Workplace Relationships, Psychological Capital, Accreditation and Safety Culture: a new Framework of Analysis within Healthcare Organizations

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Journal Article
Public Organization Review, 2019, 19 (1), pp. 139 - 152
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10.1007%2Fs11115-017-0390-6.pdfSubmitted Version560.73 kB
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© 2017, Springer Science+Business Media, LLC. This paper used Social Exchange Theory (SET), Positive Organizational Behavior (POB) and Cooper’s (Safety Science, 36(2), 111–136, 2000) frameworks to operationalize a comprehensive model of safety culture, and tests whether one SET factor (supervisor-employee relationships) and one POB factor (psychological capital) predict accreditation and safety culture in a causal chain. Surveys from 1125 Italian doctors were analyzed using Structural Equation Modeling. Supervisor-employee relationships and psychological capital accounted for two-fifths of the accreditation culture, and, in turn, explained more than half of the safety culture. Hence, effective workplace relationships between management and doctors provide a trusting foundation to develop safe practices for better healthcare.
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