Background: Effective communication is an essential element of effective healthcare team and patient safety. Global research emphasises the need of effective communication for patient safety and nurse satisfaction, however language obstacles and hierarchical structures continue to impair Saudi Arabian healthcare environments. Previous studies have examined communication and safety culture independently, with limited evidence of studies that explore the relationship between nurses’ communication satisfaction and their perceptions of patient safety culture within Saudi operating theaters. Objectives: This study aimed at evaluating the relationship between nurses’ communication satisfaction and culture of safety among operating theatre nurses in a tertiary hospital in Saudi Arabia. Research Design & Setting: A cross-sectional correlational design was used to conduct this study in a military tertiary hospital in Riyadh, Saudi Arabia. A convenience sampling method was used to sample a total of 116 participants operating theatres in the hospital. Methods & Materials: Data collected using two validated instruments: the Communication Satisfaction Questionnaire (CSQ) and the Hospital Survey on Patient Safety Culture (HSOPS) to examine how communication satisfaction affects patient safety culture. Analysis: analysis conducted through SPSS using descriptive statistics, repeated-measures ANOVA, t-tests, and Pearson correlation. While One Way ANOVA used for data scoring, Cronbach’s Alpha used to assess the reliability coefficient. Results: Showed a Pearson correlation of r = 0.206 with p < 0.05, showing a weak but statistically significant relationship. In organizational and healthcare research, these findings suggest a significant association, even when the strength is ordinary. This positive correlation means that as communication satisfaction increases, nurses’ perceptions of patient safety culture also improve. Conclusion: A significant positive correlation is found between overall satisfaction and overall patient safety perception. The findings consistently highlight communication as a central component of a strong and healthy safety culture.

Background: Ventilator-associated events (VAEs) are major healthcare-associated complications among mechanically ventilated patients, contributing to increased morbidity, prolonged intensive care unit (ICU) stay, and higher healthcare costs. Critical care nurses play a pivotal role in implementing evidence-based strategies to prevent VAEs; however, evidence regarding their knowledge, attitudes, and practices (KAP) remains limited, particularly in Saudi Arabia. Objective: To assess critical care nurses' knowledge, attitudes, and practices regarding VAE prevention, examine the relationships among these domains, and determine differences according to demographic and professional characteristics. Methods: A descriptive cross-sectional correlational study was conducted among 89 critical care nurses working in the adult ICU, pediatric ICU, and neonatal ICU at King Abdulaziz Hospital, Al Ahsa in Saudi Arabia. Participants were recruited through convenience sampling and completed a validated self-administered questionnaire assessing demographic characteristics, knowledge, attitudes, and practices related to VAE prevention. Descriptive statistics summarized participant characteristics and domain scores. Pearson's correlation examined relationships among KAP domains, while Mann–Whitney U and Kruskal–Wallis tests compared scores across participant characteristics. Statistical significance was set at p < .05. Results: Participants demonstrated highly positive attitudes and high self-reported adherence to recommended VAE prevention practices, with median scores of 20 for both domains, whereas knowledge scores were more variable (median = 6). Knowledge was positively associated with practice (r = 0.257, p = .015). Specialized training was associated with higher knowledge scores (p = .010), while age was associated with attitude (p = .038). No significant differences in practice were observed across demographic or professional characteristics. Conclusion: Critical care nurses demonstrated positive attitudes and high adherence to evidence-based VAE prevention practices despite variability in knowledge. The association between knowledge and practice highlights the importance of structured education and competency-based training to strengthen evidence-based care. These findings provide baseline evidence to support nursing education, leadership, and quality improvement initiatives aimed at enhancing patient safety in Saudi critical care settings.