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Enhancing psychological safety in mental health services
International Journal of Mental Health Systems ( IF 3.463 ) Pub Date : 2021-04-14 , DOI: 10.1186/s13033-021-00439-1
D. F. Hunt , J. Bailey , B. R. Lennox , M. Crofts , C. Vincent

Psychological safety—speaking up about ideas and concerns, free from interpersonal risk—are essential to the high-risk environment, such as healthcare settings. Psychologically safe working is particularly important in mental health where recovery-oriented approaches rely on collaborative efforts of interprofessional teams to make complex decisions. Much research focuses on antecedents and outcomes associated with psychological safety, but little focus on the practical steps for how to increase psychological safety across and at different levels of a healthcare organisation. We explore how a mental health organisation creates an organisation-wide plan for building the foundations of mental health and how to enhance psychological safety. This review encompasses strategies across psychological safety and organisational culture change to increase psychological safety at an individual, team and organisational level. We set out a comprehensive overview of the types of strategies and interventions for increasing the ethos of psychological safety and setting the foundations for delivering an organisation-wide programme on this topic. We also provide a list of key targeted areas in mental health that would maximally benefit from increasing psychological safety—both in clinical and non-clinical settings. Psychological safety is a crucial determinant of safe and effective patient care in mental health services. This paper provides the key steps and considerations, creating a large-scale programme in psychological safety with a focus on mental health and drawing from the current literature, providing concrete steps for how our current understanding of psychological safety into practice.

中文翻译:

加强精神卫生服务中的心理安全

心理安全性(畅所欲言,无人际关系风险)对高风险环境(例如医疗机构)至关重要。心理安全工作在心理健康中尤其重要,在这种情况下,以恢复为导向的方法依赖专业人士团队的共同努力才能做出复杂的决定。许多研究关注于与心理安全相关的先例和结果,但很少关注于如何在整个医疗保健组织内和不同级别提高心理安全的实际步骤。我们探索精神卫生组织如何创建组织范围内的计划,以建立精神卫生的基础,以及如何提高心理安全性。这篇综述涵盖了跨越心理安全和组织文化变革的策略,以提高个人,团队和组织层面的心理安全。我们对提高心理安全精神的策略和干预措施类型进行了全面概述,并为在该主题上开展全组织计划奠定了基础。我们还提供了心理健康的主要目标领域清单,这些领域将在临床和非临床环境中最大程度地受益于不断提高的心理安全性。心理安全是精神卫生服务中安全有效的患者护理的关键决定因素。本文提供了关键步骤和注意事项,创建了一个以心理健康为重点的大规模心理安全计划,并借鉴了当前文献,
更新日期:2021-04-15
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