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Aims: The aim of this review was to synthesize the best available evidence on the impact of nurses' safety attitudes on patient outcomes in acute-care hospitals. Design: Systematic review with a narrative synthesis of the available data. Data sources: Data sources included MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Scopus and Web of Science Core Collection. Studies published up to March 2021 were included. Review Methods: This review was conducted using guidance from the Joanna Briggs Institute for Systematic Reviews and reported as per the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Results: A total of 3,452 studies were identified, and nine studies met the inclusion criteria. Nurses with positive safety attitudes reported fewer patient falls, medication errors, pressure injuries, healthcare-associated infections, mortality, physical restraints, vascular access device reactions and higher patient satisfaction. Effective te

Joanna briggs institute for systematicHealth literatureHospital survey on patient safety cultureCumulative indexAllied health literatureScience coreJoanna briggs instituteSystematic reviewsPreferred reporting itemsSystematic reviewHospital surveyPatient safety cultureAdverse eventsPatient outcomesAfety attitudeSafety climate