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  2. Angewandte Psychologie
  3. Publikationen
  4. Publikationen Angewandte Psychologie
Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-19531
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dc.contributor.authorKrenz, Hanna-
dc.contributor.authorBurtscher, Michael Josef-
dc.contributor.authorGrande, Bastian-
dc.contributor.authorKolbe, Michaela-
dc.date.accessioned2020-02-20T15:10:03Z-
dc.date.available2020-02-20T15:10:03Z-
dc.date.issued2020-
dc.identifier.issn1751-1879de_CH
dc.identifier.issn1751-1887de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/19531-
dc.description.abstractPurpose – Voicing concerns and suggestions is crucial for preventing medical errors and improving patient safety. Research suggests that hierarchy in health-care teams impair open communication. Hierarchy, however, can vary with changing team composition, particularly during acute care situations where more senior persons join the team later on. The purpose of this study is to investigate how changes in hierarchy and leadership were associated with nurses’ voice frequency and nurses’ time to voice during simulated acute care situations. Design/methodology/approach – This study’s sample consisted of 78 health-care providers (i.e. nurses, residents and consultants) who worked in 39 teams performing complex clinical scenarios in the context of interprofessional, simulation-based team training. Scenarios were videotaped and communication behaviour was coded using a systematic coding scheme. To test the hypotheses, multilevel regression analyses were conducted. Findings – Hierarchy and leadership had no significant effect on nurses’ voice frequency. However, there were significant relationships between nurses’ time to voice and both hierarchy (g = 30.00, p = 0.002; 95 per cent confidence interval [CI] = 12.43; 47.92) as well as leadership (g = 0.30, p = 0.001; 95 per cent CI = 0.12; 0.47). These findings indicate that when more physicians are present and leadership is more centralised, more time passes until the first nurses’ voice occurred. Originality/value – This study specifies previous findings on the relationships between hierarchy, leadership and nurses’ voice. Our findings suggest that stronger hierarchy and more centralised leadership delay nurses’ voice but do not affect the overall frequency of voice.de_CH
dc.language.isoende_CH
dc.publisherEmeraldde_CH
dc.relation.ispartofLeadership in Health Servicesde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectLeadershipde_CH
dc.subjectCommunicationde_CH
dc.subjectVoicede_CH
dc.subjectTrainingde_CH
dc.subject.ddc658.4: Leitendes Managementde_CH
dc.titleNurses’ voice : the role of hierarchy and leadershipde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementAngewandte Psychologiede_CH
zhaw.organisationalunitPsychologisches Institut (PI)de_CH
dc.identifier.doi10.1108/LHS-07-2019-0048de_CH
dc.identifier.doi10.21256/zhaw-19531-
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end26de_CH
zhaw.pages.start12de_CH
zhaw.publication.statusacceptedVersionde_CH
zhaw.volume33de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.snf169785de_CH
zhaw.author.additionalNode_CH
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Krenz, H., Burtscher, M. J., Grande, B., & Kolbe, M. (2020). Nurses’ voice : the role of hierarchy and leadership. Leadership in Health Services, 33(1), 12–26. https://doi.org/10.1108/LHS-07-2019-0048
Krenz, H. et al. (2020) ‘Nurses’ voice : the role of hierarchy and leadership’, Leadership in Health Services, 33(1), pp. 12–26. Available at: https://doi.org/10.1108/LHS-07-2019-0048.
H. Krenz, M. J. Burtscher, B. Grande, and M. Kolbe, “Nurses’ voice : the role of hierarchy and leadership,” Leadership in Health Services, vol. 33, no. 1, pp. 12–26, 2020, doi: 10.1108/LHS-07-2019-0048.
KRENZ, Hanna, Michael Josef BURTSCHER, Bastian GRANDE und Michaela KOLBE, 2020. Nurses’ voice : the role of hierarchy and leadership. Leadership in Health Services. 2020. Bd. 33, Nr. 1, S. 12–26. DOI 10.1108/LHS-07-2019-0048
Krenz, Hanna, Michael Josef Burtscher, Bastian Grande, and Michaela Kolbe. 2020. “Nurses’ Voice : The Role of Hierarchy and Leadership.” Leadership in Health Services 33 (1): 12–26. https://doi.org/10.1108/LHS-07-2019-0048.
Krenz, Hanna, et al. “Nurses’ Voice : The Role of Hierarchy and Leadership.” Leadership in Health Services, vol. 33, no. 1, 2020, pp. 12–26, https://doi.org/10.1108/LHS-07-2019-0048.


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