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Agency and communion predict speaking up in acute care teams

Type of publication Peer-reviewed
Publikationsform Original article (peer-reviewed)
Publication date 2014
Author Weiss Mona, Kolbe Michaela, Grote Gudela, Dambach Micha, Marty Adrian, Spahn Donat R., Grande Bastian,
Project Combined technical and non-technical skills training for managing unanticipated difficult intubations
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Original article (peer-reviewed)

Journal Small Group Research
Volume (Issue) 45
Page(s) 290 - 313
Title of proceedings Small Group Research
DOI 10.1177/1046496414531495


Speaking up with suggestions, problems, or doubts is important—especially in health care action teams where each team member’s input can be crucial for the treatment of a patient. Implementing a high-fidelity simulation study, we investigated individual predictors of speaking up in acute care teams (ACTs). Participants were 27 physicians and 27 nurses from a hospital who completed measures on self-perceived agency (i.e., assertiveness, persistence, independence) and communion (i.e., helpfulness, friendliness, sociability). In two-person teams, they managed simulated critical events that required speaking up. In line with our hypotheses, we found that agency positively and communion negatively predicted actual speaking up behavior. We discuss the differential effects of agency and communion on speaking up and thereby highlight theoretical and practical implications.