From Safety Culture Assessment to Organisational Priorities: A Multicentre Study in Surgical Departments
5 affiliations
- 1Department of Nursing Faculty of Nursing Physiotherapy and Podiatry University of Seville Seville Spain us.es
- 2Clinical Management Unit of Anesthesiology and Recovery Virgen Del Rocío University Hospital Seville Spain huvr.es
- 3Cardiovascular and Thoracic Surgery Operating Theatre Unit Virgen Macarena University Hospital Seville Spain hospital-macarena.com
- 4Institute of Biomedicine of Seville (IBiS) Virgen Del Rocío University Hospital/CSIC/University of Seville Seville Spain
- 5Biomedical Research Networking Center for Epidemiology and Public Health (CIBERESP) Seville Spain
Abstract
Aim(s): To assess patient safety culture in surgical departments, identify factors associated with overall patient safety grade and incident reporting and examine implications for nursing management.
Background: Evidence on factors associated with the principal outcomes of patient safety culture remains limited.
Method(s): A multicentre cross‐sectional study was conducted in surgical departments of three Spanish university hospitals. Hierarchical logistic regression examined factors associated with high overall patient safety grade and incident reporting.
Results: Of 1340 eligible healthcare professionals, 336 participated (25.1%). Teamwork Within Units was the only strength. Organisational Learning, Communication Openness, Management Support and Teamwork Across Units were independently associated with high overall patient safety grade, with the largest association for Teamwork Across Units (aOR 12.93, 95% CI 3.31–54.67, p < 0.001). Professional experience was associated with incident reporting (aOR 1.03, 95% CI 1.01–1.06, p = 0.009), whereas Organisational Learning showed an inverse association (aOR 0.39, 95% CI 0.15–0.97, p = 0.045).
Conclusion(s): Overall patient safety grade and incident reporting are complementary but distinct indicators of patient safety culture.
Implications for Nursing Management: Our findings may help nurse leaders identify potential areas for improvement and distinguish strategies addressing safety perceptions from those addressing incident reporting.
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BibTeX
@article{navarrogarcia2026from,
title = {{From Safety Culture Assessment to Organisational Priorities: A Multicentre Study in Surgical Departments}},
author = {María Virtudes Navarro-García and Manuel Luque-Oliveros and Rubén Morilla-Romero-De-La-Osa},
journal = {Journal of Nursing Management},
year = {2026},
month = nov,
doi = {10.1155/jonm/1939042},
url = {https://doi.org/10.1155/jonm/1939042},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - From Safety Culture Assessment to Organisational Priorities: A Multicentre Study in Surgical Departments
AU - María Virtudes Navarro-García
AU - Manuel Luque-Oliveros
AU - Rubén Morilla-Romero-De-La-Osa
PY - 2026
DA - 2026/11/03
JO - Journal of Nursing Management
DO - 10.1155/jonm/1939042
UR - https://doi.org/10.1155/jonm/1939042
AB - Aim(s): To assess patient safety culture in surgical departments, identify factors associated with overall patient safety grade and incident reporting and examine implications for nursing management. Background: Evidence on factors associated with the principal outcomes of patient safety culture remains limited. Method(s): A multicentre cross‐sectional study was conducted in surgical departments of three Spanish university hospitals. Hierarchical logistic regression examined factors associated with high overall patient safety grade and incident reporting. Results: Of 1340 eligible healthcare professionals, 336 participated (25.1%). Teamwork Within Units was the only strength. Organisational Learning, Communication Openness, Management Support and Teamwork Across Units were independently associated with high overall patient safety grade, with the largest association for Teamwork Across Units (aOR 12.93, 95% CI 3.31–54.67, p < 0.001). Professional experience was associated with incident reporting (aOR 1.03, 95% CI 1.01–1.06, p = 0.009), whereas Organisational Learning showed an inverse association (aOR 0.39, 95% CI 0.15–0.97, p = 0.045). Conclusion(s): Overall patient safety grade and incident reporting are complementary but distinct indicators of patient safety culture. Implications for Nursing Management: Our findings may help nurse leaders identify potential areas for improvement and distinguish strategies addressing safety perceptions from those addressing incident reporting.
SN - 0966-0429
SN - 1365-2834
ER -