Patient Safety Climate Research Articles

Patient safety management activities and perceived workload of shift‐work nurses, moderated by the perceived importance of patient safety management

AbstractAimTo explore the relationship between patient safety management and each aspect of nurses’ workload and to report the moderating effects of the perceived importance of patient safety management on these relationships.BackgroundAs the importance of patient safety is emphasized, nurses’ work demands, including patient identification, infection control, and prevention of falls and pressure ulcers, are increasing. However, differences according to hospital type and nurses’ increased workload have not been considered when measuring nurses’ workload.MethodsThis study used a cross‐sectional research design and an online survey, adhering to the STROBE reporting guidelines. The study population consisted of 215 shift‐work nurses employed in tertiary or general hospitals in Korea. Data were collected in January 2024.ResultsPatient safety management activities had a positive effect on the pace and amount of work, emotional workload, and mental workload, and a negative effect on work organization (interruption). The perceived importance of patient safety management negatively moderated the effects of perceived patient safety management activities on emotional workload and work organization.ConclusionThis study clarifies the relationship between patient safety activities and each aspect of nurses’ workload. The additional demands on nurses due to patient safety management activities should be considered when measuring their workloads and determining adequate nurse staffing levels.Implications for nursing and health policyTo manage the burden of nurses’ work demands effectively, it is essential to maintain adequate staffing levels and continuously monitor the patient safety climate. This approach will increase nurses’ perception of the importance of patient safety management. Continuous education on patient safety should also be provided.

Patient Safety Climate in Danish Primary Care: Adaption and Validation of the Danish Safety Attitudes Questionnaire (SAQ-DK-PRIM).

A lack of instruments to assess patient safety climate within primary care exists. The objectives of this study were as follows: 1) To adapt the Danish hospital version of the Safety Attitudes Questionnaire (SAQ-DK) for use in primary care; 2) Test the internal consistency and the construct validity of this version; 3) Present benchmark data; and 4) Analyze variance. The SAQ-DK was adapted for use in Danish primary care settings (SAQ-DK-PRIM) and distributed to healthcare staff members from nursing homes (N = 11), homecare units (N = 4) and healthcare units (N = 2), within the municipality of Aarhus, Central Denmark Region, Denmark. Face- and content validity were assessed. The construct validity was evaluated by a set of goodness-of-fit indices. The internal reliability was evaluated using the item-rest correlations, the inter-item correlations, and Cronbach's alpha (α). The adaptation process resulted in a questionnaire of 10 items. Eight hundred and thirty healthcare staffs participated (78% of the eligible respondents). In total 586 (70.6%) responses were complete and were included in the analysis. Goodness-of-fit indices from the confirmatory factor analysis showed: Chi2=46.90CFI=0.97, RMSEA = 0.063 (90% CI: 0.044-0.084), Probability RMSEA (p close)=0.12. Internal reliability was high (Cronbach's α=0.76). Proportions of participants with a positive attitude was 41.1% and did not differ between the healthcare services. Scale mean score was 70.19 (SD: 18.05) and differed between healthcare services. The safety climate scale scores did not vary according to healthcare service type. ICC was 0.68% indicating no clustering of scores by healthcare service type. Considering the questionnaire's applicability, short length, strengthened focus on one area of interest and validity, the SAQ-DK-PRIM can serve as a valuable tool for measuring patient safety climate within primary care settings in Denmark.

Speaking Up About Patient Safety, Withholding Voice and Safety Climate in Clinical Settings: a Cross-Sectional Study Among Ibero-American Healthcare Students.

To explore speaking up behaviours, barriers to openly expressing patient safety concerns, and perceived psychological safety climate in the clinical setting in which healthcare trainees from Ibero-America were receiving their practical training. Cross-sectional survey of healthcare trainees from Colombia, Mexico, and Spain (N = 1,152). Before the field study, the Speaking Up About Patient Safety Questionnaire (SUPS-Q) was translated into Spanish and assessed for face validity. A confirmatory factor analysis was conducted to establish the construct validity of the instrument, and the reliability was assessed. The SUPS-Q was used to evaluate voice behaviours and the perceived psychological safety climate among Ibero-American trainees. Descriptive and frequency analyses, tests for contrasting means and proportions, and logistic regression analyses were performed. Seven hundred and seventy-one trainees had experience in clinical settings. In the previous month, 88.3% had experienced patient safety concerns, and 68.9% had prevented a colleague from making an error. More than a third had remained silent in a risky situation. Perceiving concerns, being male or nursing student, and higher scores on the encouraging environment scale were associated with speaking up. Patient safety concerns were frequent among Ibero-American healthcare trainees and often silenced by personal and cultural barriers. Training in speaking up and fostering safe interprofessional spaces is crucial.

