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الملخص: أهداف البحث: هدفت هذه الدراسة إلى تقييم الإجهاد الناتج عن العمل لدى التمريض وتحديد العلاقة بين الإجهاد المرتبط بالعمل والبيانات الديموغرافية. طرق البحث: استخدمت هذه الدراسة تصميما مستعرضا وصفيا. أجريت هذه الدراسة في مستشفى حكومي ثانوي (عدد المشاركين ١٧٨، سعة المستشفى ٢٢٥ سريرا) في منطقة الرياض، بالمملكة العربية السعودية. يقدم هذا المستشفى العديد من الخدمات الطبية والجراحية المهمة للحصول على رعاية وخدمات للمرضى ذات جودة عالية. وتمت مقابلة ما مجموعه ١٧٨ ممرضا وممرضة. ثم تم استبعاد ١٥ استبانة بسبب نقص البيانات (معدل استجابة ٩٢.٥٢٪). النتائج: كان رأي المشاركين أن بيئة العمل مرهقة إلى حد ما، وارتبطت الجنسية بشكل كبير وكانت مؤشرا كبيرا لمستوى الإجهاد لدى المشاركين. كان لدى الممرضات من الجنسية الهندية مستويات إجهاد أعلى مقارنة مع الجنسيات الأخرى. وكانت ساعات العمل في الأسبوع مؤشرا كبيرا لمستويات الإجهاد لدى التمريض. الاستنتاجات: سلطت هذه الدراسة الضوء على الإجهاد المرتبط بعمل التمريض وتحديد العلاقة بين الإجهاد المرتبط بالعمل والبيانات الديموغرافية. ارتبطت جنسية الممرضين وساعات العمل في الأسبوع مع مستوى الإجهاد لديهم. يمكن استخدام نتائج هذه الدراسة كدليل لوضع سياسات الموارد البشرية نحو تقليل التوتر لتعزيز الرعاية الصحية وتحسين أداء العمل. Abstract: Objectives: This study aimed to assess the perceived work-related-stress of staff nurses and determine the relationship between work-related stress and demographic profile. Methods: This study used a descriptive cross-sectional design and was conducted in a secondary public hospital (staff nurses = 178, bed capacity = 225) in Riyadh, KSA. The hospital provides medical and surgical services that are important to achieve optimum quality patient care and services. In total, 178 staff nurses were interviewed, but 15 responses were excluded because of missing data (response rate: 92.52%). Results: Nurses reported a moderately stressful work environment. Nationality was found to be a significant predictor of nurses' stress levels. Indian nurses had higher stress levels compared with nurses of other nationalities. Working hours per week was another significant predictor of stress. Conclusion: This study highlighted perceived work-related stress of staff nurses and determined the relationship between work-related stress and demographic profile. Most nurses were moderately stressed. Working hours were associated directly with stress level. The study findings can serve as a guide for establishing human resources policies aiming at reducing nurses' stress and, thereby, promoting improved health care and task force work performance. الكلمات المفتاحية: مستشفى الرعاية الحرجة, التمريض, الممرضين, رعاية المرضى, الإجهاد, Keywords: Acute care hospital, Nurses, Nursing profession, Patient care, Stress

Introduction: Patient safety captures the essence of the primary principle of medical ethics, primum non nocere, first do no harm; this is an important concern in the health care system. Nurses are indispensable members of this system and are the largest group of health care providers involved in the direct delivery of patient care. As an integral part of the health care system, it is important to know nurses’ opinions on patient safety culture. Objectives: First, to evaluate and measure the existing safety culture and safety of patients in medical−surgical wards (MSW) in hospitals located in the Qassim region, in the Kingdom of Saudi Arabia. Second, to survey the opinion of registered nurses and supervisors/managers about safety culture and issues concerned with safety in hospitals in the region. Materials and Methods: A validated cross-sectional survey, namely the Hospital Survey on Patient Safety Culture (HSOPSC), was used. This survey queried 300 nurses in different MSWs in four hospitals in the Qassim Region. Results: Overall, a positive culture of safety exists in MSWs, with 69% of RNs rating their wards as having great/excellent safety culture. Notably, some participants felt it was problematic that blame was assigned to nurses for reported errors. While 55.9% of participants noted that all errors or narrowly avoided errors had been reported, less than half actually reported errors in the last year. Conclusion: The perceived safety culture was largely positive; however, the results also indicated that a culture of safety comes with some risk and blame.