The Relationships Between Safety Climate,
Teamwork, and Intent to Stay at Work
Among Jordanian Hospital Nurses
Raeda F. AbuAlRub, RN, PhD, Huda F. Gharaibeh, RN, PhD, and Alaa Eddin I. Bashayreh, RN, MSN
Raeda F. AbuAlRub, RN, PhD, is Associate Professor, College of Nursing, Jordan University of Science and Technology,
Irbid, Jordan; Huda F. Gharaibeh, RN, PhD, is Assistant Professor, College of Nursing, Jordan University of Science and
Technology, Irbid, Jordan; and Alaa Eddin I. Bashayreh, RN, MSN, is a staff nurse, Pediatric Intensive Care Unit, King
Abdullah University Hospital, Ramtha, Jordan.
Keywords
Hospital, intent to stay, Jordan,
nurse, safety climate, teamwork
Correspondence
Raeda F. AbuAlRub, RN, PhD,
College of Nursing, Jordan
University of Science and
Technology, P.O. Box 1894, Irbid,
Jordan
E-mail: raeda71@yahoo.com
The content of the manuscript
“The Relationships Between Safety
Climate, Teamwork, and Intent to
Stay at Work Among Jordanian
Hospital Nurses” has not been
published or submitted for
publication elsewhere. All authors
have contributed significantly. Each
author has participated in the (a)
conception, design, analysis and
interpretation of data; (b) revising
the article; and (c) final approval of
the version to be published.
PURPOSE. The purpose of the present study is to examine the relation-
ships among safety climate, teamwork, and intent to stay at work as
perceived by Jordanian hospital nurses.
METHODS. A descriptive correlational design was used to investigate
these relationships among a convenience sample of 381 hospital nurses.
Data were collected through a self-administered questionnaire that
included the Safety Climate and Teamwork Scale and the McCain’s Intent
to Stay Scale. Descriptive statistics, Pearson correlation, analysis of vari-
ance, and hierarchical regression analysis were used to analyze the data.
RESULTS. The findings showed (a) a strong positive correlation between
safety climate and teamwork; and (b) moderate positive correlations
between safety climate and intent to stay at work, and between team-
work and intent to stay at work. Moreover, the overall model of hierar-
chical regression showed that 45% of the variation in the level of intent
to stay at work was explained by background variables, leadership styles,
decision-making styles, and safety climate.
CONCLUSION. The findings emphasized the positive effect of safety
climate and teamwork on the level of nurses’ intent to stay.
IMPLICATIONS FOR NURSING MANAGEMENT. Nurse administrators
should design and implement strategies that create a culture of safety
climate and teamwork in their organizations.
Introduction and Significance
Working in healthcare organizations is considered
to be hazardous due to the risk of morbidity and mor-
tality (Colla, Bracken, Kinney, & Weeks, 2005), and
the complexity of work in healthcare organizations
(Hogan, Moxham, & Dwyer, 2007). This complexity is
increased with the presence of increased focus on
health informatics, technology, quality initiatives, and
cost containment and reduction (Dunn, Wilson, &
Esterman, 2005). The hospital as a system includes
inputs, processes, and outputs, and the contents of this
system work together in order to keep its equilibrium
and success (Hayajneh, 2007). As a subsystem of the
AN INDEPENDENT VOICE FOR NURSING
65
© 2012 Wiley Periodicals, Inc.
Nursing Forum Volume 47, No. 1, January-March 2012