RELATIONSHIP BETWEEN PSYCHOLOGICAL SAFETY, INTERPROFESSIONAL COLLABORATION, AND PATIENT-SAFETY CULTURE AMONG REGISTERED NURSES

Abstract

Background

Psychological safety and interprofessional collaboration are important organizational factors that may influence patient-safety culture. Registered nurses frequently communicate safety concerns, coordinate care, and collaborate with multidisciplinary healthcare teams. A supportive work environment may encourage nurses to speak up and participate in patient-safety activities.

Aim

To determine the relationship between psychological safety, interprofessional collaboration, and patient-safety culture among registered nurses.

Methods

A quantitative, descriptive cross-sectional design was used among 235 registered nurses at Jinnah Hospital, Lahore. Participants were recruited through convenience sampling. Data were collected using a structured self-administered questionnaire assessing demographic characteristics, psychological safety, interprofessional collaboration, and patient-safety culture. Data were analyzed using SPSS Version 27. Descriptive statistics and Pearson's correlation coefficient were used, with statistical significance set at p < 0.05.

Results

The findings showed that 48.1% of nurses had moderate psychological safety, 51.5% reported moderate interprofessional collaboration, and 50.6% perceived a moderate patient-safety culture. Psychological safety was significantly positively correlated with interprofessional collaboration (r = .582, p < .001) and patient-safety culture (r = .641, p < .001). Interprofessional collaboration demonstrated the strongest association with patient-safety culture (r = .683, p < .001).

Conclusion

Psychological safety and interprofessional collaboration were significantly associated with patient-safety culture. Strengthening supportive communication, teamwork, speaking-up behaviors, and collaborative practice may contribute to improving patient safety.