Influence of Nursing Work Environment on Patient Safety: A Systematic Review

Authors

Keywords:

Nurse, patient safety, work environment

Abstract

Patient safety is considered an indicator of the quality of health care services so it has a higher priority for the healthcare system worldwide. The work environment, and specifically the environment of nurses, is indeed an important variable related to patient safety. Therefore, this review aims to identify the influence of nursing work environment on patient safety. An in-depth review of quantitative studies that includes data on the relevance to the relationship between nursing work environments and patient safety, and had been published between 2018 and 2024, and focus on hospital or clinical settings was conducted. The
Web of Science, and Science Direct were searched. Articles published from 2018 to 2024 were retrieved. After the quality appraisal, the required data were extracted and analyzed. A narrative synthesis of the findings is conducted and presented in a table. A total of 591 articles were retrieved from the initial search and managed using Endnote software. Out of 591 articles screened, 19 articles were reviewed for eligibility yielding to 11 articles included in this study. More studies are needed in all regions using more robust designs.

References

Agbar, F., Zhang, S., Wu, Y., & Mustafa, M. (2023). Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and meta-analysis. Nurse Education in Practice, 67, 103565

Al-Dossary, R. N. (2022). The effects of nursing work environment on patient safety in Saudi Arabian hospitals. Frontiers in Medicine, 9, 872091. https://doi.org/10.3389/fmed.2022.8720 91

AlRashidi, M. K., & Al Harbi, M. (2024). Environment and the patient safety. British Journal of Nursing Studies, 4(1), 80–87.

Carvalho, R. E. F. L., Bates, D. W., Syrowatka, A., Almeida, I., Sousa, L., Goncalves, J., ... & Alencar, A. P. (2023). Factors determining safety culture in hospitals: a scoping review. BMJ Open Quality, 12(4), e002310

Casp. (2024). Critical Appraisal Checklists. Critical Appraisal Skills Programme. https://casp-uk.net/casp-tools- checklists

Faridah, I., Setyowati, S., Lestari, F., & Hariyati, R. T. S. (2021). The correlation between work environment and patient safety in a general hospital in Indonesia. Enfermeria clinica, 31, S220- S224.https://doi.org/10.1016/j.enfcli.2020.12.026

Febriansyah, F., Kusumapradja, R., & Ahmad, H. (2020). The Role Of Teamwork In Improving Patient Safety Culture. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 9(1), 41-52.

Forbes, J., & Arrieta, A. (2024). Comparing hospital leadership and front-line workers' perceptions of patient safety culture: An unbalanced panel study. BMJ Leader, leader-2023

Ibrahim, I. A., & Abohabieb, E. E. (2020). Associations between nursing work environment, patient safety culture, and missed nursing care among staff nurses. Port Said Scientific Journal of Nursing, 7(3), 265-284.

Jakobsson, J., Jangland, E., Engström,M., Malmström, M., & Drott, J. (2023).Work conditions influencing professional development of specialist nurses in surgical care explored using the Job Demand-Resources theory: A qualitative study. Journal of Advanced Nursing, 79(7), 2610-2621.

Lee, W., & Jang, I.(2023). Effect of nurses’ professionalism, work environment, and communication with health professionals on patient safety culture (AHRQ 2.0): A cross-sectional multicenter study. Journal of Nursing Management, 2023,

Lucas, P., Jesus, É., Almeida, S., & Araújo, B. (2023). Relationship of the nursing practice environment with the quality care and patient safety in primary healthcare. BMC Nursing, 22(1), 413.

Malinowska, I., Micek, A., Gabryś, T., Kożka,M., Gajda, K., Chądzyńska, A., Brzostek, T., Fletcher, J., & Squires, A. (2021). Impact of the work environment on patients’ safety as perceived by nurses in Poland—A cross-sectional study. International Journal of Environmental Research and Public Health, 18(22), 12057. https://doi.org/10.3390/ijerph18221205

Melnyk, B. M., Tan, A., Hsieh, A. P.,Gawlik, K., Arslanian-Engoren, C., Braun, L. T., & Wilbur, J. (2021). Critical care nurses' physical and mental health, worksite wellness support, and medical errors. American Journal of Critical Care, 30(3), 176-184.

Membrillo, N. J., Zeladita-Huaman, J. A., Jauregui-Soriano, K., Zegarra- Chapoñan, R., Franco-Chalco, E., & Samillan-Yncio, G. (2023). Association between the nursing practice environment and safety perception with patient safety culture during COVID-19. International Journal of Environmental Research and Public Health, 20(10), 5909. https://doi.org/10.3390/ijerph20105909

Mihdawi, M., Al-Amer, R., Darwish, R., Randall, S., & Afaneh, T. (2020). The influence of nursing work environment on patient safety. Workplace Health & Safety, 68(8), 384-390

Moisoglou, I., Yfantis, A., Galanis, P., Pispirigou, A., Chatzimargaritis, E., Theoxari, A., & Prezerakos, P. (2020). Nurses work enviroment and patient quality of care. International Journal of Caring Sciences, 13(1), 108-116.

Pramesona, B. A., Sukohar, A., Taneepanichskul, S., & Rasyid, M. F. A. (2023). A qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses. Revista Brasileira de Enfermagem, 76(4), e20220583. https://doi.org/10.1590/0034-7167-2022-0583

Wazgar, D. Y., & Attallah, D. M. (2024). Patient safety culture predictors and outcomes for sustainable oncology nursing practice: A cross-sectional correlational study. Journal of Clinical Nursing, 33(2), 606-616.

Worafi, Y. (2023). Patient safety in developing countries: Education, research, case studies. CRC Press.

World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization.

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Published

2025-05-31