Embracing or relinquishing sources of power in interprofessional communication: implications for patient-centered speaking up.
Health professionals working in an interprofessional work environment are entrusted to speak up on behalf of patients. However, that environment is comprised of dynamic intra- and interprofessional hierarchies, characterized by power differentials that affect speaking up behaviors. Drawing on the so...
| Publicado en: | Journal of Interprofessional Care Vol. 40; no. 5; pp. 738 - 746 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep/Oct2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196698430&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196698430 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561820 57N jtl: Journal of Interprofessional Care issn: 13561820 maglogo: Y pubinfo: dt: Sep/Oct2026 vid: 40 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 196698430 153408795 196698430 196698430 10.1080/13561820.2021.1975665 196698430 ppf: 738 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Embracing or relinquishing sources of power in interprofessional communication: implications for patient-centered speaking up. aug: au: Farrell, Susan E. Bochatay, Naike Kim, Sara affil: Harvard Medical School, Director, Continuing and Professional Development, Center for Interprofessional Studies and Innovation, MGH Institute of Health Professions, Boston, MA, USA sug: subj: Interprofessional Relations Communication Patient Centered Care Power Patient Safety Health Personnel Psychosocial Factors Attitude of Health Personnel Evaluation Human Male Female Funding Source Secondary Analysis Intraprofessional Relations Focus Groups Interviews Nurses Psychosocial Factors Health Information Patient Advocacy Clinical Competence Work Environment Teamwork Internship and Residency Organizational Policies Wit and Humor Fear Anxiety Confidence Organizational Culture Psychological Safety Leadership Motivation Descriptive Statistics Male Female ab: Health professionals working in an interprofessional work environment are entrusted to speak up on behalf of patients. However, that environment is comprised of dynamic intra- and interprofessional hierarchies, characterized by power differentials that affect speaking up behaviors. Drawing on the social bases of power and on power/interaction theory, we analyzed focus group and interview transcripts of 62 health professionals' accounts of speaking up. We focused on their primary sources of power, and described factors associated with health professionals' embracing power to speak up for patient safety, as well as those associated with relinquishing power and remaining silent. Nurses primarily employed direct patient information as a source of power to advocate for patients. Senior nurses and attending physicians exercised their legitimate power through titles or expertise, and when embracing that power, often influenced the healthcare team's speaking up behaviors and the team environment. Physician trainees perceived to have limited sources of power. Participants reported using hospital policies, relationships, and humor for engaging in speaking up behavior. Relinquishing power and remaining silent were associated with fear, anxiety, and lack of confidence. Given the complex, hierarchical environment in healthcare, leaders' inclusive behaviors for setting a culture for speaking up, including modeling speaking up, are critical. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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