Evidence map›Paper›PMID 41547806›Full record

ArticleBMC health services research2026

Impact of patient safety culture on resilience and turnover intention: a multi-site study.

Adnan Innab, Zainab Alfar, Wejdan Shaqiqi, Kamila Alammar, Essa Hakamy

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Adnan Innab *Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh, 12372, Saudi Arabia. ainnab@ksu.edu.sa.ORCID http://orcid.org/0000-0002-9527-1078
Zainab Alfar *Medical Surgical Nursing Department, College of Nursing, King Saud University, Riyadh City, Saudi Arabia.ORCID http://orcid.org/0000-0002-2443-0705
Wejdan ShaqiqiKing Abdullah International Medical Research Center, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-7904-297X
Kamila AlammarKing Saud University, Riyadh, 12372, Saudi Arabia.ORCID http://orcid.org/0000-0001-6085-0339
Essa HakamyNursing Administration and Education Department, College of Nursing, King Saud University, Riyadh, 12372, Saudi Arabia.ORCID http://orcid.org/0000-0002-0592-8858

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA clear understanding of the influence of patient safety culture (PSC) on resilience and turnover intention is essential for building a stable, efficient, and safe healthcare workforce. While previous research has explored the relationship between PSCs and nurses' resilience, no studies have specifically examined the association between PSCs and nurses' turnover intention.

aimTo assess PSC and its relationship with nurses' resilience and turnover intention.

methodsIn this cross-sectional descriptive study, we used convenience sampling to recruit 117 registered nurses working in hospitals across 13 regions in Saudi Arabia. Data were collected between December 2023 and March 2024 via three instruments: the Hospital Survey on Patient Safety Culture, the Connor-Davidson Resilience Scale, and the Turnover Intention Scale. Pearson's product‒moment correlation, independent sample t tests, and linear regression models were used to analyze the data.

resultsA total of 117 participants reported a low overall perception of PSCs, with an average positive response rate of 44.6%. The mean scores for resilience and turnover intention were moderate. PSC was positively and moderately correlated with resilience (r = .352, p < .001). However, there was a moderate negative correlation between PSCs and turnover intention (r = - .253, p < .01). The regression model yielded significant results (F [1, 113] = 16.01, p < .001, R

conclusionImprovements in PSCs are beneficial not only because they may increase resilience but also because of the associated reduction in turnover intention.

Indexed as

Nursing Staff, HospitalPatient SafetyPersonnel TurnoverResilience, PsychologicalSafety ManagementAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansIntentionMaleMiddle AgedOrganizational CultureSaudi ArabiaSurveys and QuestionnairesHealthcareNursingPatient safety cultureResilienceTurnover intention

Identifiers

PMID41547806
PMCPMC12896111

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.