The role of psychological safety and learning behavior in the development of effective quality improvement teams in Ghana: an observational study

Albritton, Jordan A.; Fried, Bruce; Singh, Kavita; Weiner, Bryan J.; Reeve, Bryce; Edwards, Jeffrey R.

doi:10.1186/s12913-019-4234-7

Table 4 Standardized SEM Results

From: The role of psychological safety and learning behavior in the development of effective quality improvement teams in Ghana: an observational study

Factor	Partial Mediation		Complete Mediation
Factor	Standardized Estimates	Standard Error	Standardized Estimates	Standard Error
QI Implementation
on Learning Behavior	0.284*	0.147	0.220**	0.097
on Psychological Safety	−0.113	0.138
on Team Leadership	−0.064	0.073
on Perceived Support	−0.156	0.149
on Hospital staff size	0.016	0.183	0.003	0.069
on Average age	−0.150*	0.079	−0.144**	0.070
on QI team size	0.134	0.109	0.111	0.108
on Rural hospital^	−0.029	0.183	−0.039	0.181
on Staff-to-bed ratio	0.163*	0.083	0.174***	0.065
Learning Behavior
on Psychological Safety	0.530**	0.233	0.779***	0.184
on Team Leadership	0.313*	0.170
on Perceived Support	0.000	0.070
on Hospital staff size	−0.115	0.118	−0.035	0.111
on Average age	−0.013	0.066	−0.018	0.065
on QI team size	0.040	0.131	0.040	0.148
on Rural hospital^	0.010	0.074	0.070	0.109
on Staff-to-bed ratio	0.083	0.063	0.092	0.126
Psychological Safety
on Team Leadership	0.386	0.175	0.492***	0.167
on Perceived Support	0.201	0.142	0.184	0.152
on Hospital staff size	−0.198	0.176	−0.227	0.142
on Average age	0.046	0.059	0.044	0.075
on QI team size	0.201***	0.038	0.187***	0.045
on Rural hospital^	0.003	0.093	−0.018	0.087
on Staff-to-bed ratio	−0.002	0.143	0.013	0.152
Team Leadership
with Perceived Support	0.414***	0.089	0.415***	0.081
with Hospital staff size	−0.020	0.083	−0.018	0.083
with Average age	−0.005	0.077	−0.007	0.077
with QI team size	0.301***	0.086	0.298***	0.086
with Rural hospital^	0.311***	0.035	0.309***	0.036
with Staff-to-bed ratio	0.186*	0.109	0.185*	0.108
Perceived Support
with Hospital staff size	−0.141**	0.060	−0.137**	0.059
with Average age	0.072	0.118	0.072	0.118
with QI team size	0.086	0.148	0.088	0.147
with Rural hospital^	0.125***	0.028	0.127***	0.031
with Staff-to-bed ratio	0.087	0.058	0.091	0.058

N = 122; fit statistics shown in Table 2
^ Compared to urban hospitals
*Statistically significant at p < 0.10
**Statistically significant at p < 0.05
***Statistically significant at p < 0.01
Standardized estimates indicate the change in y associated with a one standard deviation change in x

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ISSN: 1472-6963

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