ArticleBMJ open2026
Perception of safety climate among nursing staff in operating rooms in Slovenia: a cross-sectional analytical study.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectives(1) To determine the perceived level of safety climate among nursing staff in operating rooms (ORs) in Slovenia; (2) to investigate correlations and differences between professional position, length of service, healthcare level and perceived safety climate and (3) to identify independent predictors of overall and domain-specific safety climate perceptions.
designA cross-sectional non-experimental quantitative analytical study.
settingSurgical departments in 14 hospitals across Slovenia between June 2024 and November 2024.
participantsA total of 169 OR and anaesthesia nurses employed in surgical departments with a minimum of 1 year of work experience. MEASURES: Self-reported perceived safety climate in the OR using the Slovenian version of the Safety Attitudes Questionnaire-OR (SAQ-OR).
resultsPositive attitudes towards safety varied substantially across the SAQ-OR domains. The lowest proportion of positive responses was found in Perceptions of Management (7.7%; mean=45.89, 95% CI (42.92 to 48.87)), while the highest was recorded in Job Satisfaction (57.4%; mean=75.24, 95% CI (72.86 to 77.62)). OR nurses reported a more positive overall safety climate than anaesthesia nurses (mean difference=0.21, 95% CI (0.07 to 0.35)). Regression analyses identified the following independent predictors: professional nursing role for the global SAQ-OR score (β=-0.21, p=0.007) and institutional tenure for Stress Recognition (β=-0.23, p=0.004). The Perceptions of Management domain was predicted by professional role (β=-0.17, p=0.033) and institutional tenure as a positive driver (β=0.16, p=0.041).
conclusionsThe safety climate among nursing staff working in Slovenian ORs was perceived as moderately positive, with notable variation across SAQ-OR domains and professional groups. Professional role and institutional tenure were identified as independent predictors of safety climate perceptions.
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