NURS 8302 Week 1: JUST CULTURE

Walden University NURS 8302 Week 1: JUST CULTURE– Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8302 Week 1: JUST CULTURE assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 8302 Week 1: JUST CULTURE

Whether one passes or fails an academic assignment such as the Walden University NURS 8302 Week 1: JUST CULTURE depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 8302 Week 1: JUST CULTURE

The introduction for the Walden University NURS 8302 Week 1: JUST CULTURE is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NURS 8302 Week 1: JUST CULTURE

After the introduction, move into the main part of the NURS 8302 Week 1: JUST CULTURE assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 8302 Week 1: JUST CULTURE

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 8302 Week 1: JUST CULTURE

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS 8302 Week 1: JUST CULTURE

Accidents involving injuries or fatalities are frequently caused by human error. According to Quillivan (2020), those involved in accidents or errors are frequently held accountable and may face punishment to resolve the issue. Although the error is the system’s fault, it is frequently assumed that the individual is to blame. The issue would persist if the system remained unchanged and people were altered instead. According to Battard (2017), medical errors result from flawed systems, circumstances, and procedures rather than the fault of healthcare professionals. The culture of safety can be achieved in a good working environment. However, due to the persistence of harsh work situations, frontline employees in most healthcare businesses are at risk of medical errors.

Establishing a Just Culture in my organization

Healthcare organizations must be open and honest about reporting medical errors for patient safety. Transparency entails having no secrets to allow medical errors to be discussed publicly and information to flow freely (Quillivan, 2020). Furthermore, openness promotes accountability and fosters confidence when freely sharing medical errors. Therefore, a just culture is required for Transparency to occur—an atmosphere of candor and openness results from a just culture. In my organization, healthcare workers are encourage to report medical errors. For example, when a nurse commit a medical error in my organization, the case is investigated, and the nurse is send for further training. There was a case where a nurse in my unit did not follow up with the pharmacy to obtain insulin for a diabetic patient. The patient was later sent to ICU for  DKA. The nurse was sent for training and got a warning from the hospital administration. Nurses are also reported to the board of nursing, suspended or terminated for medical errors that result to fatal injury or death. While the healthcare institution owes its patients and staff a duty, everyone is ultimately accountable for their choices. Healthcare professionals should not be held accountable for systemic errors they cannot control. However, a just culture is a shared obligation that should address all medical issues in a facility (Battard, 2017). Therefore, when nurses respect safety and exercise caution when there is a threat to safety, a just culture is established.

The Role Nurse Leaders

Ensuring public safety through developing a just culture requires a shared duty between businesses and employees. Shared responsibility creates a setting where mistakes and faults can be carefully examined to promote learning (Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). 2019). Establishing a culture of accountability and responsibility for patient safety is a duty and responsibility of nurse leaders. As mistakes are revealed, nurses must be held accountable and responsible to move toward a just culture. Accountability and responsibility entail determining why mistakes occur and which conditions, systems, and procedures are to blame (Quillivan, 2020). In order to prevent medical errors, nurse leaders must supervise their personnel and ensure that dangerous habits are recognized early on. As a result, nurse leaders must provide their staff members the freedom to use their abilities and expertise while still acting morally. For several eyes to spot mistakes and for everyone to feel comfortable pointing out and reporting safety hazards, hospitals must also use their workforce (Battard, 2017). In order to avoid mistakes made during work procedures, nurse leaders must collaborate with frontline nurses to find solutions through candid communication. Therefore, nurse leaders may foster an atmosphere of accountability by involving staff members in the solutions sought as problems are found.

In conclusion

A just culture arises where mistakes are openly discussed to ensure patient safety. Transparency helps staff members and nursing leaders spot and fix systemic problems that could cause medical errors and avert harm. As a result, a just culture is a shared responsibility that should handle every medical issue in a healthcare facility. However, healthcare professionals should be held accountable for preventable errors.

References

Battard, J. (2017). Nonpunitive response to errors fosters a just culture.Nursing Management,48(1),55 https://journals.lww.com/nursingmanagement/FullText/2017/01000/Nonpunitive_responhttps://journals.lww.com/nursingmanagement/FullText/2017/01000/Nonpunitive_response_to_errors_fosters_a_just.12.aspx

Marx, D. (2019). Patient safety and the just culture.Obstetrics and Gynecology Clinics,

46(2),239-245. https://www.obgyn.theclinics.com/article/S0889-8545 (19)30004-X/fulltext

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019).The healthcare quality

book: Vision, strategy, and tools (4th ed.). Health Administration Press

Quillivan, R. R. (2020).Just Culture in Healthcare Error Management: Nurse-in-Training View of Just Culture and Outcomes of Event Involvement(Doctoral dissertation,University of Memphis).https://www.proquest.com/openview/4d4ab5161676c4e084c1a19b773c34e0/1?pq-

origsite=gscholar&cbl=51922&diss=y

Sample Answer 2 for NURS 8302 Week 1: JUST CULTURE

In our healthcare organization, we have embraced the principles of a just culture. This approach recognizes that errors are often the result of system failures rather than individual negligence. By fostering an environment where healthcare professionals feel comfortable reporting errors and near misses without fear of punitive measures, we aim to enhance transparency and promote continuous learning (Barnsteiner & Disch, 2017).

How This Might Impact Quality and Safety for My Healthcare Organization

The impact of a just culture on quality and safety within our organization is substantial. Firstly, it encourages increased reporting of errors, enabling us to identify and address system issues promptly (American Nurses Association, 2010). This proactive approach to error reporting contributes to a culture of continuous improvement, where we can analyze incidents, share insights, and implement changes to prevent similar errors in the future (American Nurses Association, 2010). Secondly, a just culture enhances staff engagement and satisfaction by shifting the focus from blame to learning. This positive work environment promotes collaboration, morale, and ultimately, better patient care (American Nurses Association, 2010).

DNP-Prepared Nurse’s Role in Supporting a Just Culture Environment

The DNP-prepared nurse plays a pivotal role in maintaining and promoting a just culture within our healthcare organization. For instance, a DNP may lead educational initiatives to ensure that healthcare professionals understand the principles of a just culture and feel empowered to report errors. Additionally, the DNP can advocate for fair and transparent policies related to disciplinary actions, ensuring that consequences align with the nature of the error and are conducive to a culture of learning rather than punishment (Walker et al., 2020). Through leadership in quality improvement projects and data analysis, the DNP contributes to the ongoing evolution of our organization’s safety culture, ensuring that it remains robust, supportive, and focused on continuous enhancement of quality and safety in patient care (Walker et al., 2020).

References 

American Nurses Association. (2010). Just culture [Position statement]. https://www.nursingworld.org/~4afe07/globalassets/practiceandpolicy/health-and-safety/just_culture.pdf

Barnsteiner J., & Disch J. (2017). Creating a fair and just culture in schools of nursing. American Journal of Nursing, 117(11), 42–48. 10.1097/01.NAJ.0000526747.84173.97 PMID:29076855

Walker, Danielle PhD, RN, CNE; Altmiller, Gerry EdD, APRN, ACNS-BC, FAAN; Hromadik, Lora PhD, RN; Barkell, Nina MSN, RN, ACNS-BC; Barker, Nancy EdD, RN; Boyd, Teri EdD, MNSc, RN; Compton, Michelle MSN, RN; Cook, Pamela MSN, RN; Curia, Marianne PhD, MSN, RN; Hays, Deana DNP, FNP-BC; Flexner, Randi DNP, APN, RN; Jordan, Janet MSN, RN; