Date of Award
Fall 2019
Degree Type
Open Access Dissertation
Degree Name
Psychology, PhD
Program
School of Social Science, Politics, and Evaluation
Advisor/Supervisor/Committee Chair
Maritza Salazar Campo
Dissertation or Thesis Committee Member
Jeffrey Yip
Dissertation or Thesis Committee Member
Michelle Bligh
Dissertation or Thesis Committee Member
Katherine Kenny
Terms of Use & License Information
Rights Information
© 2019 Angela DeMichele
Keywords
engagement, peer accountability behaviors, psychological safety
Subject Categories
Organizational Behavior and Theory
Abstract
Peer accountability is the practice of providing feedback to, and receiving feedback from, one’s colleagues (Lockett et al., 2015)—both for the purposes of recognizing good work when it happens, and correcting risky behaviors in the moment. The concept of peer accountability has been overshadowed by research focusing on teamwork, which tends to focus on reducing the power distance among team members and increasing an individual’s ability to speak up the hierarchy. Our next opportunity for achieving safety and reliability in healthcare will come from peers monitoring one another’s actions. This study analyzes the untapped links between peer accountability behaviors, psychological safety (Edmondson, 1999), and engagement (Schaufeli et al., 2002) to better understand how organizations can foster this behavior in the workplace. To achieve this, a 76-person sample of front line safety coaches were surveyed over a year and a half to assess their peer accountability behaviors over time. The results reveal a two-factor structure underlying peer accountability behaviors (i.e., safe and risky peer accountability behaviors) wherein engagement and psychological safety serve to explain variation in safe accountability behaviors, but not risky accountability behaviors. This suggests that our existing knowledge of psychological safety and engagement cannot fully explain the entire spectrum of an individual’s peer accountability behaviors in healthcare. These implications are discussed, and future directions for peer accountability research are presented.
Recommended Citation
DeMichele, Angela. (2019). An Investigation of Peer Accountability in Healthcare. CGU Theses & Dissertations, 347. https://scholarship.claremont.edu/cgu_etd/347.