Delphi Study on Psychological Safety Competencies in Healthcare Training Curricula

NCT05422872 | Completed

• 1 other identifier: CA19113
• Study Type: observational
• Target: 173
• Locations: 1 country
• Sites: 1

Brief Summary

Psychological safety refers to the shared belief that a work team can face complex challenges when there is an environment of mutual respect and trust. Thus, healthcare professionals provide safer care when causes and ways to avoid clinical errors can be discussed and analyzed without fear of criticism or sanctions. A psychological safety climate can be a determinant of patient safety. In this way, this provides safer care when it is possible to discuss and analyze the causes and how to avoid clinical errors without fear of criticism or sanctions. This study aims to explore the mentors' opinion on what psychological safety competencies are being acquired by future generations of healthcare professionals (students and residents, hereafter "trainees") through current training programs and what actions should be taken to promote such competencies in clinical settings.

Conditions

Psychological Safety; Knowledge, Attitudes, Practice

Keywords

Psychological Safety; Healthcare students; Delphi study; Knowledge, attitudes, skills; Trainee mentors

Outcome Measures

Primary Outcomes (16)

• Psychological safety competencies - Degree of KNOWLEDGE acquisition (round 1)

  What knowledge in psychological safety is being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to knowledge. Participants (mentors of healthcare trainees) will have to assess each knowledge (competence component) according to its degree of acquisition (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety competencies - Degree of significance of KNOWLEDGE (round 1)

  What knowledge in psychological safety is being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to knowledge. Participants (mentors of healthcare trainees) will have to assess each knowledge (competence component) according to its degree of significance (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety competencies - Degree of ATTITUDE acquisition (round 1)

  What attitudes toward psychological safety are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 6 items referring to attitudes. Participants (mentors of healthcare trainees) will have to assess each attitude (competence component) according to its degree of acquisition (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety competencies - Degree of significance of the ATTITUDE (round 1)

  What attitudes toward psychological safety are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 6 items referring to attitudes. Participants (mentors of healthcare trainees) will have to assess each attitude (competence component) according to its degree of significance (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety competencies - Degree of SKILL acquisition (round 1)

  What psychological safety skills are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to skills. Participants (mentors of healthcare trainees) will have to assess each skill (competence component) according to its degree of acquisition (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety competencies - Degree of significance of the SKILL (round 1)

  What psychological safety skills are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to skills. Participants (mentors of healthcare trainees) will have to assess each skill (competence component) according to its degree of significance (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety INTERVENTIONS - Degree of implementation (round 1)

  What actions the healthcare institutions in which the trainees do their clinical internships should implement to promote the acquisition of these competencies. Participants (mentors of healthcare trainees) will have to assess each intervention according to its degree of implementation in their center (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety INTERVENTIONS - Degree of significance (round 1)

  What actions the healthcare institutions in which the trainees do their clinical internships should implement to promote the acquisition of these competencies. Participants (mentors of healthcare trainees) will have to assess each intervention according to its degree of significance (5-point Likert scale).

  Data collection for the first round of the Delphi study will extend from the start of the study for 20 days.

• Psychological safety competencies - Degree of KNOWLEDGE acquisition (round 2)

  What knowledge in psychological safety is being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to knowledge. Participants (mentors of healthcare trainees) will have to assess each knowledge (competence component) according to its degree of acquisition (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety competencies - Degree of significance of KNOWLEDGE (round 2)

  What knowledge in psychological safety is being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to knowledge. Participants (mentors of healthcare trainees) will have to assess each knowledge (competence component) according to its degree of significance (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety competencies - Degree of ATTITUDE acquisition (round 2)

  What attitudes toward psychological safety are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 6 items referring to attitudes. Participants (mentors of healthcare trainees) will have to assess each attitude (competence component) according to its degree of acquisition (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety competencies - Degree of significance of the ATTITUDE (round 2)

  What attitudes toward psychological safety are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 6 items referring to attitudes. Participants (mentors of healthcare trainees) will have to assess each attitude (competence component) according to its degree of significance (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety competencies - Degree of SKILL acquisition (round 2)

  What psychological safety skills are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to skills. Participants (mentors of healthcare trainees) will have to assess each skill (competence component) according to its degree of acquisition (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety competencies - Degree of significance of the SKILL (round 2)

  What psychological safety skills are being acquired by future generations of healthcare professionals (students and residents referred to as "trainees") through their clinical internships. The questionnaire contains 7 items referring to skills. Participants (mentors of healthcare trainees) will have to assess each skill (competence component) according to its degree of significance (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety INTERVENTIONS - Degree of implementation (round 2)

  What actions the healthcare institutions in which the trainees do their clinical internships should implement to promote the acquisition of these competencies. Participants (mentors of healthcare trainees) will have to assess each intervention according to its degree of implementation in their center (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

• Psychological safety INTERVENTIONS - Degree of significance (round 2)

  What actions the healthcare institutions in which the trainees do their clinical internships should implement to promote the acquisition of these competencies. Participants (mentors of healthcare trainees) will have to assess each intervention according to its degree of significance (5-point Likert scale).

