This concern for patient safety is not limited solely to hospitals or to the United States, as Wagner, Capezuti, and Rice (2009) point out. In a study comparing long-term care settings in the United States , Canada, and other countries , one of the major findings was the discrepancy between the nurse managers' view of a safety culture and the staff nurses' view. The managers saw the culture as more positive than did the staff. This finding suggests that looking at the culture of safety from multiple views would be important.