ArticleJournal of nursing management2026
Job Stress Does Not Predict Safety Outcomes But Safety Culture Does: Insights From Emergency Nurses in Iran.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency departments are high-stress environments where nursing performance directly impacts patient safety. While job-related stress is assumed to influence safety outcomes, the mediating role of patient safety culture (PSC) remains unclear, especially in resource-limited healthcare systems.
methodsThis cross-sectional study surveyed 304 emergency nurses in two teaching hospitals in Iran using validated Persian versions of the Nursing Stress Scale and the Hospital Survey on Patient Safety Culture. Relationships among job-related stress, PSC, and perceived patient safety outcomes (PSOs) were analyzed using partial least squares structural equation modeling (PLS-SEM).
resultsJob-related stress was not significantly associated with PSC (β = -0.339, p = 0.125) or PSO (r = -0.043, p > 0.05), and no mediation effect was observed. However, PSC demonstrated a strong and significant positive correlation with PSO (r = 0.807, p < 0.001), highlighting its potential as a target for safety improvement.
conclusionsAlthough the hypothesized mediation model was not supported, the findings underscore the central role of safety culture in promoting better patient outcomes. Reporting null associations contributes to a more balanced understanding of stress-safety dynamics, particularly in middle-income healthcare settings. Future studies should consider organizational context and objective safety indicators.
Indexed as
Identifiers
What OpenQuestion holds
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.