ArticlePloS one2021
Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed, 40 citations in OpenAlex.
- Perception of the patient safety culture among healthcare workers.BMC health services research · 2026Article
- The Role of Surveillance in the Association Between the Nurse Work Environment and Patient Safety Culture.Research in nursing & health · 2026Article
- Digital job demands and healthcare workers' workplace well-being: the mediating role of job and personal resources.Frontiers in health services · 2026Article
- Article
- Observational
- Measuring the work environment among healthcare professionals: Validation of the Dutch version of the Culture of Care Barometer.PloS one · 2024Article
- Association between the Nursing Practice Environment and Safety Perception with Patient Safety Culture during COVID-19.International journal of environmental research and public health · 2023Article
- The association between patient safety culture and adverse events - a scoping review.BMC health services research · 2023Article
- Editorial: Occupational health and organizational culture within a healthcare setting: challenges, complexities, and dynamics.Frontiers in public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOccupational worker wellness and safety climate are key determinants of healthcare organizations' ability to reduce medical harm to patients while supporting their employees. We designed a longitudinal study to evaluate the association between work environment characteristics and the patient safety climate in hospital units.
methodsPrimary data were collected from Norwegian hospital staff from 970 clinical units in all 21 hospitals of the South-Eastern Norway Health Region using the validated Norwegian Work Environment Survey and the Norwegian version of the Safety Attitudes Questionnaire. Responses from 91,225 surveys were collected over a three year period. We calculated the factor mean score and a binary outcome to measure study outcomes. The relationship between the hospital unit characteristics and the observed changes in the safety climate was analyzed by linear and logistic regression models.
resultsA work environment conducive to safe incident reporting, innovation, and teamwork was found to be significant for positive changes in the safety climate. In addition, a work environment supportive of patient needs and staff commitment to their workplace was significant for maintaining a mature safety climate over time.
conclusionsA supportive work environment is essential for patient safety. The characteristics of the hospital units were significantly associated with the unit's safety climate scores, hence improvements in working conditions are needed for enhancing patient safety.
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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.