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Abstract Background Frontline nurses and management see safety differently, but risks arise when there is a disconnect between perceptions of Psychosocial Safety Climate. PSC is the leading indicator of systemic issues in job design, support, and subsequent adverse psychological health, engagement and productivity outcomes. We aimed to provide teams with trending information via a dashboard, the PSC Real-Time Monitoring (PSC-RTM) system, to help realign manager and frontline perceptions. Methods The new proprietary PSC-RTM was piloted for 10 weeks and available 24/7 on an app kiosk in N=3 frontline healthcare teams in Adelaide, Australia. Participating teams engaged in pre-intervention training sessions (n=90 staff members) as well as post-intervention focus groups (total n=32 staff between 6 sessions) and interviews with managers (n=3). Results and discussion Trend analysis and single-case autoregressive continuous time modelling demonstrated that PSC is dynamic over the course of a day or month, but an autoregressive diffusion model showed that PSC changes in response to unrecorded safety incidents (and can overall improve or deteriorate in the long term). Consensus emergence modelling allowed us to further understand PSC emergence and convergence processes. Conclusion The PSC-RTM addresses the issue in existing research (and hospital ‘culture surveys’) of time delays between when PSC is measured and the subsequent identification and development of relevant supports. Our innovation in PSC measurement and tracking poses a cost-effective system for signalling the potential for psychosocial risk before it occurs. The continuous feedback loop between the team and their manager offers a way to respond more immediately to the ever-evolving safety climate within their team.
McLinton et al. (Mon,) studied this question.