Speaking up to prevent harm: A systematic review of the safety voice literature
Open accessAbstract
Safety voice is the act of speaking up about safety in order to prevent accidents and physical harm. It occurs across contexts (e.g., healthcare, aviation, construction, mountaineering, high-risk sports) and understanding the phenomenon enables interventions. Despite recent interest, however, it remains unclear how safety voice (i) differs conceptually from employee voice, (ii) is delineated across levels of analysis, and (iii) could be optimally investigated. Addressing this, we identified 48 articles, and integrated 256 safety voice antecedents, 7 pragmatics and 23 outcomes into an ecological framework. Overlap was found with employee voice concepts and methodologies, especially for the behavioural nature of speaking-up. Nonetheless, safety voice appeared unique in terms of the content of the raised message (e.g., limited to safety), the context and person speaking-up, identified antecedents (e.g., hazard-specific antecedents), and methodological challenges (e.g., operationalisation of victimhood). Our proposed safety voice framework provides a novel approach to safety voice that is ecological and indicates interventions for mitigating physical harm.
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Research on factors associated with speaking up about safety concerns in organisational cultures suggests that the process is contingent on individual factors such as self-confidence and extraversion.
“Furthermore, research on the factors associated with speaking up about safety concerns in organisational cultures suggests that the process is also contingent on a series of individual factors such as self-confidence and extraversion [24].”
From Autistic adults’ views and experiences of requesting and receiving workplace adjustments in the UK (2022) · cites this paper as [24]
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Sorted by citations
Autistic adults’ views and experiences of requesting and receiving workplace adjustments in the UK
Davies, J., Heasman, B., Livesey, A., Walker, A., Pellicano, E., & Remington, A. (2022) · PLOS ONE · doi:10.1371/journal.pone.0272420 · Cited by 65 · see citing works
- Authors
- Noort, M. C., Reader, T. W., & Gillespie, A.
- Affiliations
- London School of Economics and Political Science (GB)
- Corresponding author
- Noort, Mark C.
- Venue
- Safety Science
- Publisher
- Elsevier BV
- Published
- 2019-08
- Volume
- 117
- Pages
- 375-387
- ISSN
- 0925-7535 (ISSN-L)
- OpenAlex
- W2943005096
- Cited by
- 141
- References
- 88
- Citations by year
- 2026: 19 · 2025: 28 · 2024: 23 · 2023: 19 · 2022: 19 · 2021: 18 · 2020: 13 · 2019: 1 · 2014: 1
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Safety Science (publishedVersion, cc-by)
- London School of Economics and Political Science Theses Online (London School of Economics and Political Science) (submittedVersion, other-oa)
- Funders
- Economics and Social Science Research CouncilEconomics and Social Science Research Council (ESRC)
- Topics
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Occupational Health and Safety Research
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- safety voice, speaking up, employee voice, victimhood, ecological model, occupational safety, high-risk work
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