Auditoría Interna de Enfermería: una mirada que asegura

In 2020, the Nursing Department of the British Hospital of Montevideo implemented the Internal Nursing Audit (INA), based on the ISO 9001:2015 Standard, to improve the quality and safety of care. The IEA evaluated comprehensive care, patient safety, and internal climate, categorizing findings into strengths, compliance, opportunities for improvement, observations, and nonconformities, through observational audits and electronic checklists. Between 2020 and 2023, the sectors audited increased from 6 to 25, identifying outstanding practices in medication administration and personalized care, while improving areas such as technology training and documentation. The EIA has been instrumental in continuous improvement and quality of care, contributing to patient-centered care and staff satisfaction.

Associations between negative patient safety climate and infection prevention practices

The relationships among positive perceptions of safety climate and better healthcare worker behaviors have been increasingly documented in the literature. The potential influence of negative perceptions is underexplored and has not been examined in relationship to infection prevention practices. We begin to address this gap using data collected as part of a multi-site, cross-sectional study. This brief report describes associations identified between negative perceptions of patient safety climate and standard precaution adherence of hospital-based nurses.

Impact of Collaborative Leadership, Workplace Social Capital, and Interprofessional Collaboration Practice on Patient Safety Climate.

Patient safety climate is an important factor in promoting patient safety for healthcare organizations. This study investigated the relationship between collaborative leadership and patient safety climate, the mediation effect of workplace social capital, or interprofessional collaboration practice. A web-based cross-sectional questionnaire survey was administered between May 2021 and May 2022, to employees of three acute care hospitals in Japan. The relationship between variables was verified by structural equation modeling. A total of 1,276 staff members participated in the study. Collaborative leadership affected the workplace social capital (β = .734) and interprofessional collaboration (β = .561), which were positively associated with patient safety climate (β = .403 and .405, respectively), verifying the mediating relationship of workplace social capital and interprofessional collaboration between collaborative leadership and patient safety climate. Collaborative leadership enhances the reciprocity and interprofessional practices of the healthcare team. The interaction among interprofessional team members fosters a patient safety climate. The results of this survey suggest that the development of collaborative leadership, which encourages interprofessional collaboration and fosters workplace social capital, is inherently crucial for cultivating a patient safety climate.

Patient safety climate research in primary care dentistry: A systematic scoping review.

Patient safety climate constitutes an important element for quality improvement. Its current evidence base has been generated in hospital settings in developed countries. Studies in dentistry are limited. To systematically explore the evidence regarding assessing patient safety climate in dentistry. We developed a search strategy to explore MEDLINE, SCOPUS, and Web of Science databases from January 1st, 2002, to December 31st, 2022, to include observational studies on patient safety culture or patient safety climate assessment. Methodological features and item data concerning the dimensions employed for assessment were extracted and thematically analyzed. Reported scores were also collected. Nine articles out of 5584 were included in this study. Most studies were generated from high-income economies. Our analysis revealed methodological variations. Non-randomized samples were employed (ranging from 139 to 656 participants), and response rates varied from 28% to 93.7%. Three types of measurement instruments have been adapted to assess patient safety climate. These mainly consisted of replacing words or rewording sentences. Only one study employed an instrument previously validated through psychometric methods. In general, patient safety climate levels were either low or neutral. Only one study reported scores equal to or greater than 75. Despite diverse assessment tools, our two-decade analysis reveals a lag compared with medicine, resulting in methodological variations for assessing patient safety climate. Collaboration is vital to elevate standards, prioritize patient safety across oral healthcare services, and advocate for integrating safety climate into local and national quality and patient safety strategies.

