The Influence of Change-Oriented Leadership and Psychological Safety on Team Learning in Healthcare Teams Articles uri icon

publication date

  • June 2014

start page

  • 311

end page

  • 321


  • 2


  • 29

International Standard Serial Number (ISSN)

  • 0889-3268

Electronic International Standard Serial Number (EISSN)

  • 1573-353X


  • Purpose: Researchers have identified team learning as an important predictor of team performance. In healthcare organizations, it is especially critical for care quality and hospital performance that teams engage in learning behaviors to reduce errors and improve service effectiveness. The main objective of this study is to examine the role of change-oriented leadership in the learning process and outcomes of healthcare teams. Design/Methodology/Approach: The sample comprises a total of 698 healthcare professionals working in 107 teams at different public hospitals throughout Spain. Members of teams were invited to participate voluntarily by completing an anonymous individual questionnaire. Findings: The results show a mediating effect of team learning on the relationship between change-oriented leadership and team performance and psychological safety and team performance. Originality/Value: Our study contributes to the literature by investigating the role of change-oriented leadership in facilitating team learning behaviors. Moreover, this study advances our understanding of the mediators of the relationship between team leadership and outcomes by testing to assess whether specific change-oriented leader behaviors nurture psychological safety, team learning and, therefore, performance. © 2013 Springer Science+Business Media New York.


  • change-oriented leadership; healthcare team performance; psychological safety; team learning