  Twenty-seven days after initiating the study, the second round of the Delphi study will extend for 20 days.

Study Arms (11)

Croatia

Twenty to twenty-five professionals assigned to Croatian healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Estonia

Twenty to twenty-five professionals assigned to Estonian healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Finland

Twenty to twenty-five professionals assigned to Finnish healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Germany

Twenty to twenty-five professionals assigned to German healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Israel

Twenty to twenty-five professionals assigned to Israeli healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Lithuania

Twenty to twenty-five professionals assigned to Lithuanian healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Malta

Twenty to twenty-five professionals assigned to Maltese healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Portugal

Twenty to twenty-five professionals assigned to Portuguese healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Slovakia

Twenty to twenty-five professionals assigned to Slovakian healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Spain

Twenty to twenty-five professionals assigned to Spanish healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Serbia

Twenty to twenty-five professionals assigned to Serbian healthcare institutions (inpatient and outpatient settings, and community, and social care centers) who are responsible for mentoring and supervising residents and students during their clinical internships in the fields of family medicine, obstetrics, midwifery, pharmacy, surgery, and department of medicine.

Other: Delphi study

Interventions

Delphi study OTHER

A Delphi study will be conducted with several rounds up to expert consensus.

Croatia; Estonia; Finland; Germany; Israel; Lithuania; Malta; Portugal; Serbia; Slovakia; Spain

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Trainees' mentors who would be working in inpatient or outpatient settings or community or social care centers mentoring residents in the fields of family medicine, midwifery, pharmacy, surgery, and medicine department.

You may qualify if:

• Trainees mentors in healthcare institutions (inpatient and outpatient settings, and community and social care centers) in Croatia, Estonia, Finland, Germany, Israel, Lithuania, Malta, Portugal, Serbia, Slovakia, and Spain.
• Working in inpatient or outpatient settings or community or social care centers mentoring residents in the fields of family medicine, midwifery, pharmacy, surgery, and medicine department.

You may not qualify if:

• Academic mentors. The study setting is social and health care centers, not academia.

Sponsors & Collaborators

• Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana: lead
• Miguel Hernández University of Elche: collaborator
• European Cooperation in Science and Technology, COST: collaborator
• RheinMain University of Applied Science: collaborator
• University of Tartu: collaborator
• Tartu Health Care College: collaborator
• LAB University of Applied Sciences: collaborator
• University of Haifa: collaborator
• Vilnius university hospital Sanatros klinikos: collaborator
• University of Malta: collaborator
• Universidade Nova de Lisboa: collaborator
• Clinical Hospital Centre Zagreb: collaborator
• Pavol Jozef Safarik University: collaborator
• University of Belgrade: collaborator

Study Sites (1)

Grupo ATENEA

Sant Joan d'Alacant, Alicante, 03550, Spain

Location

Related Publications (5)

• O'Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. BMC Health Serv Res. 2020 Feb 10;20(1):101. doi: 10.1186/s12913-020-4931-2.

  PMID: 32041595 BACKGROUND

• Richard A, Pfeiffer Y, Schwappach DDL. Development and Psychometric Evaluation of the Speaking Up About Patient Safety Questionnaire. J Patient Saf. 2021 Oct 1;17(7):e599-e606. doi: 10.1097/PTS.0000000000000415.

  PMID: 28858000 BACKGROUND

• Schwappach D, Sendlhofer G, Hasler L, Gombotz V, Leitgeb K, Hoffmann M, Jantscher L, Brunner G. Speaking up behaviors and safety climate in an Austrian university hospital. Int J Qual Health Care. 2018 Nov 1;30(9):701-707. doi: 10.1093/intqhc/mzy089.

  PMID: 29701770 BACKGROUND

• Schwappach D, Sendlhofer G, Kamolz LP, Kole W, Brunner G. Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety. PLoS One. 2019 Sep 12;14(9):e0222461. doi: 10.1371/journal.pone.0222461. eCollection 2019.

  PMID: 31514203 BACKGROUND

• Derickson R, Fishman J, Osatuke K, Teclaw R, Ramsel D. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015 Mar;11(1):60-6. doi: 10.1097/PTS.0000000000000082.

  PMID: 24583957 BACKGROUND

Related Links

• COST (European Cooperation in Science and Technology)

MeSH Terms

Conditions

Behavior

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 9, 2022
• First Posted: June 21, 2022
• Study Start: January 25, 2022
• Primary Completion: December 7, 2022
• Study Completion: October 15, 2023
• Last Updated: November 30, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, CSR
• Time Frame: Six months after the data collecting.
• Access Criteria: Data repository is available for the scientific community.

Locations

ES (1)