Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers

作者：Laurence M. Boitet, Katherine A. Meese, Katherine Sweeney, Norman Estes, Megan M. Hays, Christine Loyd, David A. Rogers · 发表于：Advances in Medical Education and Practice · 年份：2024 · DOI：10.2147/amep.s477654 · 被引用次数：6 · 研究领域：Diversity and Career in Medicine、Healthcare professionals’ stress and burnout、Medical Education and Admissions

Purpose: 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. Imp...