Returning to normalcy: an evidence-based overview of strategies for creating a psychologically safer workplace in Ghanaian health industry

Abstract

Background: Psychological safety in the workplace is critical to staff well-being, yet health institutions in Ghana face resource constraints and structural challenges that may undermine efforts to sustain a psychologically safe working environment. Objective: To explore health professionals' lived experiences, views, and strategies for creating a psychologically safer workplace within the Ghanaian health industry. Methods: Qualitative phenomenological study using an exploratory research design. Participants were selected through purposive, non-probability sampling to capture lived experiences and perceptions of psychological safety in Ghanaian health institutions. Results: Most health professionals were found to communicate politely with patients, and many institutions had established supportive systems and a culture of collegial camaraderie. However, financial resource constraints contributed to understaffing, outdated equipment, and inadequate support systems, generating frustration and tension. Allowance policies were perceived as favoring senior leaders and staff over junior employees, further undermining perceived psychological safety. Conclusion: Creating a psychologically safe workplace in the Ghanaian health sector is a complex, ongoing process requiring assessment and diagnosis, leadership commitment and training, transparent communication, inclusive decision-making, skill development, and continuous monitoring, alongside dedicated support for staff mental health and well-being.