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Speaking up to prevent harm: a systematic review of the safety voice literature

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  • Noort, Mark C.
  • Reader, Tom W.
  • Gillespie, Alex

Abstract

Safety voice is the act of speaking up about safety in order to prevent accidents and physical harm. It occurs across contexts (e.g., healthcare, aviation, construction, mountaineering, high-risk sports) and understanding the phenomenon enables interventions. Despite recent interest, however, it remains unclear how safety voice (i) differs conceptually from employee voice, (ii) is delineated across levels of analysis, and (iii) could be optimally investigated. Addressing this, we identified 48 articles, and integrated 256 safety voice antecedents, 7 pragmatics and 23 outcomes into an ecological framework. Overlap was found with employee voice concepts and methodologies, especially for the behavioural nature of speaking-up. Nonetheless, safety voice appeared unique in terms of the content of the raised message (e.g., limited to safety), the context and person speaking-up, identified antecedents (e.g., hazard-specific antecedents), and methodological challenges (e.g., operationalisation of victimhood). Our proposed safety voice framework provides a novel approach to safety voice that is ecological and indicates interventions for mitigating physical harm.

Suggested Citation

  • Noort, Mark C. & Reader, Tom W. & Gillespie, Alex, 2019. "Speaking up to prevent harm: a systematic review of the safety voice literature," LSE Research Online Documents on Economics 100774, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:100774
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    File URL: http://eprints.lse.ac.uk/100774/
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    References listed on IDEAS

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    14. Laurene Aydon & Yvonne Hauck & Margo Zimmer & Jamee Murdoch, 2016. "Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(17-18), pages 2468-2477, September.
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    Cited by:

    1. Jones, Aled & Blake, Joanne & Adams, Mary & Kelly, Daniel & Mannion, Russell & Maben, Jill, 2021. "Interventions promoting employee “speaking-up” within healthcare workplaces: A systematic narrative review of the international literature," Health Policy, Elsevier, vol. 125(3), pages 375-384.
    2. Andrea Bazzoli & Matteo Curcuruto & James I. Morgan & Margherita Brondino & Margherita Pasini, 2020. "Speaking Up about Workplace Safety: An Experimental Study on Safety Leadership," Sustainability, MDPI, vol. 12(18), pages 1-22, September.
    3. Lim, Shu Rong & Ng, Qin Xiang & Xin, Xiaohui & Moyal-Smith, Rachel & Etheridge, James C. & Teng, Chai Lian & Havens, Joaquim M. & Brindle, Mary E. & Yong, Tze Tein & Tan, Hiang Khoon, 2024. "Going beyond compliance: A qualitative study of the practice of surgical safety checklist," Social Science & Medicine, Elsevier, vol. 345(C).
    4. Yunfeng Sun & Hao Yang & Xiang Wu & Yifeng Jiang & Chongyang Qian, 2022. "How Safety Climate Impacts Safety Voice—Investigating the Mediating Role of Psychological Safety from a Social Cognitive Perspective," IJERPH, MDPI, vol. 19(19), pages 1-17, September.
    5. Yunfeng Sun & Hao Yang & Chongyang Qian & Yifeng Jiang & Xiaowei Luo & Xiang Wu, 2022. "Voice Endorsement and Employee Safety Voice Behavior in Construction Projects: The Mediating Role of Leader-Member Exchange," IJERPH, MDPI, vol. 19(6), pages 1-17, March.
    6. Hald, Julie & Gillespie, Alex & Reader, Tom W., 2024. "Problems in dealing with problems: how breakdowns in corrective culture lead to institutional failure," LSE Research Online Documents on Economics 122814, London School of Economics and Political Science, LSE Library.
    7. Dag Yngve Dahle, 2024. "Trust and Shout: The Reputation/Voice Tension in Schools and Hospitals," Corporate Reputation Review, Palgrave Macmillan, vol. 27(1), pages 52-69, February.
    8. Boesten, Nadine & De Regge, Melissa & Eeckloo, Kristof & Leys, Mark & Gemmel, Paul & Meijboom, Bert, 2024. "Speak up! Factors that influence involvement of nurses in oncological multidisciplinary team meetings," Other publications TiSEM 3f3aab59-4dc2-4b28-b664-0, Tilburg University, School of Economics and Management.
    9. Reader, Tom W., 2022. "Stakeholder safety communication: patient and family reports on safety risks in hospitals," LSE Research Online Documents on Economics 114624, London School of Economics and Political Science, LSE Library.
    10. Tedone, Archana Manapragada & Lanz, Julie J., 2024. "Staying silent during a crisis: How workplace factors influence safety decisions in U.S. nurses," Social Science & Medicine, Elsevier, vol. 341(C).
    11. Yunfeng Sun & Jianwu Chen & Chongyang Qian & Xiaowei Luo & Xiang Wu, 2022. "The Influence Mechanism of Political Skill on Safety Voice Behavior in High-Risk Industries: The Mediating Role of Voice Efficacy," IJERPH, MDPI, vol. 19(23), pages 1-21, December.

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    More about this item

    Keywords

    safety voice; speaking-up; employee voice; systematic review; harm prevention;
    All these keywords.

    JEL classification:

    • J50 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - General

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