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Perceived Safety Conditions and Self‐Management: How Do They Associate With Stress of Conscience Among Nurses and Other Healthcare Workers?

Year: 2025
Type: article
Study design: Observational Study
Abstract: AIMS: To investigate how team psychological safety and organisational psychosocial safety climate associate with self-management and hindrance- and violation-related stress of conscience among nurses and other healthcare workers. DESIGN: A longitudinal survey study with two data points. METHODS: Healthcare personnel (n = 241, 40% nurses) rated perceived safety in 2021, possibilities to self-manage their work in 2023, and stress of conscience in 2021 and 2023. RESULTS: Team psychological safety and organisational psychosocial safety climate positively predicted self-management of executing work, whereas only the organisational part predicted self-management of leading work. Unexpectedly, self-management of leading one's work was positively associated with hindrance-related stress of conscience. CONCLUSION: When employees feel safe to take interpersonal risks in their team and have possibilities to prioritise their work goals and influence the ways work performance is measured, it can increase, rather than reduce, feelings of not being able to act according to what the employee sees as morally right. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Providing adequate resources to meet the insights arising from a psychologically safe work team seem to be especially important for nurses. IMPACT: Healthcare employees need possibilities to actualize and follow through the insights that can emerge from having high psychological safety and high opportunities for self-management. REPORTING METHOD: The STROBE checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
DOI: 10.1111/jan.16689
Language: English
Open Access status: bronze
OpenAlex ID: W4407415224
FWCI: 2.422
Cites: 48
Cited by: 2
Related to: 10