This study investigated the mediating role of safety attitudes in the relationship between organizational culture and safety performance among nurses. A cross-sectional quantitative design was used with purposive sampling, and data were gathered from 198 nurses working across five branches of Indus Hospital, Pakistan. Organizational culture was assessed using the Organizational Culture Assessment Questionnaire (OCAQ), safety attitudes were measured with the Safety Attitudes Questionnaire (SAQ), and safety performance was evaluated across four dimensions: safety compliance and safety participation (Griffin & Neal, 2000), as well as safety outcomes and employee satisfaction (Fernandez et al., 2009). Data analysis was conducted using SPSS 26, with mediation tested through Structural Equation Modeling (SEM). Findings indicated significant positive associations among organizational culture, safety attitudes, and safety performance. Organizational culture positively predicted both safety attitudes and safety performance, while safety attitudes significantly enhanced safety performance. Importantly, safety attitudes mediated the relationship between organizational culture and safety performance. These results emphasize the role of safety attitudes as psychological pathway through which organizational culture shapes safety outcomes. The study contributes to occupational health and safety literature by offering evidence from the nursing context and provides practical implications for healthcare management to strengthen safety culture and promote safer practices.
Ali et al. (Wed,) studied this question.