Using Psychological Safety to Build a QAPI Culture
QAPI has the potential for meaningful change as long as it is not reduced to a compliance exercise—documents filed away, minutes recorded, and action items noted.
The facilities that thrive are those that treat QAPI as a culture, not a checklist. And at the heart of that culture is psychological safety—the belief that every staff member, from the CNA to the administrator, can speak up, share ideas, and challenge processes without fear of punishment.
Psychological safety, a concept rooted in organizational behavior research, describes the sense of confidence that one’s voice will be heard and valued.
In health care, where hierarchies are deeply ingrained, psychological safety is essential.
Author's summary: Building QAPI culture with psychological safety.
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