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Background: Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps., Objectives: The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them., Design: We tested the theoretical model using structural equation modelling with the AMOS 21 program., Methods: The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses., Results: The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = -0.510, 95% CI -1.006/-0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = -0.510, 95% CI -1.043/-0.053)., Conclusions: It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety., (© 2025 John Wiley & Sons Australia, Ltd.)

Aim: This study aimed to translate and psychometrically test the Healthcare Environment Survey, describe the strengths and needs of job satisfaction for nurses in Turkey, and advance an international discussion across countries that used Healthcare Environment Survey. The Healthcare Environment Survey was the only instrument found that measured multiple facets of nurses' satisfaction in caring for patients. Healthcare Environment Survey has been psychometrically tested in Jamaica, Scotland, and the USA., Method: This study was a methodological design. A convenience sample of 400 nurses from 2 hospitals in Antalya, Turkey, was asked to complete the Healthcare Environment Survey. A total of 241 nurses (60.3%) responded to all 57 items., Results: Factor analysis revealed all items loaded into 10 facets, with all factor loadings greater than 0.40, except 1 item regarding executive leadership. Kaiser-Meyer-Olkin measure of 0.91 revealed a good model fit. The Healthcare Environment Survey explained 75% of the variance in nurse job satisfaction. The Cronbach alpha coefficient for the 10 facets ranged from 0.83-0.90. A comparison of these results with the other 3 countries that used the Healthcare Environment Survey revealed that caring for patients had a high factor loading in Turkey, Scotland, and the USA but a low one in Jamaica., Conclusion: The Healthcare Environment Survey -Turkish form was found to be a valid and reliable tool, which could be used by nurse managers to evaluate satisfied and unsatisfied areas. It provides new opportunities for national/international benchmark, cooperation, and research with others., Competing Interests: Conflict of Interest: The authors have no conflict of interest to declare., (Copyright © 2021 Florence Nightingale Journal of Nursing.)

Aim: The present study was aimed at investigating the effect of nursing education on the improvement of students' critical thinking skills in Turkey by using the meta-analysis method., Method: The literature screening was carried out in online databases using the keywords "nursing", "student", "critical thinking", "Turkey" in English and their Turkish equivalents "hemşirelik", "öğrenci", "eleştirel düşünme", "Türkiye" respectively. Quantitative studies matching the inclusion criteria were included in the study. The number of the participants in those studies was 3792 (2183 first-year students and 1609 last-year students). For the analysis of the data, the CMA (Comprehensive Meta-Analysis Software) statistical package program was used. While the Q and I2 tests were used to test the homogeneity of the studies, the Classic Fail-Safe N test and Kendall's Tau were used to test their publication bias. Fixed and random models were used to calculate the effect size., Results: The results indicated that 10 studies met the inclusion criteria, and that the studies included in the study were heterogeneous and had no publication bias. The mean effect size was 0.114 at the 95% significance level [CL=0.087-0.440]., Conclusion: The results of the study indicated that nursing students were not able to develop their critical thinking skills and that there is a need for implementations to develop their critical thinking skills. This study will provide guidance for nursing school administrators and educators to develop critical thinking skills of nursing students., Competing Interests: Conflict of Interest: The authors have no conflicts of interest to declare., (Copyright © 2019 Florence Nightingale Journal of Nursing.)