Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers
Laurence M Boitet,1,2 Katherine A Meese,2,3 Katherine L Sweeney,4 Norman R Estes,5 Megan M Hays,2,6 Christine Loyd,5 David A Rogers2,7 1Department of Medical Education, University of Alabama at Birmingham (UAB), Birmingham, AL, USA; 2UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA; 3Depart...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2024-11-01
|
| Series: | Advances in Medical Education and Practice |
| Subjects: | |
| Online Access: | https://www.dovepress.com/towards-safer-spaces-an-empirical-investigation-of-trainee-psychologic-peer-reviewed-fulltext-article-AMEP |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849221756328345600 |
|---|---|
| author | Boitet LM Meese KA Sweeney KL Estes NR Hays MM Loyd C Rogers DA |
| author_facet | Boitet LM Meese KA Sweeney KL Estes NR Hays MM Loyd C Rogers DA |
| author_sort | Boitet LM |
| collection | DOAJ |
| description | Laurence M Boitet,1,2 Katherine A Meese,2,3 Katherine L Sweeney,4 Norman R Estes,5 Megan M Hays,2,6 Christine Loyd,5 David A Rogers2,7 1Department of Medical Education, University of Alabama at Birmingham (UAB), Birmingham, AL, USA; 2UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA; 3Department of Health Services Administration, UAB, Birmingham, AL, USA; 4Department of Sociology, UAB, Birmingham, AL, USA; 5Department of Clinical and Diagnostic Sciences, UAB, Birmingham, AL, USA; 6Department of Physical Medicine and Rehabilitation, UAB, Birmingham, AL, USA; 7Department of Surgery, UAB, Birmingham, AL, USACorrespondence: Laurence M Boitet, Email Lmblac@uab.eduPurpose: Psychological safety is critical for fostering well-being. Integral to the mission of academic institutions, trainees are among the most vulnerable to negative workplace experiences, calling for a need to understand factors that contribute to psychological safety in this population. Our objective is to empirically explore trainee psychological safety to inform best practices for training environments.Design: A survey was used to capture organizational, interpersonal, and individual factors, as well as demographic information in graduate, postdoctoral, medical, resident, and fellow trainees. Descriptive statistics, multivariate ordinal logistic regression, and dominance analyses were used to understand psychological safety and the predictors that explained the majority of the variance in its statistical model.Findings: Gender minorities and those who suppressed their race information were less likely to feel psychologically safe. Psychological safety was predominately explained by senses of belonging, recognition, and respect. Notably, trust and confidence in supervisor emerged as a pivotal factor influencing belonging and respect, whereas organizational support played a crucial role in fostering recognition and belonging. Intriguingly, clarity in role expectations and autonomy were positively correlated with recognition.Originality: Our findings highlight the interplay between organizational, interpersonal, and individual dynamics shaping psychological safety. Importantly, those who suppress their race as well as female or gender minorities are disproportionally prone to feeling unsafe. We further elucidate role clarity and autonomy as important factors in achieving a sense of recognition. We suggest programs prioritize development beyond technical competencies, recognizing trainees as key stakeholders in the cultivation of positive culture within academic environments.Keywords: psychological safety, trainee, belonging, recognition, respect, autonomy, role clarity |
| format | Article |
| id | doaj-art-cfeed11b9bd448a78d0ff33e52ceeacd |
| institution | Kabale University |
| issn | 1179-7258 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Advances in Medical Education and Practice |
| spelling | doaj-art-cfeed11b9bd448a78d0ff33e52ceeacd2024-11-10T17:18:38ZengDove Medical PressAdvances in Medical Education and Practice1179-72582024-11-01Volume 151079109297119Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical CentersBoitet LMMeese KASweeney KLEstes NRHays MMLoyd CRogers DALaurence M Boitet,1,2 Katherine A Meese,2,3 Katherine L Sweeney,4 Norman R Estes,5 Megan M Hays,2,6 Christine Loyd,5 David A Rogers2,7 1Department of Medical Education, University of Alabama at Birmingham (UAB), Birmingham, AL, USA; 2UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA; 3Department of Health Services Administration, UAB, Birmingham, AL, USA; 4Department of Sociology, UAB, Birmingham, AL, USA; 5Department of Clinical and Diagnostic Sciences, UAB, Birmingham, AL, USA; 6Department of Physical Medicine and Rehabilitation, UAB, Birmingham, AL, USA; 7Department of Surgery, UAB, Birmingham, AL, USACorrespondence: Laurence M Boitet, Email Lmblac@uab.eduPurpose: Psychological safety is critical for fostering well-being. Integral to the mission of academic institutions, trainees are among the most vulnerable to negative workplace experiences, calling for a need to understand factors that contribute to psychological safety in this population. Our objective is to empirically explore trainee psychological safety to inform best practices for training environments.Design: A survey was used to capture organizational, interpersonal, and individual factors, as well as demographic information in graduate, postdoctoral, medical, resident, and fellow trainees. Descriptive statistics, multivariate ordinal logistic regression, and dominance analyses were used to understand psychological safety and the predictors that explained the majority of the variance in its statistical model.Findings: Gender minorities and those who suppressed their race information were less likely to feel psychologically safe. Psychological safety was predominately explained by senses of belonging, recognition, and respect. Notably, trust and confidence in supervisor emerged as a pivotal factor influencing belonging and respect, whereas organizational support played a crucial role in fostering recognition and belonging. Intriguingly, clarity in role expectations and autonomy were positively correlated with recognition.Originality: Our findings highlight the interplay between organizational, interpersonal, and individual dynamics shaping psychological safety. Importantly, those who suppress their race as well as female or gender minorities are disproportionally prone to feeling unsafe. We further elucidate role clarity and autonomy as important factors in achieving a sense of recognition. We suggest programs prioritize development beyond technical competencies, recognizing trainees as key stakeholders in the cultivation of positive culture within academic environments.Keywords: psychological safety, trainee, belonging, recognition, respect, autonomy, role clarityhttps://www.dovepress.com/towards-safer-spaces-an-empirical-investigation-of-trainee-psychologic-peer-reviewed-fulltext-article-AMEPpsychological safetytraineebelongingrecognitionrespectautonomyrole clarity |
| spellingShingle | Boitet LM Meese KA Sweeney KL Estes NR Hays MM Loyd C Rogers DA Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers Advances in Medical Education and Practice psychological safety trainee belonging recognition respect autonomy role clarity |
| title | Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers |
| title_full | Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers |
| title_fullStr | Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers |
| title_full_unstemmed | Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers |
| title_short | Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers |
| title_sort | towards safer spaces an empirical investigation of trainee psychological safety within academic medical centers |
| topic | psychological safety trainee belonging recognition respect autonomy role clarity |
| url | https://www.dovepress.com/towards-safer-spaces-an-empirical-investigation-of-trainee-psychologic-peer-reviewed-fulltext-article-AMEP |
| work_keys_str_mv | AT boitetlm towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters AT meeseka towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters AT sweeneykl towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters AT estesnr towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters AT haysmm towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters AT loydc towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters AT rogersda towardssaferspacesanempiricalinvestigationoftraineepsychologicalsafetywithinacademicmedicalcenters |