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Published on: February 16, 2011
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.
Background:
Transition to practice from a nursing student to registered nurse comes with challenges. Just culture is taught in nursing education, yet not easily translated into practice.
Purpose:
The purpose of this study was to the understand NGN's perception of just culture from transition to practice.
Methods:
A secondary data analysis was conducted from a mixed-methods longitudinal study. Just culture perceptions were assessed at 2 time points, while in school and 6 months after graduation.
Results:
Data converged around the beliefs of just culture and willingness to report safety events. Other aspects of just culture, such as continuous improvement and fear of reporting, not only change across time as NGN transition to practice but are divergent.
Conclusion:
Students and NGN participants reported understanding the concept of just culture; however, challenges remain with institutional and societal norms.
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