Also safety care has been strongly associated with nurses and patient satisfaction, however with a safe culture,
nursing staff are guided by an organization wide commitment to ensure safety, whereas each member upholds
their own safety norms and those of their coworkers (Padilha, 2012). Therefore understanding that culture
changes incrementally and that nursing staff must live a culture of safety, we sequentially implemented a safety
program to engage and empower staff to identify and eliminate patient safety hazards. Additionally training
nursing staff to use the complex ICUs equipments would lead to improving patient safety, because lack of this
knowledge could lead to incorrect use of the equipment thus not delivering the expected effect (Helmreich &
Merrrit, 1998).