Implementation of Just Culture Policy in Nursing Programs to Support Quality Safety Competency

Author:

Cole Michelle,Douville Christine,Chlebowski Angela,Cole Matthew,Milner Kerry A.

Abstract

Background: Despite the shift to a just culture (JC) in health care systems more than a decade ago, many nursing programs continue to lack a JC environment, which may result in students entering the workforce without adequate preparation. This study evaluated prelicensure nursing students' perceptions of JC at baseline and 4 months after policy implementation. Method: The JC Assessment Tool for Nursing Education (JCAT-NE) was used to measure nursing students' perceptions of JC. Results: Nursing students had high JC at baseline. Senior nursing students had significantly lower scores for the JCAT-NE dimensions of feedback and communication ( p < .001), openness of communication ( p < .001), and trust ( p < .015) compared with freshman, sophomore, and junior nursing students. A negative mean change was observed for senior nursing students in all JCAT-NE dimensions at 4 months. Conclusion: Nursing students with the lowest perception of JC were the closest to entering practice, which should raise concern among faculty and future employers. [ J Nurs Educ . 2022;61(12):706–710.]

Publisher

SLACK, Inc.

Subject

Education,General Nursing

Reference14 articles.

1. American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf

2. American Nurses Association. (2010). Just culture: ANA position statement. https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/just-culture/

3. Quality and safety education for nurses

4. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses

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