Impact of Organizational Cultureon Safety Performance: Exploringthe Mediating Role of Safety Attitudes in Healthcare Sector

Abstract

Thisstudyinvestigatedthemediatingroleofsafetyattitudesintherelationshipbetweenorganizationalcultureandsafety performance among nurses. A cross-sectional quantitative design was used with purposive sampling, and data were gathered from198 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 safetyparticipation(Griffin&Neal,2000),aswellassafetyoutcomesandemployeesatisfaction(Fernandezetal.,2009). DataanalysiswasconductedusingSPSS26,withmediationtestedthroughStructuralEquationModeling(SEM).Findings indicated significant positive associations among organizational culture, safety attitudes, and safety performance. Organizationalculturepositivelypredictedbothsafetyattitudesandsafetyperformance,whilesafetyattitudessignificantly 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.