{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:19:40Z","timestamp":1787804380038,"version":"build-2784847793"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":237,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background<\/jats:title>\n Emergency departments are high\u2010stress environments where nursing performance directly impacts patient safety. While job\u2010related stress is assumed to influence safety outcomes, the mediating role of patient safety culture (PSC) remains unclear, especially in resource\u2010limited healthcare systems.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross\u2010sectional study surveyed 304 emergency nurses in two teaching hospitals in Iran using validated Persian versions of the Nursing Stress Scale and the Hospital Survey on Patient Safety Culture. Relationships among job\u2010related stress, PSC, and perceived patient safety outcomes (PSOs) were analyzed using partial least squares structural equation modeling (PLS\u2010SEM).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Job\u2010related stress was not significantly associated with PSC (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.339,\n p<\/jats:italic>\n \u2009=\u20090.125) or PSO (\n r<\/jats:italic>\n \u2009=\u2009\u22120.043,\n p<\/jats:italic>\n \u2009>\u20090.05), and no mediation effect was observed. However, PSC demonstrated a strong and significant positive correlation with PSO (\n r<\/jats:italic>\n \u2009=\u20090.807,\n p<\/jats:italic>\n \u2009<\u20090.001), highlighting its potential as a target for safety improvement.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Although the hypothesized mediation model was not supported, the findings underscore the central role of safety culture in promoting better patient outcomes. Reporting null associations contributes to a more balanced understanding of stress\u2013safety dynamics, particularly in middle\u2010income healthcare settings. Future studies should consider organizational context and objective safety indicators.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/jonm\/6410188","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:08:03Z","timestamp":1787803683000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Job Stress Does Not Predict Safety Outcomes But Safety Culture Does: Insights From Emergency Nurses in Iran"],"prefix":"10.1155","volume":"2026","author":[{"given":"Alam Abbasi","family":"Yazdi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javad","family":"Moghri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9681-8231","authenticated-orcid":false,"given":"Jamshid","family":"Jamali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8916-7426","authenticated-orcid":false,"given":"Elahe","family":"Hooshmand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.51159"},{"key":"e_1_2_14_2_2","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-59403-9","volume-title":"Textbook of Patient Safety and Clinical Risk Management","author":"Donaldson L.","year":"2021"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55090553"},{"key":"e_1_2_14_4_2","volume-title":"Medical Error Reduction and Prevention","author":"Rodziewicz T. L.","year":"2018"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-19757-3"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/pts.0000000000000519"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1590\/1980-220x-reeusp-2023-0359en"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218756"},{"key":"e_1_2_14_9_2","volume-title":"Global Patient Safety Report 2024","author":"Organization WH","year":"2024"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-02993-2"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.3310\/pwrt8714"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01198-9"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-152"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-228"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v12i1.35626"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2010"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03009-9"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01695-x"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2022.05.013"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945906297370"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjhc.2021.0128"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/rnj.97"}],"container-title":["Journal of Nursing Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/6410188","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jonm\/6410188","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/6410188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:08:05Z","timestamp":1787803685000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jonm\/6410188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jonm\/6410188"],"URL":"https:\/\/doi.org\/10.1155\/jonm\/6410188","archive":["Portico"],"relation":{},"ISSN":["0966-0429","1365-2834"],"issn-type":[{"value":"0966-0429","type":"print"},{"value":"1365-2834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-08-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6410188"}}