Cognizance to its crucial role in the overall patient well-being, efforts to improve nurses’ safety practices remain to be a global concern.

The goal of this study was to assess cultural factors influencing nurses’ safety practices in the public hospital in Western Region of the Gambia. The study was conducted in public hospital in the Western Region of the Gambia.

A qualitative study approach was used to gain an in-depth understanding of the factors influencing nurses’ safety practices in public hospitals. Data was collected through face-to-face, in-depth interview and moderate participant observation. The study participants were conveniently recruited on consent basis among nurses in public hospitals in the Western Region of the Gambia. Collected data was transcribed verbatim and analyzed through a constant comparison method generating categories, themes, each with sub-themes.

Differences in religious and cultural beliefs, dress codes, ethnic background and personal experience are crucial factors influencing nurses’ safety in public hospitals in the Western Region of the Gambia.

The findings of this study could benefit healthcare providers in designing culturally adaptive and acceptable intervention programs in public hospitals in the Western Region of the Gambia.

Fatou Bojang is a Senior Nursing Officer and an experienced Registered Nurse Midwife with over a decade of professional practice in The Gambia, a developing country. Her career has been dedicated to maternity and child health, providing quality care in both clinical and community settings.

Alongside her clinical role, she serves as a visiting lecturer at the School of Nursing, where she mentors, supervises, and evaluates student nurses during their clinical practicums and research projects.

With extensive hands-on experience in maternal health, Fatou has attended thousands of births—including those in resource-limited environments—and managed a wide range of complex maternal health situations. Her passion for improving maternal and child outcomes continues to shape her contributions to both healthcare practice and nursing education.