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Table 1 The main theme, categories, and subcategories

From: The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses

Main Theme

Categories

Subcategories

The long way ahead of safety culture

1. Incompetent organizational infrastructure

- Shortage of resources

- Weakness of the staff’s professional competence and empowerment

- Unfavourable work condition and unsafe environment

2. Insufficient leadership effectiveness

- Lack of commitment

- Non-supportive management

- Non-participatory decision-making

- Low efficiency of safety management rounds and clinical audit

3. Inadequate efforts to keep pace with national and international standards

- Failure to establish quality improvement and clinical risk management systems

- Culture of resistance to change towards the system approach

- Culture of blame and punishment

- Weakness in feedback to reporting errors

- Weakness in the culture of organizational education and learning

-Weakness in preventive (protective) culture

4. Overshadowed values of team participation

- Failure to redefine and clarify roles

- Gap in team coordination

- Difficult dynamics of team interactions