ArticleBMC health services research2026
Organizational patient safety culture and workforce well-being among healthcare workers: associations with resilience and work-life balance in a hospital-wide cross-sectional study.
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. Not yet cited in PubMed.
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Abstract
backgroundPatient safety culture is widely recognized as a core determinant of healthcare quality, safety, and organizational performance (1). Increasing attention has also been directed toward healthcare workforce well-being, particularly positive psychological resources such as resilience (2) and work-life balance. These factors, alongside the mitigation of occupational stress (3), are essential in influencing safety-related behaviors and the sustainability of health service delivery. However, empirical evidence integrating multidimensional patient safety culture with positive workforce well-being outcomes at the organizational level remains limited (4).
methodsA hospital-wide cross-sectional survey was conducted among healthcare workers at a regional teaching hospital in Taiwan during 2024. Patient safety culture was assessed using a validated multidimensional safety culture instrument, while workforce well-being was measured in terms of resilience and work-life balance. Descriptive statistics, Pearson correlation analyses, and multiple linear regression models were applied to examine associations between safety culture dimensions and well-being outcomes, with subgroup analyses across demographic and professional characteristics.
resultsA total of 1,779 healthcare workers participated. Multiple linear regression revealed that while most safety culture dimensions positively influenced work-life balance, job satisfaction exhibited a significant negative association with resilience (β = -0.400, p < 0.001). Stress perception emerged as a strong predictor of higher resilience but poorer work-life balance.
conclusionsThe study underscores the dialectical relationship between organizational culture and workforce well-being. The findings suggest that resilience may function as a compensatory resource for healthcare workers in demanding environments. Health services managers should integrate workforce well-being into safety frameworks, moving beyond satisfaction scores to address the structural conditions that shape both resilience and work-life balance.
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