ArticleJournal of advanced nursing2026
Nurses' Self-Perceived Patient Safety Competencies: Associations With Work- and Education-Related Factors in a Cross-Sectional Study.
Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- Nurses' Self-Perceived Patient Safety Competencies: Associations With Work- and Education-Related Factors in a Cross-Sectional Study.Journal of advanced nursing · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo describe nurses' self-perceived confidence in patient safety competencies and examine how work- and education-related factors influence this confidence.
designA descriptive, explorative, cross-sectional survey design.
methodsThe Health Professional Education in Patient Safety Survey (H-PEPSS) was administered to a convenience sample of practising nurses and master's degree students in Estonia between May and September 2023. The following background variables were included: work experience, workplace, educational level and prior patient safety training. A total of 376 respondents completed the survey. Data were analysed using descriptive statistics and multivariable logistic regression, which returned the odds ratios for associations between background factors and confidence in patient safety.
resultsNurses perceived the highest confidence in understanding human and environmental factors, and the lowest confidence in teamwork. Having longer work experience was found to demonstrate a positive association with nurses' confidence in teamwork (OR = 1.03, 95% CI = 1.01-1.05) and safety culture (OR = 1.02, 95% CI = 1.00-1.04), compared to nurses with less experience. Nurses in smaller hospitals felt more confident managing safety risks (OR = 2.19, 95% CI = 1.14-4.21), compared to nurses from bigger hospitals. Master's degree students showed significantly higher confidence in responding to adverse events and safety culture than other respondents. Prior patient safety training was associated with greater confidence across several domains.
conclusionsConfidence in patient safety competencies varies by domain and was found to be noticeably shaped by experience, education and workplace context. As such, targeted training and supportive environments are essential to ensuring high levels of competence among nursing professionals. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The findings underscore how improvements in training and organisational support can strengthen patient safety. Furthermore, retaining experienced and diversely educated nurses is key to building confidence and ensuring a competent workforce. The finding that respondents assess their confidence in teamwork as weak means that new educational interventions need to be designed and implemented to target this aspect of nursing care. REPORTING
methodThis study followed the STROBE guidelines for cross-sectional research. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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