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

Elisabetta Trinchero (), Ben Farr-Wharton () and Yvonne Brunetto ()
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Elisabetta Trinchero: SDA Bocconi School of Management, Bocconi University
Ben Farr-Wharton: University of Technology
Yvonne Brunetto: Southern Cross University

Public Organization Review, 2019, vol. 19, issue 1, No 9, 139-152

Abstract: Abstract 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.

Keywords: Social exchange theory; Safety culture; Accreditation culture; Healthcare organization (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s11115-017-0390-6

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