Effectiveness of a Training Module on Psychological Safety among Nursing Personnel in a Hospital in Ranchi
DOI:
https://doi.org/10.31674/mjn.2025.v17i02.018Abstract
Background: Psychological safety, a vital element in healthcare, promotes open communication, error reporting, and collaborative decision-making, directly influencing patient safety and care quality. This study examines the effect of a structured training module aimed at enhancing psychological safety among nursing personnel in a district hospital in Ranchi, India. Methods: An experimental design was used on 100 nurses randomly divided into control and study arms. The training module was delivered through interactive PowerPoint sessions, distributed modules, and discussions. Pre- (baseline) and post-intervention data were collected on the 1st and 10th days, respectively, using one standardised and one structured, expert-validated tool to measure knowledge and attitude toward psychological safety. Results: Comparable age, qualifications, and experience between arms ensured similar baseline characteristics, minimising demographic bias and influence. Similar baseline knowledge and attitude scores confirmed arm equivalence. Significant (p < 0.000***) improvements were observed in the study arm, with mean knowledge scores rising from 8.44 to 17.94 (SD reduced from 1.554 to 0.843) and mean attitude scores increasing from 33.06 to 43.38, compared to the control group. Conclusion: The marked improvement in knowledge and attitude confirms the training module’s effectiveness in enhancing psychological safety among nursing staff. Integrating such training into routine professional development may foster safer and more positive patient outcomes.
Keywords:
Effectiveness, Psychological Safety, Training ModuleDownloads
References
Amorim-Ribeiro, E. M. B. de (2025). Psychological safety and occupational well-being of nurses: A scoping review. IOSR Journal of Nursing and Health Science, 14(3), 1–12. https://doi.org/10.9790/1959-1403040112
Bahadurzada, H., Edmondson, A., & Kerrissey, M. (2024). Psychological safety as an enduring resource amid constraints. International Journal of Public Health, 69, 1607332. https://doi.org/10.3389/ijph.2024.1607332
Clark, M. A., Smith, R. W., & Haynes, N. J. (2020). The multidimensional workaholism scale: Linking the conceptualization and measurement of workaholism. Journal of Applied psychology, 105(11), 1281. https://doi.org/10.1037/apl0000484
de Lisser, R., Dietrich, M. S., Spetz, J., Ramanujam, R., Lauderdale, J., & Stolldorf, D. P. (2024). Psychological safety is associated with better work environment and lower levels of clinician burnout. Health Affairs Scholar, 2(7), qxae091. https://doi.org/10.1093/haschl/qxae091
Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350-383. https://doi.org/10.2307/2666999
Fransen, K., McEwan, D., & Sarkar, M. (2020). The impact of identity leadership on team functioning and well-being in team sport: Is psychological safety the missing link?. Psychology of Sport and Exercise, 51, 101763. https://doi.org/10.1016/j.psychsport.2020.101763
Galanti, T., Cortini, M., Giudice, G. F., Zappalà, S., & Toscano, F. (2024). Safeguarding nurses' mental health: The critical role of psychosocial safety climate in mitigating relational stressors and exhaustion. AIMS Public Health, 11(3), 905–917. https://doi.org/10.3934/publichealth.2024046
Geller, S. M., & Greenberg, L. S. (2023). Therapeutic presence: A mindful approach to effective therapeutic relationships (2nd ed.). American Psychological Association. https://doi.org/10.1037/0000315-000
Geraghty, T. (2020). The psychological safety scale: Measuring and improving team dynamics. Psychsafety.com. https://www.psychsafety.com
Grailey, K. E., Murray, E., Reader, T., & Brett, S. J. (2021). The Presence and Potential Impact of Psychological Safety in the Healthcare Setting: An Evidence Synthesis. BMC Health Services Research, 21 (1), 773. https://doi.org/10.1186/s12913-021-06740-6
Hallam, K. T., Popovic, N., & Karimi, L. (2023). Identifying the key elements of psychologically safe workplaces in healthcare settings. Brain Sciences, 13(10), 1450. https://doi.org/10.3390/brainsci13101450
Hessler, K. L., Anderson, G., Scannell, M., McNair, B., & Becker, M. (2025). Leadership strategies to increase psychological safety of nurses: A longitudinal study. Quality Management in Healthcare, 34(1), 46-54. https://doi.org/10.1097/QMH.0000000000000453
Hirvikallio, H., Haaranen, A., & Hult, M. (2024). Psychological safety, social support, and commitment among nurse managers: A cross-sectional study. Nordic Journal of Nursing Research, 44(1), 1–7. https://doi.org/10.1177/20571585241238844
Hunt, D. F., Bailey, J., Lennox, B. R., Crofts, M., & Vincent, C. (2021). Enhancing psychological safety in mental health services. International Journal of Mental Health Systems, 15(1), 33. https://doi.org/10.1186/s13033-021-00439-1
Ito, A., Sato, K., Yumoto, Y., Sasaki, M., & Ogata, Y. (2022). A concept analysis of psychological safety: further understanding for application to health care. Nursing Open, 9(1), 467-489. https://doi.org/10.1002/nop2.1086
Jayaswal, V., & Dewan, R. (2020). Occupational stress and job satisfaction among tribal Christian and non-Christian female nurses of Ranchi town in Jharkhand. International Journal of Indian Psychology, 8(3), 965-977. https://doi.org/10.25215/0901.107
Johnson, C. T., Owen, N. S., & Hessels, A. J. (2025). Influence of psychological safety and safety climate perceptions on nurses’ infection prevention and occupational safety practices and environment. Nursing Reports, 15(2), 37. https://doi.org/10.3390/nursrep15020037
Mehta, P. (2025). A multi-level approach to burnout prevention: Strategies for a sustainable and thriving workforce. In Prioritizing employee mental health and well-being for organizational success (pp. 219-248). IGI Global Scientific Publishing. https://doi.org/10.1080/15332845.2025.2563968
Satoh, M., Sato, N., Tamura, N., & Fujimura, A. (2024). Psychological safety in enhancing the competence of nurse educators among early career nursing faculty in Japan: A cross-sectional study. International Journal of Nursing Studies Advances, 7, 100254. https://doi.org/10.1016/j.ijnsa.2024.100254
Shorey, S., & Ng, E. D. (2021). The use of virtual reality simulation among nursing students and registered nurses: A systematic review. Nurse Education Today, 98, 104662. https://doi.org/10.1016/j.nedt.2020.104662
Vévoda, J., Vévodová, Š., Nakládalová, M., Grygová, B., Kisvetrová, H., Grochowska Niedworok, E., ... & Merz, L. (2016). The relationship between psychological safety and burnout among nurses. Occupational Medicine/Pracovní Lékarství, 68(1-2), 40-46. https://shorturl.at/1ylh4
Vu, V., Buléon, C., Le, T. A., Lua, C. C. P., Martin, F., Minehart, R., & Macaire, P. (2025). Changing minds, saving lives: how training psychological safety transforms healthcare. BMJ Open Quality, 14(2). https://doi.org/10.1136/bmjoq-2024-003186
Yılmaz, F. K., & ÜNKÜR, P. (2023). Determination of mental health literacy, help-seeking Behaviours and psychological distress levels of health science students. Journal of Health Literacy, 7(4), 9-20. https://doi.org/10.22038/jhl.2022.66098.1308
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
