Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa
Mini Dissertation (MBA)--University of Pretoria, 2025.
Saved in:
| Other Authors: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
University of Pretoria
2026
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613447916617728 |
|---|---|
| access_status_str | Open Access |
| author2 | Nel,Karen |
| author_browse | Nel,Karen |
| author_facet | Nel,Karen |
| collection | Thesis |
| dc_rights_str_mv | © 2025 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Mini Dissertation (MBA)--University of Pretoria, 2025. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/109141 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:36:18.085Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/109141 How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa Nel,Karen ichelp@gibs.co.za Khoza, Felicia UCTD Adverse events Health care Inclusive leadership Mediation Near-misses Patient safety South Africa Supportive leadership Team learning Voice behaviour Mini Dissertation (MBA)--University of Pretoria, 2025. The primary purpose of this study was to investigate the influence of psychological safety on patient safety performance within an acute private hospital in Mpumalanga, South Africa. In the context of a resource-constrained and hierarchical healthcare environment, the study sought to identify the specific mechanisms that translate interpersonal safety into clinical excellence. A quantitative, cross-sectional design was employed, utilising a structured survey administered to 75 healthcare professionals, including nurses, doctors, and allied staff. Partial Least Squares Structural Equation Modelling (PLS-SEM) was used to test the hypothesised relationships. The findings revealed that inclusive leadership is a robust predictor of psychological safety ($\beta=0.750$), confirming that safety is a ""top-down"" permission structure in this context. Contrary to initial assumptions, psychological safety did not have a significant direct effect on patient safety performance. Instead, the relationship was fully mediated by team learning behaviours. This indicates that psychological safety improves patient outcomes only when it activates learning processes such as error reporting and reflection. While traditional literature often positions PS as a direct predictor of performance, this study reveals more complex realities within the South African context. Findings indicate that PS alone does not improve patient outcomes; rather, it acts as a catalyst for team learning behaviours. Based on these findings, it is recommended that hospital management shift focus from generic safety culture campaigns to specific inclusive leadership training and the institutionalisation of routine shift debriefs. Future research should employ longitudinal designs to measure the long-term impact of these interventions on objective clinical outcomes. The study is limited by its cross-sectional nature and sample size, though statistical power remained high. Gordon Institute of Business Science (GIBS) MBA Unrestricted Gordon Institute of Business Science (GIBS) SDG-03: Good health and well-being 2026-03-23T09:14:57Z 2026-03-23T09:14:57Z 2026-05-05 2025 Mini Dissertation * A2025 http://hdl.handle.net/2263/109141 en © 2025 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Adverse events Health care Inclusive leadership Mediation Near-misses Patient safety South Africa Supportive leadership Team learning Voice behaviour How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa |
| title | How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa |
| title_full | How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa |
| title_fullStr | How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa |
| title_full_unstemmed | How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa |
| title_short | How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa |
| title_sort | how the psychological safety of healthcare teams relates to team performance specifically patient outcomes in an acute private hospital in mpumalanga south africa |
| topic | UCTD Adverse events Health care Inclusive leadership Mediation Near-misses Patient safety South Africa Supportive leadership Team learning Voice behaviour |
| url | http://hdl.handle.net/2263/109141 |