Manapragada, Archana; Bruk‐Lee, Valentina

doi:10.1016/j.aap.2016.02.014

Cited by 40 publications

(41 citation statements)

References 40 publications

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“…Employees with positive perceptions of safety communication report frequent opportunities to discuss safety concerns and are consulted about safety issues Hofmann & Stetzer, 1998). Consistent positive relationships between safety communication and safety performance are reported across several high-risk industries (Cigularov, Chen, & Rosecrance, 2010;Manapragada & Bruk-Lee, 2016). Having high quality communication is especially important in the healthcare industry, given that it has been implicated with several detrimental safety outcomes.…”

Section: Perceptions Of Safety Climate and Safety Performancementioning

confidence: 98%

When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurse safety performance

Manapragada

Bruk‐Lee

Thompson

et al. 2019

Journal of Advanced Nursing

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Aim To examine the association between components of safety climate and psychosocial hazards with safe work behaviours and test the moderating effects of psychosocial hazards on the safety climate‐safety performance relationships. Background The effects of a strong safety climate on safety performance are well cited, however, the conditions that have an impact on this relationship warrant attention. While the psychosocial hazards commonly reported by nurses are predictors of well‐being and job attitudes, evidence suggests that these may also place boundaries on the effects of safety climate on safe work practices. Design This study used a cross‐sectional design to collect data from 146 nurses. Methods Participants were recruited through convenience sampling and snowball sampling methods in 2017. Nurses completed an online questionnaire and received a $5 e‐gift card as compensation. SPSS v.23 and PROCESS v3.0 were used to analyse the data. Results/Findings A strong safety climate was positively associated with nurses' safety performance. While psychosocial hazards did not predict safety performance, they did moderate the safety climate‐performance relationship. High levels of perceived stressors weakened the association between promoting two‐way safety communication, the use and implementation of procedures to promote safe work practices and management's endorsement of health and safety with safe work performance. Conclusion The positive effects of safety climate on nurses' safety performance are contingent on the levels of psychosocial hazards nurses experience. When aiming to improve safety performance among nurses, it is important for efforts to also focus on the psychosocial conditions of the work environment.

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Section: Perceptions Of Safety Climate and Safety Performancementioning

confidence: 98%

When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurse safety performance

Manapragada

Bruk‐Lee

Thompson

et al. 2019

Journal of Advanced Nursing

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“…Manapragada and Bruk-Lee conceptualise ‘organisational climate’ as an explicit motive for employee silence about safety issues. 17 However, the relationship between safety climate dimensions and speaking up behaviours is complex and not unambiguous. On the individual level, simulation studies present conflicting evidence whether trainee’s speaking up behaviours towards their supervisors can be manipulated by this supervisors’ encouraging or discouraging communication dynamics before.…”

Section: Introductionmentioning

confidence: 99%

Speak up-related climate and its association with healthcare workers’ speaking up and withholding voice behaviours: a cross-sectional survey in Switzerland

Schwappach

Richard

2018

BMJ Qual Saf

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ObjectivesTo determine frequencies of healthcare workers (HCWs) speak up-related behaviours and the association of speak up-related safety climate with speaking up and withholding voice.DesignCross-sectional survey of doctors and nurses. Data were analysed using multilevel logistic regression modelsSetting4 hospitals with a total of nine sites from the German, French and Italian speaking part of Switzerland.ParticipantsSurvey data were collected from 979 nurses and doctors.Main outcome measuresFrequencies of perceived patient safety concerns, of withholding voice and of speaking up behaviour. Speak up-related climate measures included psychological safety, encouraging environment and resignation.ResultsPerceived patient safety concerns were frequent among doctors and nurses (between 62% and 80% reported at least one safety concern during the last 4 weeks depending on the single items). Withholding voice was reported by 19%–39% of HCWs. Speaking up was reported by more than half of HCWs (55%–76%). The frequency of perceived concerns during the last 4 weeks was positively associated with both speaking up (OR=2.7, p<0.001) and withholding voice (OR=1.6, p<0.001). An encouraging environment was related to higher speaking up frequency (OR=1.3, p=0.005) and lower withholding voice frequency (OR=0.82, p=0.006). Resignation was associated with withholding voice (OR=1.5, p<0.001). The variance in both voicing behaviours attributable to the hospital-site level was marginal.ConclusionsOur results strengthen the importance of a speak up-supportive safety climate for staff safety-related communication behaviours, specifically withholding voice. This study indicates that a poor climate, in particular high levels of resignation among HCWs, is linked to frequent ‘silence’ of HCWs but not inversely associated with frequent speaking up. Interventions addressing safety-related voicing behaviours should discriminate between withholding voice and speaking up.

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“…The safety indicator OpC3 had a greater share in the OpC construct (64%). Study participants are aware that the quality of the communication helps to maintain the safety of the processes, corroborating with [39,133].…”

Section: Discussionmentioning

confidence: 52%

“…It is very important to emphasize that oral communication on the shop floor does not only happen in a face-to-face format, oral communication is also carried out through ICT, as smartphones, radio communicators, explanatory audios in messaging applications, among others, are considered oral means of communication. Therefore, in an analysis of operational communication, it is important to verify the existence of communication between operator and supervisor [67][68][69][70], communication between operators [71], openness for discussion on complex issues [39,66,67,72], openness by the organization to accept suggestions [73], and discussion of information already written [74,75].…”

Section: Oral Communicationmentioning

confidence: 99%

“…Oral communication directly influences operational communication as it moderates the organizational climate. Oral communication is related to factors such as satisfaction, engagement, motivation, and cooperation [4,32,39]. Considering that dialogue builds and maintains interpersonal relationships in the organizational context and that these relationships can influence worker behavior when sharing information, hypothesis H 8 was proposed [33,67].…”

Section: ) Definition Of Hyphotesesmentioning

confidence: 99%

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Analysis of Operational Communication Through Structural Equation Modeling

et al. 2020

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In this study a model was developed for analyzing communication on the shop floor using a Structural Equation Modeling with Partial Least Squares estimation (Partial Least Square, PLS). The model included as an exogenous variable (independent) Knowledge Management (KM), and four endogenous variables (dependent): Written Communication (WC), Oral Communication (OC), Man interaction with Information and Communication Technologies (M-ICT), and Operational Communication (OpC). The data for the exploratory study were collected in a land-based oil production region in the Northeast of Brazil. The data analysis was performed using the SmartPLS ® software. The structural model supported six of the nine hypotheses proposed, presenting statistical significance and predictive relevance. The evaluation of Pearson's determination coefficients (R 2) demonstrated a satisfactory degree of adjustment and adherence in explaining the variance of endogenous variables. The effect size (f 2) of the variance explained by the exogenous variable in the four endogenous variables was classified as "very strong", as shown: in WC f 2 = 0.802; OC f 2 = 0.825; M-ICT f 2 = 2,534; and OpC f 2 = 2.003. The model presented predictive validity, KM showed effect (q 2) classified as "very high" in the M-ICT and OpC. The effect (q 2) of KM on WC and OC presented predictive relevance between medium and high, with q 2 = 0.337 and q 2 = 0.267, respectively. The causal relationships between the observed variables and the percentage of participation of each indicator in its construct are contributions to the management of information about production.

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Staying silent about safety issues: Conceptualizing and measuring safety silence motives

Cited by 40 publications

References 40 publications

When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurse safety performance

When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurse safety performance

Speak up-related climate and its association with healthcare workers’ speaking up and withholding voice behaviours: a cross-sectional survey in Switzerland

Analysis of Operational Communication Through Structural Equation Modeling

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