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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Facilitating a just and trusting culture.

Jill Pattison1, Theresa Kline

  • 1Department of Psychology, University of Calgary, Calgary, Canada.

International Journal of Health Care Quality Assurance
|August 27, 2015
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Summary

Managerial and organizational factors significantly influence trust in healthcare. Understanding these elements is key to fostering a just culture and improving patient safety through better error reporting.

Keywords:
Incident reportingOrganizational culturePatient safety

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Patient Safety

Background:

  • A just and trusting culture is crucial for effective healthcare systems.
  • Identifying factors that promote such a culture is essential for improving patient safety and error reporting.

Purpose of the Study:

  • To identify managerial and organizational characteristics that foster a just and trusting culture in healthcare.
  • To understand the predictors of manager and organizational trust within healthcare settings.

Main Methods:

  • Employed a two-study approach: qualitative interviews to identify themes and a quantitative policy-capturing design.
  • Investigated factors such as violation type, explanations, and blame attribution in relation to trust.

Main Results:

  • Violation type (ability vs. integrity), provision of explanations, and manager/organizational blame attributions significantly predicted perceptions of trust.
  • These factors were identified as key predictors of trust in healthcare workers.

Conclusions:

  • Findings are valuable for developing training programs for healthcare managers and executives on managing medical errors to cultivate a just and trusting culture.
  • A just and trusting culture is likely to increase medical error reporting, thereby enhancing patient safety.
  • This study pioneers experimental manipulation of organizational trust in healthcare using policy-capturing, offering unique insights into decision-making processes.