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A Comprehensive Examination of Just Culture Principles in Nurses' Transition to Practice
Manisa Baker1, Rebecca Toothaker, Danielle Walker
1Author Affiliations: Purdue University Northwest, Hammond, Indiana; University of West Florida, Pensacola, Florida; Texas Christian University, Fort Worth, Texas; Rowan-Virtua School of Osteopathic Medicine, Stratford, New Jersey; Indiana State University School of Nursing, Terre Haute, Indiana; and Indiana University of Pennsylvania, Indiana, Pennsylvania.
Journal of Nursing Care Quality
|February 12, 2025
Summary
Newly graduated nurses understand just culture concepts but face challenges translating this into practice. Their perceptions evolve during the transition to practice, highlighting systemic barriers.
Area of Science:
- Nursing Education
- Healthcare Safety
- Organizational Culture
Background:
- Transitioning from nursing student to registered nurse presents significant challenges.
- Just culture principles are taught in nursing education but are difficult to implement in practice.
Purpose of the Study:
- To understand new graduate nurses' (NGN) perceptions of just culture during their transition to practice.
- Investigate how NGNs perceive and apply just culture principles post-graduation.
Main Methods:
- Secondary data analysis of a mixed-methods longitudinal study.
- Assessed just culture perceptions at two time points: during nursing school and six months post-graduation.
Main Results:
- Data revealed convergence on the core beliefs of just culture and a willingness to report safety events.
- Perceptions of continuous improvement and fear of reporting safety events varied significantly over time as NGNs transitioned to practice.
Conclusions:
- Both nursing students and NGNs demonstrated an understanding of just culture.
- Persistent challenges exist in aligning just culture perceptions with institutional and societal norms in practice settings.
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