The Effect of Nurse Engagement Interventions on Nurse Engagement Levels and Patient Safety Culture: A Comprehensive Literature Review

Abstract

Objective: This paper examines the impact of targeted nurse engagement interventions on nurse engagement levels and the resulting influence on patient safety culture within healthcare settings. Methods: A systematic review of peer-reviewed literature published between 2018 and 2026 was conducted. Databases including PubMed, PMC, and CINAHL were searched for studies focusing on interventions such as shared governance, leadership walkrounds, and transformational leadership. Results: Findings indicate a robust, positive correlation between nurse engagement and patient safety culture. Meta-analyses demonstrate that highly engaged nursing teams report significantly higher scores in safety culture dimensions and lower rates of adverse events. Interventions that foster structural empowerment and provide consistent leadership feedback were found to be most effective. 
Conclusion: Nurse engagement is a critical, modifiable determinant of patient safety. Healthcare organizations should prioritize evidence-based engagement strategies to cultivate a sustainable culture of safety.