Abstract
BACKGROUND: A clear understanding of the influence of patient safety culture (PSC) on resilience and turnover intention is essential for building a stable, efficient, and safe healthcare workforce. While previous research has explored the relationship between PSCs and nurses' resilience, no studies have specifically examined the association between PSCs and nurses' turnover intention. AIM: To assess PSC and its relationship with nurses' resilience and turnover intention. METHODS: In this cross-sectional descriptive study, we used convenience sampling to recruit 117 registered nurses working in hospitals across 13 regions in Saudi Arabia. Data were collected between December 2023 and March 2024 via three instruments: the Hospital Survey on Patient Safety Culture, the Connor-Davidson Resilience Scale, and the Turnover Intention Scale. Pearson's product‒moment correlation, independent sample t tests, and linear regression models were used to analyze the data. RESULTS: A total of 117 participants reported a low overall perception of PSCs, with an average positive response rate of 44.6%. The mean scores for resilience and turnover intention were moderate. PSC was positively and moderately correlated with resilience (r = .352, p < .001). However, there was a moderate negative correlation between PSCs and turnover intention (r = - .253, p < .01). The regression model yielded significant results (F [1, 113] = 16.01, p < .001, R(2) = 0.124), indicating that PSC (β = 0.800, p < .001) statistically significantly predicted resilience. Those who perceived higher PSC were more likely to have greater resilience. Furthermore, PSC (β = - 0.883.p = .006) statistically significantly predicted turnover intention. Individuals who perceived higher PSC were less likely to leave the hospital. CONCLUSION: Improvements in PSCs are beneficial not only because they may increase resilience but also because of the associated reduction in turnover intention.