Patient Safety Climate, Burnout, and Safety Outcome Measures among Nurses in Selected Private Hospitals in Davao City, Philippines

Background: Patient harm continues to be an essential concern in healthcare settings. Despite research, education, and collaborative efforts in patient safety, this issue remains a substantial problem and has yet to demonstrate a significant decrease in recent years. Purpose: Seeing as there is a dearth of available studies on this topic locally, the study intended to determine the relationship between patient safety climate (PSC), burnout, and safety outcome measures (SOM) among nurses employed at private tertiary level in Davao City, Philippines. Methods: The objective of this descriptive-correlational study was to establish a correlation between SOM, exhaustion, and PSC among nurses employed in private tertiary hospitals in Davao City. The snowball sampling method was utilized to select 197 respondents who met the following requirements: of legal age and currently employed as staff nurses in the study sites. The data were gathered using the Patient Safety Climate in Healthcare Organizations tool, Copenhagen Burnout Inventory, and Hospital Survey on Patient Safety Culture. Mean, standard deviation, Pearson r, and regression analysis were used in the statistical analysis. Results and Conclusions: The results showed that PSC (M=3.75, SD=0.89), burnout levels (M=3.44, SD=0.30), and SOM (M=3.81, SD=1.19) were high. PSC and SOM were significantly correlated (p=<.001; r=.280), whereas burnout and SOM (p=.843; r=.014) were not correlated. Patient safety climate (p=<.001; β=.280) was a predictor of safety outcome measures. Implications for Practice: Healthcare organizations are encouraged to cultivate a working environment where patient safety is recognized and prioritized. This will increase the frequency of event reporting, overall perceptions of safety, and patient safety grades.

Association between abusive supervision and nurses’ withholding voice about patient safety: the roles of impression management motivation and speak up-related climate

BackgroundAbusive supervision by the nurse manager significantly influences nurses’ withholding voice about patient safety. The role of impression management motivation and speak up-related climate is crucial in understanding their connection. This study aimed to explore the relationship between abusive supervision, impression management motivation, speak up-related climate, and withholding voice about patient safety.MethodsThis cross-sectional study employed a convenience sampling method to recruit 419 clinical nurses from Taizhou Hospital, Zhejiang Province, China, between 1 November 2022 and 31 January 2023. The study adhered to the STROBE checklist. Abusive supervision and impression management motivation were assessed using the Chinese versions of the Abusive Supervision Scale and the Impression Management Motivation Scale, respectively. Withholding voice about patient safety and speak up-related climate were identified using the Chinese version of the Speaking Up about Patient Safety Questionnaire.ResultsNurse leaders’ abusive supervision (β=0.40, p<0.01) and nurses’ impression management motivation (β=0.10, p<0.01) significantly and positively influenced nurses’ withholding voice about patient safety. We introduced impression management motivation as a mediating variable, and the effect of abusive supervision on nurses’ withholding voice decreased (β from 0.40 to 0.38, p< 0.01). Nurses’ speak up-related climate played a moderating role between abusive supervision and impression management motivation (β= 0.24, p<0.05).ConclusionsAbusive supervision by nursing leaders can result in nurses withholding voice about patient safety out of self-protective impression management motives. This phenomenon inhibits nurses’ subjective initiative and undermines their proactive involvement in improving patient safety, and hinders the cultivation of a culture encouraging full participation in patient safety, which should warrant significant attention.

The impact of a climate of perceived organizational support on nurses' well-being and healthcare-unit performance: A longitudinal questionnaire study.

To investigate the relationship between nurses' climate of perceived organizational support, and their well-being and healthcare-unit performance. A two-wave cohort questionnaire study among nurses within six hospitals in Sweden. Hypotheses were tested using cross-lagged path models on the individual (organizational support, job satisfaction, burnout, intention to stay) and aggregate levels (care-unit organizational support, team effectiveness, patient safety climate and patient safety). Analyses were based on 1.817 nurses in 228 care-units (T1), 1.362 nurses in 213 care-units (T2) and longitudinal samples of 711 nurses and 140 care-units. Organizational support (T1) positively influenced job satisfaction (T2) and tended to decrease burnout (T2) but did not affect turnover intent. Reversed relationships were also found. No statistically significant prospective effects were found on the aggregate level. The results indicated a prospective reciprocally reinforcing relationship between organizational support and job satisfaction. Burnout and intention to stay were predictors rather than outcomes of the organizational support climate. A climate where nurses perceive that their organization values their contributions and cares about their well-being is beneficial for their job satisfaction and health, which, according to previous research, may influence nurse retention. The study addressed perceived organizational support as a potential predictor of nurses' well-being and healthcare-unit performance. A mutually reinforcing relation was indicated between organizational support and nurses' job satisfaction and health. Job dissatisfaction, burnout symptoms and turnover intentions were prospectively negatively related to the organizational support. Identifying and implementing a variety of practical measures to support perceptions of organizational support may be an effective way for healthcare management to start and sustain the development of a healthier work environment for healthcare professionals. STROBE statement for cohort studies. No patient or public contribution.

