{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:50:54Z","timestamp":1789487454584,"version":"build-2803163510"},"reference-count":27,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,31]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>(1) To determine the perceived level of safety climate among nursing staff in operating rooms (ORs) in Slovenia; (2) to investigate correlations and differences between professional position, length of service, healthcare level and perceived safety climate and (3) to identify independent predictors of overall and domain-specific safety climate perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional non-experimental quantitative analytical study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Surgical departments in 14 hospitals across Slovenia between June 2024 and November 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 169 OR and anaesthesia nurses employed in surgical departments with a minimum of 1 year of work experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>Self-reported perceived safety climate in the OR using the Slovenian version of the Safety Attitudes Questionnaire\u2013OR (SAQ-OR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Positive attitudes towards safety varied substantially across the SAQ-OR domains. The lowest proportion of positive responses was found in Perceptions of Management (7.7%; mean=45.89, 95%\u2009CI (42.92 to 48.87)), while the highest was recorded in Job Satisfaction (57.4%; mean=75.24, 95%\u2009CI (72.86 to 77.62)). OR nurses reported a more positive overall safety climate than anaesthesia nurses (mean difference=0.21, 95%\u2009CI (0.07 to 0.35)). Regression analyses identified the following independent predictors: professional nursing role for the global SAQ-OR score (\u03b2=\u22120.21, p=0.007) and institutional tenure for Stress Recognition (\u03b2=\u22120.23, p=0.004). The Perceptions of Management domain was predicted by professional role (\u03b2=\u22120.17, p=0.033) and institutional tenure as a positive driver (\u03b2=0.16, p=0.041).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The safety climate among nursing staff working in Slovenian ORs was perceived as moderately positive, with notable variation across SAQ-OR domains and professional groups. Professional role and institutional tenure were identified as independent predictors of safety climate perceptions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-117225","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T14:01:09Z","timestamp":1789480869000},"page":"e117225","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Perception of safety climate among nursing staff in operating rooms in Slovenia: a cross-sectional analytical study"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5691-0036","authenticated-orcid":false,"given":"Igor","family":"Karnju\u0161","sequence":"first","affiliation":[{"name":"University of Primorska, Faculty of Health Sciences, Izola, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1731-9630","authenticated-orcid":false,"given":"Margareta","family":"Kotar Bunderla","sequence":"additional","affiliation":[{"name":"University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3485-5173","authenticated-orcid":false,"given":"Patrik","family":"Pucer","sequence":"additional","affiliation":[{"name":"University of Primorska, Faculty of Health Sciences, Izola, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"2026091507004409000_16.9.e117225.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0305281","article-title":"Safety climate in the operating room in the pre-pandemic and pandemic period of COVID-19: A mixed method study","volume":"19","author":"Ferreira","year":"2024","journal-title":"PLoS One"},{"key":"2026091507004409000_16.9.e117225.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-023-09539-9","article-title":"Safety culture in the operating room: translation, validation of the safety attitudes questionnaire - operating room version","volume":"23","author":"Pevec","year":"2023","journal-title":"BMC Health Serv Res"},{"key":"2026091507004409000_16.9.e117225.3","doi-asserted-by":"crossref","DOI":"10.1136\/bmjoq-2022-002182","article-title":"Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study","volume":"13","author":"Nyberg","year":"2024","journal-title":"BMJ Open Qual"},{"key":"2026091507004409000_16.9.e117225.4","first-page":"46","article-title":"Assessment of Patient Safety Attitude Levels Among Healthcare Professionals Working in the Operating Room","volume":"45","author":"Tamer","year":"2022","journal-title":"Erciyes Med J"},{"key":"2026091507004409000_16.9.e117225.5","unstructured":"European Observatory on Health Systems and Policies . 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