What does this research mean for the field?

Psychological safety and occupational stress in healthcare are primarily driven by systemic organizational structures, such as vertical hierarchies and inequitable workloads, rather than individual resilience profiles. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To investigate how organizational structures, leadership behaviors, and workload governance influence psychological safety and occupational stress in a tertiary healthcare system.

August 15, 2026BMC Health Services ResearchOpen Access

Organizational determinants of psychological safety and occupational stress in healthcare: a phenomenological study in a tertiary health system

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To investigate how organizational structures, leadership behaviors, and workload governance influence psychological safety and occupational stress in a tertiary healthcare system.
Interpretive hermeneutic phenomenological design sampling multidisciplinary healthcare professionals across 15 clinical departments (N=20).
Data gathered via concurrent anonymous open-ended surveys (n=12) and in-depth semi-structured interviews (n=8).
Thematic analysis performed using Braun and Clarke's six-phase framework with data triangulation and parallel coding.
Thematic synthesis identified six key themes: systemic workload velocity, structural suppression of psychological safety, perceived organizational injustice, reactive management, compromised clinical safety, and the necessity of system-level reforms.
Vertical hierarchies, inequitable workload distribution, and punitive management styles emerged as primary drivers of occupational stress and directly inhibited speaking up about clinical concerns.

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Implication

Qualitative phenomenological study reveals systemic structures drive occupational stress in healthcare workers, highlighting the need for organizational reforms.

Cite This Study

Alghamdi et al. (2026) studied this question.

synapsesocial.com/papers/6a8019db75c2e31742c86098 https://doi.org/10.1186/s12913-026-15215-5

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Implication

Qualitative phenomenological study reveals systemic structures drive occupational stress in healthcare workers, highlighting the need for organizational reforms.

Organizational determinants of psychological safety and occupational stress in healthcare: a phenomenological study in a tertiary health system

Key Points

Discussion

Implication

Cite This Study

Organizational determinants of psychological safety and occupational stress in healthcare: a phenomenological study in a tertiary health system

Key Points

Discussion

Implication

Cite This Study

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