Concerns about practice: supporting staff by fostering a climate of psychological safety
Intended for healthcare professionals
Evidence and practice    

Concerns about practice: supporting staff by fostering a climate of psychological safety

Ali Richards Senior lecturer, Institute of Health, University of Cumbria, Lancaster, Lancashire, England

Why you should read this article:
  • To recognise the important role of nurse managers in ensuring that nursing staff feel supported

  • To identify how nurse managers can support staff when there are concerns about practice

  • To consider ways of fostering a climate of psychological safety in your practice

The nursing profession is under growing pressure and many nursing staff find it increasingly challenging to maintain standards and provide safe, effective and efficient care that meets the needs of patients. Nurses’ job satisfaction is predicated on feeling supported, including when there are concerns about practice – whether their own or that of their colleagues. This article discusses how nurse managers can support staff to challenge suboptimal practice, admit their own errors and learn from these by fostering a climate of psychological safety. This includes adopting a relational model of leadership; cultivating open communication; providing clarity on roles and expectations; ensuring transparency and fairness in performance management; having supportive ‘tough conversations’ with staff; demonstrating objectivity when investigating concerns; and promoting a ‘just culture’.

Nursing Management. 31, 5, 14-18. doi: 10.7748/nm.2024.e2119

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

@alirichards15

Correspondence

ali.richards@cumbria.ac.uk

Conflict of interest

None declared

Richards A (2024) Concerns about practice: supporting staff by fostering a climate of psychological safety. Nursing Management. doi: 10.7748/nm.2024.e2119

Published online: 30 May 2024

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