Concept Analysis: Just Culture
Title: Concept Analysis: Just Culture
Background: Traditionally, healthcareâ€™s culture has held individuals accountable for all errors or mishaps that befall patients under their care. This punitive approach creates the culture of fear among practitioners that withheld information that is needed to identify faulty systems and create safer ones. As an alternative to this traditional system, application of a model which is widely used in aviation industry known as the Just Culture Model seeks to create an environment that encourages individuals to report mistakes so that the precursors to errors can be better understood in order to fix the system issues (ANA, 2010).
Methods: This concept analysis that utilized the Walker and Avant method aims to (a) observe the basic elements of the concept under study i.e., defining attributes, antecedents, consequences and empirical referents; (b) develop an operational definition that is meaningful across different discipline and participants that can be easily understood and useful across research, policy and practice; and (c) highlight implications for research of the future.
Results:Â Defining Attributes: According to this analysis, the occurrence of a just culture environment involves three main features which include (a) encouragement of error disclosure through open communication; (b) a well-established balanced accountability; and (c) a collaborative learning environment. These attributes reinforces the implicit claim of just culture that it is inevitable for practitioners to commit mistakes that even the most experienced individual is capable of making mistakes. It is also implied in just culture that punishment is not an assurance that workers will not be making mistakes and that perfecting a performance is impossible and can never be sustained.
Conclusion: Â Â Based on the attributes extracted by this concept analysis, just culture is hereby operationally defined as an environment that reflects a well-established balance accountability supporting collaborative learning that stems from the encouragement of error-disclosure attained through open communication. Having the concept operationally defined and despite the recognized importance of a just culture, not every healthcare institution has adopted this type of approach.
Keyword: concept analysis, just culture, nursing practice, nursing education
Erickson, A. K. (2012, November 1). Step forward: Hospital journey to Just Culture. pharmacist.com. Retrieved May 28, 2014, from http://www.pharmacist.com/step-forward-hospitals%E2%80%99-journey-%E2%80%98just-culture%E2%80%99
ANA. (n.d.). Just Culture. http://nursingworld.org/. Retrieved May 29, 2014, from http://nursingworld.org/psjustculture
Brewer, K. (n.d.). How a "Just Culture" Can Improve Safety in Health Care. Medscape Log In. Retrieved May 30, 2014, from http://www.medscape.com/viewarticle/746089_2
Building a Just Culture. (2014, January 8). SKYbrary -. Retrieved May 30, 2014, from http://www.skybrary.aero/index.php/Building_a_Just_Culture
Colorado Firecamp - A Roadmap to a Just Culture. (n.d.). Colorado Firecamp - A Roadmap to a Just Culture. Retrieved May 30, 2014, from http://coloradofirecamp.com/just-culture/index.htm
Esarr Advisory Material/Guidance Document (EAM/GUI). (2006, March 31). Skybrary. Retrieved May 28, 2014, from . http://www.skybrary.aero/bookshelf/books/235.pdf
Eurocontrol - Driving excellence in ATM performance. (n.d.). Just culture. Retrieved May 30, 2014, from https://www.eurocontrol.int/articles/just-culture
Harbour, T. (n.d.). Just Environment: Command Climate, Leadership, and Error Forest Service Fire and Aviation Management: Becoming a Learning Culture. http://high-reliability.org/. Retrieved May 29, 2014, from http://high-reliability.org/files/Harbour_HRO_Abstract_Just_Culture.pdf
Just Culture. (n.d.). SKYbrary -. Retrieved May 30, 2014, from http://www.skybrary.aero/index.php/Just_Culture
Just Culture Policy. (n.d.). Eurocontrol. Retrieved May 28, 2014, from http://www.eurocontrol.int/sites/default/files/publication/files/201209-just-culture-policy.pdf
Marx, D. (n.d.). Patient Safety and the Just Culture . health.ny.gov. Retrieved May 29, 2014, from http://www.health.ny.gov/professionals/patients/patient_safety/conference/2007/docs/patient_safety_and_the_just_culture.pdf
NCBON. (n.d.). Just Culture In Nursing Regulation . ncbon.com. Retrieved May 29, 2014, from http://www.ncbon.com/myfiles/downloads/cet-booklet.pdf
WISE, D. (n.d.). Getting To Know Just Culture | Outcome Engenuity's Just Culture Community. Outcome Engenuitys Just Culture Community. Retrieved May 30, 2014, from https://www.justculture.org/getting-to-know-just-culture/
Weiner, B. J., Hobgood, C., & Lewis, M. A. (2008). The meaning of justice in safety incident reporting. Social Science & Medicine, 66(2), 403-413.
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