Professional Practice Environment and Patient Safety Attitudes Among Inpatient Nurses: A Cross-Sectional Study in an Indonesian District Hospital

DOI

10.2991/978-94-6239-770-5_17How to use a DOI?

Keywords

Professional Practice Environment; Patient Safety Attitudes; Nurses; Patient Safety

Abstract

Patient safety remains a critical global healthcare priority, particularly in district hospitals where resource constraints, high workloads, and organizational challenges can compromise care quality. A positive professional practice environment is essential for fostering safety-oriented nursing behaviors, yet empirical evidence regarding its direct relationship with nurses’ patient safety attitudes in Indonesian regional hospital settings remains limited. This study examined the relationship between the professional practice environment and patient safety attitudes among inpatient nurses. A cross-sectional study was conducted among 85 inpatient nurses at Wava Husada Hospital, Malang, Indonesia, between November and December 2025. Participants were recruited using purposive sampling. Data were collected using the Revised Professional Practice Environment Scale (RPPE-Scale) and the Safety Attitudes Questionnaire–Short Form (SAQ-SF). Both instruments demonstrated excellent reliability (Cronbach’s α = 0.951 and 0.958). Data were analyzed using descriptive statistics and Spearman’s rank correlation. Nurses reported a favorable professional practice environment (mean = 3.13 ± 0.38), whereas the overall patient safety attitude score (71.36 ± 11.64) remained below the recommended benchmark of 75. Cultural sensitivity and job satisfaction were the highest-scoring dimensions, while teamwork, conflict management, and stress recognition scored the lowest. A strong positive correlation was found between the professional practice environment and patient safety attitudes (ρ = 0.745, p < 0.001). A supportive professional practice environment was significantly associated with more positive patient safety attitudes. Strengthening leadership, teamwork, communication, and organizational support may enhance patient safety culture and improve the quality and safety of nursing care.

Copyright

© 2026 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Salsabila Nur Aulia
AU  - Ike Nesdia Rahmawati
AU  - Kuswantoro Rusca Putra
PY  - 2026
DA  - 2026/09/04
TI  - Professional Practice Environment and Patient Safety Attitudes Among Inpatient Nurses: A Cross-Sectional Study in an Indonesian District Hospital
BT  - Proceedings of the 6th International Nursing and Health Sciences Symposium (INHSS 2025)
PB  - Atlantis Press
SP  - 159
EP  - 169
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6239-770-5_17
DO  - 10.2991/978-94-6239-770-5_17
ID  - Aulia2026
ER  -