The relationship between error experience and patient safety culture with safe activities of emergency nurses

Emergency nurses are central to reporting patient safety errors. By encouraging nurses to voluntarily report patient safety errors, hospitals can detect these errors and implement measures to prevent future occurrence. The purpose of this study was to survey the relationships between error experience and patient safety culture (PSC) with safe activities of emergency nurses in Iran. This descriptive-correlational study used a convenience sampling method based on predefined inclusion criteria to select 226 emergency nurses in Ardabil Province, northwest of Iran, from April to July 2023. The data collection tools were demographic and the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire, a 4-item questionnaire for patient safety error and the patient safety care activities scale. The data were analyzed using the SPSS-26, descriptive statistics, Pearson correlation, and multiple linear regression. The mean of PSC and safety nursing activities were 3.24 (± 0.46), 3.41 (± 0.43), respectively. Multiple linear regression analysis revealed that the potential factors associated with safety nursing activities were communication and providing feedback about errors (β=0.229, P=0.007) and an error reporting system (β = 0.221, P = 005). Changing the attitude of managers and organizational leaders toward a systemic approach is critical to improving PSC and increasing error reporting. Hospitals should review their policies to ensure an educational and supportive environment and provide opportunities for nurses to better participate in hospital safety.