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Psychological Safety in Teams: The Canary in the Coalmine Presented by: VHA National Center for Organization Development (NCOD)

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Psychological Safety in Teams:

The Canary in the Coalmine

Presented by:VHA National Center for Organization Development (NCOD)

VETERANS HEALTH ADMINISTRATION

What is Psychological Safety and Why is it important?

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VETERANS HEALTH ADMINISTRATION

Teaming – The Changing Nature of Work

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VETERANS HEALTH ADMINISTRATION

Teaming is a Verb

Team  ing (v.)

Teaming is teamwork on the fly‐coordinating and collaborating, across boundaries, without the luxury of stable team structures

Teaming is especially needed when work is COMPLEXand UNPREDICTABLE 

4* Edmondson, A.C. (2012). Teaming

VETERANS HEALTH ADMINISTRATION 5

Engaged, Effective VA Teams

Relationships Functions

Civility

Shared Respect

PsychologicalSafety

Cohesion

Common Purpose

Role clarity

Strategic Communication

Review & Improvement

VETERANS HEALTH ADMINISTRATION

Making it Safe to Team 

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Psychological safety is the degree to which employees trust that asking questions, sharing new ideas, raising concerns, disclosing honest mistakes and reporting violations will not be penalized or perceived negatively in the workplace.

VETERANS HEALTH ADMINISTRATION

The Canary in the Coalmine

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Psychological Safety is not an end in and of itself

It can act as a barometer of organizational health

VETERANS HEALTH ADMINISTRATION

Psychological Safety ‐ Business Case

Psychologically‐safe healthcare environments experience:

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In VA, greater psychological safety is related to:

Medication Errors Performance 

& Team Learning

Communication & Teamwork

Process Innovation

Patient Satisfaction

Employee Satisfaction

Perceived quality of leaders

Workplace Civility

Workplace Innovation

(Edmondson, 1996; Hofmann & Mark, 2006) (Edmondson, 1999) (Edmondson, Bohmer, & Pisano, 

2001)(Edmondson et , al., 2000; 2001)

(Measuring Psych Safety in VA, NCOD Report, 2014)

VETERANS HEALTH ADMINISTRATION

What can get in the way?

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VETERANS HEALTH ADMINISTRATION

The Influence of Context

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The chess pieces are darker on:

a) Top Row

b) Bottom Row

VETERANS HEALTH ADMINISTRATION

The Influence of Context

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VETERANS HEALTH ADMINISTRATION

The Influence of Context

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I see this dress as:

a) Primarily white with gold lace

b) Primarily blue with black lace

c) Other

VETERANS HEALTH ADMINISTRATION

Ladder of Inference

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Take in data

Filter data

Interpret meaning

Decide on action

Our ability to learn and work together is limited by our feelings that:

The data we select are the real data

Our beliefs are based on real data

Our beliefs are the truth

The truth is obvious

VETERANS HEALTH ADMINISTRATION

It Can Be Challenging…

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VETERANS HEALTH ADMINISTRATION

Common Challenges

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Impact/Intention Power Dynamics

Physiology

VETERANS HEALTH ADMINISTRATION

What influences Psych Safety?

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VETERANS HEALTH ADMINISTRATION

Psych Safety and Leadership

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Sets Tone Biggest Influencer

PS as Local Phenomenon

VETERANS HEALTH ADMINISTRATION

Psych Safety and Leadership

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VETERANS HEALTH ADMINISTRATION

Accountability Psychological safety is not about being ‘nice’ or about lowering performance standards. 

Clarity about consequences enhances psychological safety

Blameworthy Acts: Reckless behavior Disruptive behavior Disrespectful behavior Knowingly violating standards Working way beyond your boundaries Failure to learn overtime

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VETERANS HEALTH ADMINISTRATION

Accountability

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Comfort Zone Learning Zone

Apathy Zone Anxiety Zone

high

lowlow high

PSYC

HO

LOG

ICAL

SAFE

TY

MOTIVATION & ACCOUNTABILITY

VETERANS HEALTH ADMINISTRATION

Psych Safety and Team Behaviors

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Speaking Up

Collaboration

Experimentation

Reflection

VETERANS HEALTH ADMINISTRATION

What’s Being Done?

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VETERANS HEALTH ADMINISTRATION

What’s Being Done?

Psychological Safety Summit – Feb 2015

Build awareness and desire throughout the system

Develop specific skill‐building interventions aimed at supervisors

How can you help?23

For more information, please contact VHA National Center for Organization Development (NCOD)

Telephone: (513) 247‐4680 Email: [email protected]: http://vaww.va.gov/NCOD

http://www.va.gov/NCOD

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