Journal article
React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations
JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT
26 Sep 2023
PMID: 37749761
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose - The response of the receiver to a voiced patient safety concern is frequently cited as a barrier to health professionals speaking up. The authors describe a novel Receiver Mindset Framework (RMF) to help health professionals understand the importance of their response when spoken up to. Design/methodology/approach - The framework draws on the broader receiver-focussed literature and integrates innovative findings from a series of empirical studies. These studies examined different receiver behaviour within vignettes, retrospective descriptions of real interactions and behaviour in a simulated interaction.Findings - The authors' findings indicated that speaking up is an intergroup interaction where social identities, context and speaker stance intersect, directly influencing both perceptions of and responses to the message. The authors' studies demonstrated that when spoken up to, health professionals poorly manage their emotions and ineffectively clarify the speaker's concerns. Currently, targeted training for receivers is overwhelmingly absent from speaking-up programmes. The receiver mindset framework provides an evidence-based, healthcare specific, receiver-focussed framework to inform programmes.Originality/value-Grounded in communication accommodation theory (CAT), the resulting framework shifts speaking up training from being only speaker skill focussed, to training that recognises speaking up as a mutual negotiation between the healthcare speaker and receiver. This framework provides healthcare professionals with a novel approach to use in response to speaking up that enhances their ability to listen, understand and engage in point-of-care negotiations to ensure the physical and psychological safety of patients and staff.
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Details
- Title
- React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations
- Publication Details
- JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT
- Publisher
- EMERALD GROUP PUBLISHING LTD; Leeds
- Grant note
- This study was part of the author's doctoral work, which was supported by the Australian Government Research Training Program Scholarship. There are no conflicts of interest to declare.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001071552000001
- Scopus ID
- 2-s2.0-85172174203
- Other Identifier
- 991021861308104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Policy & Services