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The impact of the work environment on patient safety outcomes suggests that high nurse\/midwife stress may be associated with more adverse patient events. The purpose of this study was to explore the psychological capital of clinical nurses and midwives and identify explanatory factors (including psychological capital, well\u2010being, and health\u2010related behaviors) contributing to attitudes to patient safety. A descriptive web\u2010 and paper\u2010based survey comprising a convenience sample of nurses and midwives in acute health facilities in Sydney, Australia, was performed (October 2018 and April 2019). Variables included psychological capital, psychological well\u2010being, work culture, and attitudes to patient safety. Descriptive statistics were performed and a regression model was specified (a statistical significance of <jats:italic>P<\/jats:italic> &lt;\u20090.05 was set a priori). Psychological capital, depression score, and work engagement had a significant effect on patient safety perceptions when controlling for other factors. The findings suggest that nurse and midwife well\u2010being is an important consideration when striving to improve patient safety.<\/jats:p>","DOI":"10.1111\/nhs.12808","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T14:13:03Z","timestamp":1609423983000},"page":"237-244","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Psychological capital, well\u2010being, and patient safety attitudes of nurses and midwives: A cross\u2010sectional survey"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9239-7126","authenticated-orcid":false,"given":"Rosalind","family":"Elliott","sequence":"first","affiliation":[{"name":"Nursing and Midwifery Research Centre, Nursing and Midwifery Directorate Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Intensive Care Unit, Royal North Shore Hospital Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Faculty of Health University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Fry","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Research Centre, Nursing and Midwifery Directorate Northern Sydney Local Health District  St Leonards New South Wales Australia"},{"name":"Faculty of Health University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2016.25.15.865"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2012.02.029"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joop.12007"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.02.008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2011-000449"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2015.11.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5402\/2013\/529645"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"76","article-title":"Testing the Simple Lifestyle Indicator Questionnaire: Initial psychometric study","volume":"54","author":"Godwin M.","year":"2008","journal-title":"Canadian Family Physician"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13952"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.01613"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.201700067"},{"issue":"2","key":"e_1_2_9_13_1","first-page":"161","article-title":"Do we all agree on how to measure work engagement? 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