Implementation of Just Culture Policy in Nursing Programs to Support Quality Safety Competency
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.
Cole, M., Douville, C., Chlebowski, A., Cole, M., & Milner, K. A. (2022). Implementation of just culture policy in nursing programs to support quality safety competency. Journal of Nursing Education, 61(12), 706-710. Doi: 10.3928/01484834-20221003-06
Journal of Nursing Education