ArticleBMC health services research2018
The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.
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Who cites it
60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 194 citations in OpenAlex.
- 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.BMC primary care · 2024Pooled it
- Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review.BMC health services research · 2022Pooled it
- Patient Safety in Ulcer Management: Healthcare Professionals' Experiences of Systemic Challenges Across Primary and Secondary Healthcare Settings.Healthcare (Basel, Switzerland) · 2026Article
- Nurses' perceptions of patient safety culture measured by the Hospital Survey on Patient Safety Culture in the Gulf Cooperation Council region: A systematic review.International journal of nursing studies advances · 2026Review
- Impact of the COVID-19 Pandemic Peak and Post-pandemic Period on Healthcare Professionals' Attitudes Toward Patient Safety Culture: A Comparative Study.Safety and health at work · 2026Article
- Head nurse leadership styles and job satisfaction among nurses in teaching hospitals of southeastern Iran: a cross-sectional study.BMC nursing · 2026Article
- The effects of leadership on patient safety culture in health care: a systematic review.BMC nursing · 2026Article
- Modeling the relationship between safety culture and safety performance in oil and gas using PLS-SEM.Frontiers in public health · 2026Article
- Functions and Activities Missed by Nurse Managers, Their Antecedents and Consequences: Findings From a Qualitative Study.Journal of nursing management · 2026Article
- The relationship between professional moral courage and patient safety silence among nurses.BMC nursing · 2025Article
- Assessing the impact of nurses' patient safety competencies on key performance indicators (KPIs) for patient safety outcomes at Tamale Teaching Hospital: the mediating role of leadership and barriers to competency development.BMC health services research · 2025Article
- Servant leadership and patient safety culture in Ethiopian public hospitals: a qualitative study.BMC health services research · 2025Article
- Article
- Health-promoting resources and workplace experiences among newly graduated healthcare and social work professionals - a multicentre cross-sectional study.BMC health services research · 2025Article
- The relationship between patient safety culture and attitudes toward incident reporting among registered nurses.BMC health services research · 2025Article
- Job stress and patient safety culture: a qualitative study among hospital nurses in Palestine.BMC nursing · 2025Article
- Exploring the implementation of national health and social care standards in Ireland: A qualitative descriptive study.Journal of advanced nursing · 2025Article
- Management support for patient safety in two tertiary hospitals in Jamaica: A mixed methods study.PLOS global public health · 2025Article
- Mirage or oasis? Iranian immigrant nurses share their stories of working in overseas healthcare settings: a phenomenological hermeneutic study.Frontiers in psychology · 2025Article
- Examining patient safety protocols amidst the rise of digital health and telemedicine: nurses' perspectives.BMC nursing · 2024Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe safety culture has recently attracted the attention of healthcare organizations. Considering the importance of the roles of nurses with regard to patient safety, their knowledge and experiences of the challenges that influence patient safety culture can facilitate the development and implementation of better strategies. The aim of this study was to explore the nurses' experiences of the challenges influencing the implementation and integration of safety culture in healthcare.
methodsA qualitative study with deep and semi-structured individual interviews was carried out using a purposive sampling method to select 23 nurses from four hospitals affiliated with a large medical university in Southeast Iran. Data were analysed using the conventional content analysis of Lundman and Graneheim.
resultsData analysis reflected the main theme of the study, "A long way ahead of safety culture". This theme includes four categories: 1) inadequate organizational infrastructure, 2) insufficient leadership effectiveness, 3) inadequate efforts to keep pace with national and international standards, and 4) overshadowed values of team participation.
conclusionWhile practical strategies for creating a safety culture may seem simple, their implementation is not necessarily easy. There are several challenges ahead for cultivating an effective and positive safety culture in healthcare organizations. To keep pace with international standards, healthcare managers must employ modern methods of management in order to overcome the challenges faced by the institutionalization of safety culture and to make a difference in the healthcare system.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.