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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: The aim of this study was to identify charge nurses' experiences ensuring patient safety during the coronavirus disease 2019 (COVID-19) pandemic., Methods: The research was conducted with charge nurses between July 2021 and February 2022. Research data were collected using a semi-structured interview with two main questions, six sub-questions and an audio recording. Interviews were conducted with 12 charge nurses and lasted ≈30 min. The content analysis method was used to transfer the collected data to written documents and define them to analyse the individual interview data. Content analyses were conducted independently by three different researchers. Inclusion and exclusion criteria for content were established to ensure consistency among all researchers. Researchers independently developed a coding scheme for content analysis based on the research objectives and applied it to the content. Intercoder reliability was assessed with Cohen's kappa coefficient to measure the consistency of coding among researchers., Results: Three main themes were identified as a result of the content analysis. The themes identified after independent examination by the three researchers were 'ensuring safety and protection', 'sustaining motivation and resilience' and 'organizational restructuring and challenges'., Conclusions: This study highlights the challenges faced by charge nurses during the COVID-19 pandemic and their critical role in maintaining patient safety. The findings emphasize the importance of organizational adaptability, continuous motivation and comprehensive risk management strategies. Charge nurses played a key role in enhancing safety measures and fostering a culture of resilience among healthcare staff. Moving forward, these insights should guide health policies and practices to better prepare for future public health crises, ensuring the safety of both patients and staff., (© 2024 John Wiley & Sons Australia, Ltd.)