Factors that influence the patient safety climate: perception of the multidisciplinary team

To identify factors that influence the patient safety climate of a hospital institution. Cross-sectional study carried out with a multidisciplinary team of a private hospital in the Central-West of Brazil in 2019. An instrument covering sociodemographic and work aspects and the Safety Attitudes Questionnaire – Short Form 2006 were used for data collection. The data were analyzed through the Kruskal Wallis, Mann-Whitney, Spearman’s, Nemenyi and Fisher’s tests. 293 healthcare providers participated in the study, with a mean age of 36 years, 72.01% female, and 35.49% with complete high school education. Data revealed an unfavorable patient safety climate (mean=73.53). Among the domains, job satisfaction presented the highest score (mean=83.28), while perception of the management of the unit and the hospital showed greater fragility (mean=67.40). The domain Patient safety training in the last 12 months led to an mean increase of 5.64 in the patient safety climate. A negative perception of the patient safety climate was found, with a significant influence from patient safety training and the intention to leave the job. The evidence confirms the importance of continuous investments in patient safety training and research, as trained professionals have a more critical and wider view of safety processes, a positive factor for constructive and sustainable changes.

Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions

Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions

Nurses’ attitude toward patients’ safety climate during COVID-19 pandemic: a cross-sectional study†

Abstract Objective Patient safety is a fundamental factor in improving the quality of care provided in hospitals. Therefore, it is considered a significant parameter by all healthcare organizations around the world. The present study was conducted to investigate the attitude of nurses toward the patient safety climate during the Coronavirus Disease 2019 (COVID-19) pandemic in the southeast of Iran. Methods This is a cross-sectional descriptive study. Among all the nurses working in one of the hospitals in the southeast of Iran, 171 nurses participated in the study through convenience sampling methods. The survey was conducted between June 1 and July 30, 2020. A 2-part questionnaire including demographic information and an assessment of nurses’ attitudes toward patients’ safety climate was used for data collection in 2021. The content validity of the scale is (0.77) and reliability was re-calculated and confirmed by the present study with Cronbach’s alpha (α = 0.9). Data were analyzed by SPSS 20 (IBM Corporation, Armonk, New York, United States) using descriptive and analytical statistical tests. Results The mean score of safety climates was 3.2 ± 5.20 (out of 5 scores). The results showed that among all dimensions of the safety climate, only the education dimension was statistically significant between males and females (P &lt; 0.001). Also, there was a significant relationship between the overall average of the safety climate and its dimensions according to the people’s position only in the dimension of supervisors’ attitude (P &lt; 0.01) and burnout (P &lt; 0.01). Additionally, a significant correlation between the education level and the overall score of safety climate (P &lt; 0.01), as well as the supervisor’s attitude dimension (P &lt; 0.01), was observed. Conclusions The results showed that the safety climate was at a relatively favorable level. Considering the impact of nurses’ attitudes on the safety climate of patients, its improvement seems necessary. It is recommended to design training courses and educate nurses in order to promote a patients safety climate in hospitals.

Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units

Patient safety research has focused mostly on the hospital and acute care setting whereas assessments of patient safety climate in primary health care settings are warranted. Valid questionnaires as e.g., the Safety Attitudes Questionnaire (SAQ) may capture staff perceptions of patient safety climate but until now, an overview of the use of SAQ in primary care has not been systematically presented. Thus, the aim of this systematic review is to present an overview of SAQ used in primary care.Methods The electronic databases: PubMed, Embase, Cinahl, PsycInfo and Web of Science were used to find studies that used any version of SAQ in primary care. Studies were excluded if only abstract or poster was available, as the information in abstract and posters was deemed insufficient. Commentaries and nonempirical studies (e.g., study protocols) were excluded. Only English manuscripts were included.Results A total of 43 studies were included and 40 of them fell into four categories: 1) validation analysis, 2) descriptive analysis, 3) variance assessment and 4) intervention evaluation and were included in further analyses. Some studies fell into more than one of the four categories. Seventeen studies aimed to validate different versions of SAQ in a variety of settings and providers. Twenty-five studies from fourteen different countries reported descriptive findings of different versions of SAQ in a variety of settings. Most studies were conducted in primary health care centres, out-of-hours clinics, nursing homes and general practice focusing on greatly varying populations. One study was conducted in home care. Three studies investigated variance of SAQ scores. Only five studies used SAQ to assess the effects of interventions/events. These studies evaluated the effect of electronic medical record implementation, a comprehensive Unit-based Safety Program or COVID-19.Conclusion The synthesis demonstrated that SAQ is valid for use in primary care, but it is important to adapt and validate the questionnaire to the specific setting and participants under investigation. Moreover, differences in SAQ factor scores were related to a variety of descriptive factors, that should be considered in future studies More studies, especially variance and intervention studies, are warranted in primary care.Trial registration This systematic review was not registered in any register.

