Culture Change RX

Culture Bytes: Silence, Anonymity, and the Fear of Speaking Up


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In this solo episode of Culture Change RX, I discuss the critical concept of psychological safety within healthcare organizations so that employees feel safe to voice their concerns and ideas and freely provide feedback and input. This episode prompts leaders to consider:  Are your employees hiding behind anonymity? If so, this episode outlines practical tactics for leaders to foster psychological safety, including embracing both anonymous and identified feedback, responding to feedback effectively, modeling vulnerability, and celebrating employees who speak up. The conversation highlights the journey towards a culture of trust and continuous improvement in healthcare settings - in essence, a culture where employees are safe to “own their voice.”


  • Low response rates in employee surveys can indicate a lack of psychological safety.
  • Anonymity in feedback can reflect a lack of psychological safety.
  • Leaders can model vulnerability to encourage open communication.
  • Celebrating brave voices fosters a culture of safety.
  • Feedback should be acknowledged and acted upon.
  • Creating a safe environment improves patient care and employee satisfaction.
  • High reliability organizations prioritize psychological safety.
  • Trust in leadership grows when employees see tangible outcomes.


Need help improving the culture, performance, and results of your healthcare organization? If so, let’s talk:  https://www.capstoneleadership.net/contact-us


Are we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/


Capstone helps rural hospitals be the provider- and employer-of-choice to keep care local and margins strong. Learn more via a complimentary consultation call. Schedule at:  CapstoneLeadership.net/Contact-Us

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Culture Change RXBy Capstone Leadership Solutions