Background In critical situations such as the COVID-19 pandemic, nurses always face a lot of stress that can increase their turnover intention. Since a suitable safety climate in the workplace is considered an important factor in preventive management of occupational hazards and people's adaptation to stressful conditions, the present study aimed to determine Turnover intention among operating room nurses during the COVID-19 outbreak and its association with perceived safety climate. Methods In this descriptive correlational study, participants were 190 operating room nurses working at public hospitals in Mazandaran (Iran) who were selected by stratified random sampling. Data were collected using the Anticipated Turnover Scale and the Nurses' Safety Climate Questionnaire and analyzed using SPSS16. Results The results of the linear regression analysis revealed that safety climate significantly reduced turnover intention among nurses in the COVID-19 pandemic ( P < 0.001). An increase of one unit in the total score of safety climate led to a 0.6 reduction in the turnover intention of operating room nurses. Conclusion The present findings demonstrated an unfavorable safety climate perceived by perioperative nurses in the COVID-19 pandemic, with a significant inverse relationship with turnover intention. Strategies such as training personnel on the prevention of the disease transmission in the surgery of patients infected with or suspected of COVID-19, creating a proper supportive environment for personnel, and providing appropriate protective equipment to prevent infection with COVID-19 seem absolutely vital to improving the safety climate in the operating room, thereby reducing turnover intention.

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Background: Patient safety is one of the principles of health care and evaluation of the patient safety culture motivates to provide safe conditions for patient care. Regarding the invasive procedures and the necessity of special attention to patient safety in the operating room, this study aimed to determine the patient safety culture from the perspective of operating room personnel. Methods: This research was a descriptive cross-sectional study. The study sample consisted of 206 operating room personnel of Mazandaran educational hospitals who were selected by stratified random sampling. Data collection was performed using the patient safety culture questionnaire and a demographic form. The obtained data were analyzed by descriptive and inferential statistics (Pearson correlation test, one-way ANOVA, independent t-test, and Chisquare test) in SPSS V. 20. The significance level was set at less than 0.05. Results: Most of the operating room personnel (72.3%) rated the patient safety culture as moderate. Among the dimensions of patient safety culture, "non-punitive response to error" was not favorable (7.4±2) and the dimensions of the "frequency of error reporting" (11.5±2.2), "overall perceptions of patient safety" (15.1±2.4), and "teamwork within units" (15.4±2.9) were rated as favorable. Among the studied variables, there was a significant relationship between occupational groups and safety culture (P=0.04). Conclusion: Patient safety culture status was moderate from the perspective of most operating room personnel. Considering the greater sensitivity of safety in the operating room, hospital managers should adopt suitable approaches and policies to promote the patient safety culture.