Transition shock among nursing interns and its relationship with patient safety attitudes, professional identity and climate of caring: a cross-sectional study

BackgroundNursing interns often experience lots of challenges during their clinical nursing internships, which can adversely affect career decisions and result in a squandering of nursing education resources. Patient safety attitudes, professional identity and climate of caring may affect nursing interns’ clinical experience. However, more evidence is requested to validate these relationships for nursing educators to develop effective education programs and facilitate interns’ successful transition.MethodsThis was a cross-sectional study, which used a convenience sampling method to recruit 387 nursing interns during December 2022 to April 2023 in university affiliated hospital in Hunan province, China. Data were collected using standardized scales. Spearman correlation and multiple regression analysis were employed to examine the relationship between transition shock, patient safety attitudes, professional identity, and climate of caring.ResultsNursing interns experienced transition shock at a moderate level and the highest levels of transition shock in response to overwhelming practicum workloads, with the second being related to the conflict between theory and practice. Transition shock was negatively correlated with patient safety attitudes, professional identity and climate of caring among nursing interns.ConclusionsNursing managers and educators need to value the transition shock experienced by nursing interns. Our study suggests that developing a strong sense of professional identity and a positive attitude toward patient safety can be effective in reducing the level of transition shock among nursing interns. In addition, a caring climate within the nursing unit can significantly enhance the overall experience of nursing interns. This can be achieved by enhancing the support of clinical mentors, providing patient safety-focused education, and facilitating team communication among nurses.

Factors associated with care omission and patient safety climate.

To identify the factors associated with the omission of nursing care and patient safety climate. A cross-sectional study developed at a university hospital in the Brazilian Center-West, between September and December 2022. The MISSCARE-Brazil and the Safety Attitudes Questionnaire were applied to a convenience sample of 164 nursing professionals. The most omitted care was walking three times a day or as prescribed (66.5%). The overall score of the Safety Attitudes Questionnaire was 63,8 (SD: 12,6). The level of satisfaction (p<0.018) and the perception of professional adequacy (p<0.018) were associated with the omission of nursing care and the patient safety climate. The study showed a high prevalence of omission of care and unfavorable perception of the patient safety climate, mainly associated with professional adequacy for work performance.

Nurses’ perceptions about the patient safety climate in Primary Health Care

Objetivo: avaliar o clima de segurança do paciente na Atenção Primária à Saúde, sob a perspectiva dos enfermeiros dos serviços. Método: estudo quantitativo e transversal, com 148 enfermeiros de um município do Estado de São Paulo. Foram utilizadas a versão brasileira do Primary Care Safety Questionnaire Survey e variáveis pessoais, profissionais e desempenho organizacional (intenção permanecer no trabalho, satisfação no trabalho, qualidade do cuidado e frequência de incidentes). Realizaram-se testes de comparação paramétricos, não paramétricos e coeficiente de correlação de Resultados: o clima de segurança foi positivo, com variação de 4,52 a 5,33; diferiu entre distritos para carga de trabalho (p=0,0214) e liderança (p=0,0129). As variáveis profissionais e dimensões do clima de segurança diferiram em relação à frequência de incidentes. Trabalho em equipe, sistema de segurança e aprendizagem foram fortemente correlacionados à satisfação no trabalho e moderadamente com percepção da qualidade do cuidado. Conclusão: trabalho em equipe e sistema de segurança e aprendizagem se destacaram pela correlação positiva com satisfação no trabalho e qualidade do cuidado. O clima de segurança positivo favorece o envolvimento dos enfermeiros da atenção primária para desenvolver planos de melhorias alinhados ao Programa Nacional de Segurança do Paciente.

