title: Factors associated with nurses' perceptions of patient safety culture in China: a cross-sectional survey study.
abstract: OBJECTIVE
  To explore nurses' perceptions of patient safety culture and factors associated with those perceptions.
  
  
  METHODS
  This study used a quantitative methodology with a cross-sectional design. A convenience sample was used to recruit 248 nurses. Data were collected at a Chinese university hospital between August and October 2008.
  
  
  RESULTS
  More than half (61.3%) of nurses had positive perceptions of patient safety culture. Nurses responded most positively to two dimensions: teamwork within units and organizational learning. Nurses responded most negatively to staffing and non-punitive response to errors. Four factors were found to be associated with patient safety culture: nurses' perception of managers' trustworthiness (P < 0.001), organizational safety prioritization (P < 0.001), length of unit nursing experience (P = 0.004), and managers' safety commitment (P = 0.023).
  
  
  CONCLUSIONS
  To improve patient safety culture, nurse managers should focus on the identified factors and adopt multiple strategies. Specifically, nurse mangers should try to build trust with nurses, demonstrate sincere safety commitments, and set patient safety as a true priority.
authors.affiliation: Department of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China. fengxianqiong66@126.com
authors.forename: Xianqiong
authors.initials: X
authors.lastname: Feng
authors.forename: Kathleen
authors.initials: K
authors.lastname: Bobay
authors.forename: Janet Wessel
authors.initials: JW
authors.lastname: Krejci
authors.forename: Barrett L
authors.initials: BL
authors.lastname: McCormick
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002681:China; D003430:Cross-Sectional Studies; D006801:Humans; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D015279:Organizational Culture; D061214:Patient Safety; D055815:Young Adult