Interaction of Safety Climate and Safety Culture: A Model for Cancer Treatment Centers

Document Type : Research Articles


1 Student Research Committee, (Department and Faculty of Health), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

3 Instructor of Biostatistics, Health Products Safety Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.


Background: In health care institutions, safety culture is defined as the integrity of individual and group efforts to
reduce the harms for the patients. This is possible through interactions, attitudes, and understanding of safety matters.
On the other hand, one of the indicators of the safety culture is the safety climate. Objective: The aim of this study is
to investigate the interaction between safety climate and safety culture using structural equation modeling in personnel
of cancer treatment centers in Iran. Methods: In this study, 680 personnel of Iran’s hospitals were chosen in a random
manner. Demographic (9 questions), safety culture (42 questions) and safety climate (37 questions) questionnaires were
filled. The data were inserted in SPSS 20 software. Descriptive statistics method and Pearson’s correlation coefficient
were used to describe the data and evaluate the relation between the variables, respectively. Structural equations model
was developed using AMOS 22 software and fitness of the model was tested by χ2, RMSEA, GFI and NFI statistics.
Results: The scores of safety climate and safety culture were 3.61 and 3.30, respectively, which imply that they are
suiTable. The overall fitness of the model was accepTable. In this model, χ2 = 8637.17, df = 2964, χ2/df = 2.914,
RMSEA = 0.058, NFI = 0.912, GFI=0.907, and CFI=0.875. In the regression analysis, there were positive significant
relationships between safety climate and safety culture, safety climate and any of its components, and safety culture
and any of the components. Conclusion: It was found that the safety climate and the safety culture had a positive
impact on each other; so that with increasing safety climate, the safety culture also increases, and vice versa. Also, the
level of education has a positive impact on safety culture and safety climate. So appropriate training can promote both
variables in cancer treatment hospitals.


Main Subjects