Purpose/Objective: The purpose of this study is to explore clinical nurses’ perception of engagement and patient safety along with evaluate the correlation between engagement and perception of patient safety to patient outcomes.

Background/Significance: Studies have shown evidence that there is a relationship between higher RN job satisfaction and/or a positive patient safety culture and patient outcomes; but limited studies exist showing a statistically significant relationship. Furthermore, limited studies have been conducted exploring perceptions of nurses and whether there is a relationship between perceptions and actual outcomes.

Methodology/Data Analysis: The exploratory component of clinical nurses’ perceptions of engagement and patient safety will involve a nontraditional qualitative descriptive research design with focus group led by staff nurse unit-based practice council (UBPC) chairs and thematic analysis. The correlational component consists of parametric statistical analysis of readily available National Database of Nursing Quality Indicators RN Satisfaction scores, Agency for Healthcare Research and Quality Hospital Survey of Patient Safety Culture scores, and patient outcomes data from 2012, 2014, and 2016.

Finding/Implications: Findings included statistically significant negative relationships between RN satisfaction and patient falls (r= -0.577, p=0.049) and statistically significant positive relationships between RN satisfaction and perception of patient safety (r=0.756, p=0.004). The implications for practice suggest that the more engaged nurses are, the higher the perception of various patient safety measures which corresponds to a lower fall rate. Thematic analysis of the focus group discussions revealed what nurses themselves perceive as staff engagement and patient safety.

Discussion: By keeping staff engaged and patient safety-centered and focusing on what nurses themselves perceive as elements of staff engagement and patient safety, leaders can potentially positively affect patient outcomes. Having nurses themselves work collaboratively to identify how they affect patient outcomes through a deeper understanding, translates to a stronger safety culture and enhanced patient care.

Publication Date


Presented At:

13th Annual BHSF Research Conference

Content Type


Additional Authors:

Rosalina Butao MSN, RN, C-FOM

Eva Mitra BSN, RN

Jobic Ray Butao BSN, RN, CCRN

Melvin Rivera RN, CMSRN

Meghan Sharkey BSN, RN

Open Access

Available to all.