SynthesisNursing open2022
Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.
Synthesis in Nursing open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- A mixed studies systematic review of the unmet treatment, support, and information needs of cancer survivors in managing menopause symptoms.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Factors associated with death anxiety in family caregivers of cancer patients: a systematic review.BMC palliative care · 2026Pooled it
- A systematic integrative review of specialized nurses' role to establish a culture of patient safety: A modelling perspective.Journal of advanced nursing · 2025Pooled it
- Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review.Applied nursing research : ANR · 2025Pooled it
- Relationship between staff experience and patient outcomes in hospital settings: an overview of reviews.BMJ open · 2025Pooled it
- Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.Nursing open · 2022Pooled it
- Enhancing nursing ethics education: comparing the PAD model and traditional lecture-based learning.BMC medical ethics · 2025Trial
- Enhancing Nurses' Handoff Practices Through Simulation-Based I-PASS Training: An Evidence-Based Study.Journal of clinical nursing · 2026Article
- Patient Safety Competency Among Operating Room Nurses: Associations With Safety Attitudes, Systems Thinking and Burnout in a Multicentre Cross-Sectional Study.Nursing open · 2026Observational
- 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
- Attitudes Toward Patient Safety in Operating Rooms: Cross-Cultural Adaptation and Validation of the French Version of the Operating Room Management Attitudes Questionnaire (ORMAQ).Healthcare (Basel, Switzerland) · 2026Article
- Organising Nurse Work Environments: (Reshaped) Roles of Nursing Teams-A Qualitative Descriptive Study.Journal of advanced nursing · 2026Article
- The Evidence Behind ANCC's Pathway to Excellence® Credential's Return on Investment.The Journal of nursing administration · 2026Article
- Factors affecting reporting of patient safety incidents in the Eastern Cape primary health care.African journal of primary health care & family medicine · 2026Article
- "Awakening consciousness": Safe Care Linkage Theory From a Mixed Perspective-A Constructivist Grounded Theory Study.Journal of nursing management · 2026Article
- The Influence of Age and Experience on Safety Climate Perceptions Among Healthcare Staff in Operating, Interventional Radiology, and Hybrid Operating Rooms: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Patient safety culture in home care and its related factors and outcomes: a scoping review.BMC health services research · 2025Article
- Contributing Factors to Safety: What Hospitalized Patients Can Tell Us? A Cross-Sectional Study.The International journal of health planning and management · 2025Article
- Article
- Exploring Nursing Students' Perspectives on Patient Safety Culture in Clinical Settings: A Mixed-Method Study.Journal of clinical nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this review was to synthesize the best available evidence on the impact of nurses' safety attitudes on patient outcomes in acute-care hospitals.
designSystematic review with a narrative synthesis of the available data. DATA SOURCES: Data sources included MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Scopus and Web of Science Core Collection. Studies published up to March 2021 were included. REVIEW
methodsThis review was conducted using guidance from the Joanna Briggs Institute for Systematic Reviews and reported as per the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines.
resultsA total of 3,452 studies were identified, and nine studies met the inclusion criteria. Nurses with positive safety attitudes reported fewer patient falls, medication errors, pressure injuries, healthcare-associated infections, mortality, physical restraints, vascular access device reactions and higher patient satisfaction. Effective teamwork led to a reduction in adverse patient outcomes. Most included studies (N = 6) used variants of the Hospital Survey on Patient Safety Culture to assess nurses' safety attitudes. Patient outcomes data were collected from four sources: coded medical records data, incident management systems, nurse perceptions of adverse events and patient perceptions of safety.
conclusionA positive safety culture in nursing units and across hospitals resulted in fewer reported adverse patient outcomes. Nurse managers can improve nurses' safety attitudes by promoting a non-punitive response to error reporting and promoting effective teamwork and good communication.
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Registered trials
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.