Title:
Who's in charge here? Exploring perceived roles amongst healthcare teams and their impact on psychological safety
Author:
Hannah Meriwether King
Thesis Advisor:
Amy Wolfson
Committee Member:
Marianna E. Carlucci
Committee Member:
Frank D. Golom
Committee Member:
Mark Freeman
Degree Granting Institution:
Loyola University Maryland--College of Arts and Sciences
Place:
Baltimore (Md.)
Publisher:
Loyola University Maryland
Date Created:
2024
Type of Resource:
text
Genre:
thesis
Language:
eng
Format:
application/pdf
Physical Form:
electronic
Digital Source:
born digital
Abstract:
This thesis explored the personal narratives and experiences of four healthcare providers following their participation on a quality improvement initiative aimed at improving sleep in the pediatric inpatient setting. In particular, an investigation into perceived roles on the healthcare team was conducted to better understand how organizational culture and team climate impact team efficacy when tasked with a quality improvement initiative. To date, there has been little research on team processes such as psychological safety and their impact on quality improvement efforts in the healthcare setting. Using a qualitative, narrative methodology, data was gathered via semi-structured interviews and analyzed through the combination of reflexivity, inductive reasoning, and interactional approaches. Aligned with existing research, participants described a primarily physician-led team at Johns Hopkins Medicine. Although, participants also reported varying degrees of psychological safety dependent on hospital setting (i.e., general medical floors versus Intensive Care Unit). Overwhelmingly, participants referenced their own self-confidence in their skills and priority for patient advocacy as motivating factors to speak up on the team, which has increased over time in their roles. Clinical implications, limitations, and suggestions for future research are discussed.
Subject:
Academic theses
Subject:
Electronic dissertations
Subject:
Thèses et écrits académiques
Subject:
Thèses électroniques
Subject:
dissertations
Degree:
Doctor of Clinical Psychology
Level:
Doctoral
Discipline:
Psychology
Restrictions on Access:
Author has given permission to make this work available online.
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Identifier:
KingHM-24
