Trial reportJournal of nursing management2026
Promoting Positive Nursing Practice Environments: Outcomes of a Randomized Trial in Primary Care.
Trial report in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06762015 (Practice Environment for Nursing and Patient Safety in Primary Health Care), which is not on this map. Cited by 2 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.
Practice Environment for Nursing and Patient Safety in Primary Health Care
Who cites it
2 citing papers in PubMed.
- Promoting Positive Nursing Practice Environments: Outcomes of a Randomized Trial in Primary Care.Journal of nursing management · 2026Trial
- The Role of Nurse Managers in Promoting Psychological Safety and Patient Safety Culture in Nursing Teams: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThe nursing practice environment is widely recognized as a key factor in promoting care quality and safety. It is associated with greater professional satisfaction, improved nurse retention, and reduced adverse events. Despite its importance being broadly acknowledged in the literature, there are few structured interventions aimed at promoting the nursing practice environment.
objectiveTo evaluate the effectiveness of the Positive Nursing Practice Environment Promotion Program (PPAPEP) in improving primary care nurses' perceptions of their work environment and attitudes toward patient safety.
methodsA randomized, controlled, parallel-group, double-blind clinical trial was conducted in primary healthcare units in Northern Portugal between September 2024 and April 2025. A total of 48 nurses participated, allocated by stratified randomization into intervention and control groups. The instruments Scale for the Environments Evaluation of Professional Nursing Practice-Shortened Version and the Safety Attitudes Questionnaire-Short Form were applied at three time points: preintervention, postintervention, and three-month follow-up. Statistical analysis included paired and independent t-tests, repeated-measures ANOVA, and correlation analysis.
resultsThe PPAPEP produced modest improvements in overall perceptions of the nursing practice environment in the intervention group, with small significative changes in the structure and process subscales. No statistically significant changes were observed in the safety climate. Follow-up analyses showed an inverted U-shaped pattern, indicating that the immediate positive effects slightly decreased over time. Perceptions of the practice environment and safety climate were strongly correlated at all time points.
conclusionsThe PPAPEP has demonstrated effectiveness in improving the nursing practice environment. Effects on the safety climate were limited, suggesting that sustained changes require continuous interventions, periodic reinforcement, and institutional involvement. The strong association between nurses' perceptions of the work environment and the safety climate highlights the need for integrated strategies that simultaneously promote good working conditions and patient safety.
trial registrationClinicalTrials.gov.identifier: NCT06762015.
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