This study examines the relationship between the self-determination theory and perceived psychological safety, respectively popularized by Edward Deci and Richard Ryan; and Amy Edmondson. Whereas...Show moreThis study examines the relationship between the self-determination theory and perceived psychological safety, respectively popularized by Edward Deci and Richard Ryan; and Amy Edmondson. Whereas psychological safety has been found to positively contribute to team performance, the self-determination theory is used to assess individual needs and fulfilments, and can be a contributor to individual performance. The aim of this potential relationship is to enable the use and combination of individual-, and team-based strategies more effectively in order to enhance overall performance in organizations. I hypothesized that a significant positive correlation exists between self-determination theory factors and perceived psychological safety, and that the former could be used to predict the latter. The data gathered in an international online survey among people working in the healthcare sector supports that there is a significant positive correlation between the levels of the self-determination theory’s autonomy component and perceived psychological safety. However, when setting up a regression model, I found that the autonomy component of self-determination theory is the only significant predictor for the level of perceived psychological safety. This model explains five percent of the variance in the level of perceived psychological safety, and is thus practically of no use. Secondly, hypothesized that there are no gender-based differences in levels of self-determination theory and perceived psychological safety. In the analysis I found that there are generally no gender- based differences in either of the variables, except for the competence component of self- determination theory. This potentially signifies that men and women prioritize their psychological needs differently, but more research is needed to confirm this. In conclusion, based on the evidence gathered in this study, I cannot conclude that the relationship between self-determination theory and psychological safety can be used in a meaningful way to increase overall performance in the healthcare sector, or other organizations for that matter.Show less
This thesis examines political attitudes towards different groups of migrants arriving in Britain between 1948 and 1971. Specifically, it examines how the creation of the National Health Service ...Show moreThis thesis examines political attitudes towards different groups of migrants arriving in Britain between 1948 and 1971. Specifically, it examines how the creation of the National Health Service (NHS) in 1948 influenced attitudes towards different migrant groups. It pays close attention to racial inequalities comparing the different receptions of predominantly black and brown migrant groups from the New Commonwealth states and the predominantly white migrant groups from continental Europe and Old Commonwealth states. Methodologically it uses a combination of close and distant reading techniques on parliamentary transcripts and civil service records, particularly from the British Ministry of Health. The central finding is that far from migrants being treated with universal scepticism, there was a very clear hierarchy of desirability into which different migrant groups were sorted, and further that this hierarchy was structured around perceived racial difference.Show less
In hospitals, preventable incidents still occur and safety management may have reached its peak. Therefore, learning from these incidents is imperative to reduce preventable harm. A prerequisite...Show moreIn hospitals, preventable incidents still occur and safety management may have reached its peak. Therefore, learning from these incidents is imperative to reduce preventable harm. A prerequisite for learning is the willingness of staff to report. A safety management mode known as Safety-II may yield benefits in reporting behavior. Based on existing literature, reporting behavior may be influenced by personality. This study aimed to investigate if the proposed safety management mode will increase reporting behavior. Additionally, this study investigated if personality is a significant predictor in reporting behavior. To test this, participants consisting of two groups i.e., calamity investigators (with training in Safety-II) and random medical staff (without training) were compared. Data was gathered by distributing questionnaires among participants; one for personality and one for reporting behavior. The reporting questionnaire was distributed on a second occasion, to measure implications over time. It was expected that training in Safety-II leads to an increase in reporting behavior. Additionally, it was expected that personality influenced reporting behavior. Results showed a significant difference in one facet of reporting behavior (i.e., perceived blame) between groups with training in Safety-II and without training. Extraversion and neuroticism were found to be predictors for one facet of reporting behavior (i.e., perceived criteria for events that should be reported). Implications may be that the training main focus is to exempt blame from being a factor in reporting. Implications may also be that personality is not a great predictor of reporting behavior. Future lines of research may focus on increasing the number of participating hospitals, perhaps even broadening the study across different nations, to examine cultural differences.Show less
In the dynamic world of healthcare, where people work together in multidisciplinary teams, psychological safety is necessary for effective teamwork. Psychological safety leads to more team learning...Show moreIn the dynamic world of healthcare, where people work together in multidisciplinary teams, psychological safety is necessary for effective teamwork. Psychological safety leads to more team learning, self-expression and personal engagement that in turn increases team effectivity. With those beneficial effects in mind, an important part (the first subquestion) of this study focused on the level of psychological safety of various actors at the department of Neurology/Neurosurgery/Neurocare in a large university hospital. Furthermore, this first subquestion served a larger goal. The hospital is about to implement changes in rules and regulations concerning the work activities of healthcare workers, in order to increase patient safety. According to the results of this study, the level of psychological safety was on an adequate level. The second subquestion addressed the prevalent communication styles among colleagues on the work floor of the abovementioned departments. The results suggested that healthcare workers use significantly more directive (dominant and contentious) communication styles compared to non-directive (attentive and friendly) communication styles. No difference was found between the communication styles of nurses and doctors. Since the way of communication may influence psychological safety, the third subquestion focused on the relationship of communication styles and psychological safety. No association was found between those two concepts. However, we found some indications in our very small sample size that nurses with non-directive communication styles may be vulnerable to experiencing a lower level of psychological safety. Because of Covid-19 regulations, the sample size was limited, so the findings are not generalisable. However, this study does serve as a proof-of-concept of a study that can be conducted in the future. In a subsequent similar study, the same method with some modifications can be used to get more generalisable findings and insights into the relationship between communication styles and psychological safety.Show less
In 2020, the Indonesian government entered a new type of social contract with the citizens whereby the government situated itself as a major player of social welfare provision in the daily lives in...Show moreIn 2020, the Indonesian government entered a new type of social contract with the citizens whereby the government situated itself as a major player of social welfare provision in the daily lives in Indonesia. JKN is an ambitious project of universal health coverage that, in legislation, allows Indonesians to receive healthcare coverage at no cost or substantially lower prices than before. Despite promising affordable and effective health insurance, the Indonesian healthcare regime remains beset by the persistence of healthcare inequality, affordability, inaccessible access to care, and insufficient qualify of service provision. Fundamentally, this paper argues JKN has not substantially led to effective increases in public health due to the lack of attention paid to service provision aspects of the healthcare regime. Here, JKN has increased the demand for care, but not increase the supply of access to care nor quality of care.Show less
