To Err Is Human, Just Culture, Practice, and Liability in the Face of Nursing Error

Lancaster, Rachelle J.; Vizgirda, Vida; Quinlan, Sharon; Kingston, Mary Beth

doi:10.1016/j.mnl.2022.06.010

Cited by 5 publications

(10 citation statements)

References 17 publications

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“…The Joint Commission describes safety culture as a just culture that emphasizes the importance of health care organization leaders promoting and ensuring a culture that values reporting of errors without fear of negative consequences to involved individuals 7. Unfortunately, the literature suggests that nurses continue to underreport medical errors and near miss events despite integration of just culture 3. In the National Council of State Boards of Nursing (NCSBN) RN Practice Analysis report, only 89% of NGN indicate “acknowledging and documenting errors and near misses” applies to their current work setting 8.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Today, nurses are reporting higher levels of burnout and considering leaving the profession at alarming numbers. These events may have impacted the safety attitudes of students and nurses working during these unprecedented times 3…”

Section: Literature Reviewmentioning

confidence: 99%

“…Nurses are the front line of defense against hospital complications that result in poor patient outcomes 1,2. However, medical errors continue to be a serious concern for health care 3. Just culture represents one widely implemented evidence-based safety practice initiative recognized to improve patient safety.…”

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confidence: 99%

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Just Culture

Walker,

Hromadik,

Baker

et al. 2023

Nurse Educ

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Background: Although just culture is reportedly integrated across education and practice, little is known about how perceptions may change across time as students transition from prelicensure education to registered nurse in the practice setting. Purpose: The purpose of this study was to describe and compare just culture perceptions of registered nurses at 2 time points: (1) as prelicensure students and (2) as new graduate nurses with a minimum of 6 months of experience. Methods: Utilizing the Just Culture Assessment Tool for Nursing Education (JCAT-NE) and the Just Culture Assessment Tool (JCAT), this within-subject, longitudinal study measured just culture perceptions across time. Results: Although there was no statistically significant change in total scores across time, 8 individual items demonstrated statistically significant change. Conclusions: Students use the knowledge, skills, and attitudes about just culture taught in prelicensure education as new graduate nurses. However, findings reveal areas where the practice environment has altered perceptions of just culture.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Just Culture

Walker,

Hromadik,

Baker

et al. 2023

Nurse Educ

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“…Furthermore, 21 stated that the rate of nursing errors in the inpatient setting was extremely high. In addition, 22 stated that eighty-plus percent of nurses said they had trouble implementing patient safety measures due to the time constraints imposed by their workload. Likewise, 23 showed that twenty-two percent of the nurses said they had made mistakes that put a patient's safety at risk, and four percent said their mistakes had hurt a patient.…”

Section: Discussionmentioning

confidence: 99%

Perception of Health Teams on the Implementation of Strategies to Decrease Nursing Errors and Enhance Patient Safety

AlThubaity¹,

Shalby²

2023

JMDH

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Background: Patient care is a public health issue all over the world, with nursing errors in hospitals being a significant source of harm to patients and a hindrance to the healthcare system's efficiency. Purpose: The purpose of this study was to investigate health teams' perceptions of strategies used to reduce nursing error that affects patient safety. Patients and Methods: A descriptive study was conducted from January to March 2022 at Najran University Hospital and KKH to better understand the issue. The study included 400 healthcare team members, including nurses, physicians, nurse aides, health workers, and others. The data was collected through the analysis of the health team's characteristics, nursing errors, and strategies for error reduction. Results:The results of the study led to the development of five strategies and 28 interventions aimed at reducing nursing errors. The study revealed that two-thirds of the participants had a high perception of strategies for reducing nursing errors, while one-third had a low perception. Conclusion:The study highlights the importance of addressing nursing errors in the healthcare system and provides evidence-based strategies and interventions to reduce them. The findings emphasize the need for ongoing efforts to enhance the perception and understanding of healthcare professionals in reducing errors and improving patient care.

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“…As the population ages, the issue of medical errors in the aging society is expected to worsen. Nurses, being the largest group of healthcare professionals and primary care providers in inpatient settings, are at higher risk of committing errors (Lancaster et al, 2022). To improve patient safety, it is crucial that nurses prioritize ethical reporting of errors, although evidence suggests that they tend to underreport errors (Woo & Avery, 2021).…”

Section: Discussionmentioning

confidence: 99%

Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses

Cho

Steege

Knudsen

2023

Research in Nursing & Health

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Promoting psychological safety in a workplace is known to contribute to improved job outcomes across a wide variety of industries. This study aimed to examine the relationships between psychological safety at work and job outcomes (i.e., job satisfaction and intention to leave), and patient safety among hospital nurses; and to determine the mediating effect of communication openness on these relationships.This cross-sectional study used survey data from 867 hospital nurses working in the United States. Multiple logistic regression models and Hayes' PROCESS macro in SPSS were used. Nurses who worked in an environment with higher psychological safety levels were more likely to be satisfied in their current job, less likely to intend to leave their current job within the next year, and more likely to report favorable patient safety ratings. Communication openness mediated these relationships. When nurses feel psychologically safe at work, they are more likely to engage in open communication, which in turn can lead to greater job satisfaction, decreased turnover intention, and improved patient safety. Nurse managers should strive to develop leadership strategies that promote psychological safety in the work environment and support open communication among nurses.

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To Err Is Human, Just Culture, Practice, and Liability in the Face of Nursing Error

Cited by 5 publications

References 17 publications

Just Culture

Just Culture

Perception of Health Teams on the Implementation of Strategies to Decrease Nursing Errors and Enhance Patient Safety

Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses

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