Navigating the Political Maze: Fostering Work Engagement in Public Hospitals Through Motivation and Psychological Safety, by Jonathan H. Westover PhD

Abstract: This research brief examines strategies for fostering work engagement in public-sector hospitals despite the presence of organizational politics. Drawing on empirical research and practical experience, we identify two critical factors that effectively counterbalance the negative impact of workplace politics on employee engagement: public service motivation (PSM) and psychological safety climate. PSM—the intrinsic desire to serve the public good—provides healthcare professionals with purpose that transcends organizational dynamics, while psychological safety creates environments where authentic contribution remains possible despite political pressures. The paper presents the ENGAGE framework (Expose impact, Nurture speaking up, Ground in values, Acknowledge politics, Gather diverse input, Empower proximal teams) for hospital administrators seeking to implement these countervailing forces. A case study demonstrates how one public hospital successfully maintained engagement despite significant political challenges, resulting in improved retention and patient satisfaction. This integrated approach offers healthcare leaders a practical pathway for building engagement resilience without the impossible task of eliminating organizational politics. Learn more about your ad choices. Visit megaphone.fm/adchoices

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