Nurses’ perceptions about the patient safety climate in Primary Health Care

Objetivo: evaluar el clima de seguridad del paciente en la Atención Primaria de la Salud, desde la perspectiva de los enfermeros de los servicios. Método: estudio cuantitativo y transversal, con 148 enfermeros de un municipio del Estado de São Paulo. Se utilizó la versión brasileña del Primary Care Safety Questionnaire Survey y variables personales, profesionales y de desempeño organizacional (intención de permanecer en el empleo, satisfacción laboral, calidad de la atención y frecuencia de incidentes). Se realizaron pruebas de comparación paramétricas y no paramétricas y coeficiente de correlación de Spearman, considerando un nivel de significación del 5%. Resultados: el clima de seguridad fue positivo, osciló entre 4,52 y 5,33; difirió entre distritos en carga de trabajo (p=0,0214) y liderazgo (p=0,0129). Las variables profesionales y dimensiones del clima de seguridad difirieron en la frecuencia de incidentes. El trabajo en equipo, el sistema de seguridad y el aprendizaje tuvieron una correlación alta con la satisfacción laboral y una moderada con la percepción de la calidad de la atención. Conclusión: el trabajo en equipo y el sistema de seguridad y aprendizaje se destacaron por su correlación positiva con la satisfacción laboral y la calidad de la atención. Un clima de seguridad positivo favorece la participación de los enfermeros de la atención primaria en el desarrollo de planes de mejora que sigan las indicaciones del Programa Nacional de Seguridad del Paciente.

Nurses' perceptions about the patient safety climate in Primary Health Care.

to evaluate the patient safety climate in Primary Health Care from the perspective of nurses working in the services. a quantitative and cross-sectional study conducted with 148 nurses from a municipality in the state of São Paulo. The Brazilian version of the Primary Care Safety Questionnaire Survey and personal, professional, and organizational performance variables (intention to stay at work, job satisfaction, care quality, and frequency of incidents) were used. Parametric and non-parametric comparison tests and Spearman's correlation coefficient were performed, considering a 5% significance level. the safety climate was positive, varying from 4.52 to 5.33 and differing across districts for workload (p=0.0214) and leadership (p=0.0129). The safety climate professional variables and dimensions differed in relation to the frequency of incidents. Teamwork and safety and learning system were strongly correlated with job satisfaction and moderately with perceived care quality. teamwork and safety and learning system stood out for their positive correlations with job satisfaction and care quality. A positive safety climate favors the involvement of Primary Care nurses to develop improvement plans aligned with the National Patient Safety Program. (1) The safety climate is perceived differently across health districts. (2) There is a correlation between the climate dimensions and professional satisfaction. (3) Workload and leadership exert an influence on the safety climate perception. (4) There is a relationship between the safety climate and reporting of care-related incidents. (5) The safety climate is perceived differently among nurses regarding their role.

Evaluation of Patient Safety Climate from of Nurses in Health Institutions

Giriş: Sağlık hizmetlerinde hemşirelerin bakış açısından güvenlik ikliminin değerlendirilmesi, hemşirelik uygulamalarında hasta güvenliğinin iyileştirme alanlarının belirlenmesine yardımcı olur. Amaç: Bu araştırmanın amacı sağlık kuruluşlarında hemşirelerin hasta güvenlik iklimi düzeylerini belirlemektir. Yöntem: Tanımlayıcı tipteki bu araştırma İstanbul’da üç kamu hastanesinde çalışan 249 hemşire ile gerçekleştirildi. Araştırma verilerinin toplanılmasında Sosyo-Demografik Veri Formu ve Hasta Güvenlik İklimi Ölçeği kullanıldı. Bulgular: Hemşirelerin Hasta Güvenlik İklimi Ölçeği toplam puan ortalaması 3,85 ± 1,11 olarak ortalamanın üzerinde bulundu. Hemşirelerin yaş ve çalışma yılı ile Hasta Güvenliği İklimi Ölçeği puanları arasında istatistiksel olarak anlamlı fark olduğu belirlendi (p &amp;lt; 0,05). Yirmi beş yaş ve altındaki hemşirelerin hasta güvenliği iklimi düzeyinin 25 yaş üzerindeki hemşirelerden anlamlı düzeyde daha yüksek olduğu saptandı. Çalışma yılı bir yıldan az olan hemşirelerin hasta güvenliği iklimi düzeyinin diğer gruplardan anlamlı derecede daha yüksek olduğu bulundu. Sonuç: Sonuç olarak, yaş ve çalışma yılı gibi sosyo-demografik özelliklerin hemşirelerin hasta güvenliği iklimi düzeylerini etkilediği görüldü. Hasta güvenliği iklimi oluşturmak için hemşirelere yönelik düzenli eğitimlerin planlanması önerilmektedir.