How do power and hierarchy influence staff safety in maternity services?

Background There are considerable tensions for healthcare staff between their employee allegiance and contracts, patient safety, responsibilities to codes of conduct within professional registration, the NHS Constitution. Aims The research aim was identify how power hierarchy influence safety in maternity services this achieved by reviewing papers concerned with personal narratives experiences perspectives employment profession. Methods This systematic narrative review based on approach a synthesis, coded using Nvivo software. Findings Power creating challenges which appear essentially derive from poor communication. workplace adversity described participants seems be linked 1) psychological vulnerability 1.1) anxiety about job, 1.2) dysfunctional relationships, alongside 2) working conditions 2.1) organisational structural 2.2) institutional normalisation relationships 2.3) interpersonal elements feeding into an obstructive culture. Conclusion negative influences cultural concepts significant services. Disconfirmation findings, those stood out as different rest, evidenced possibilities that healthy, psychologically safe could offer improving prevailing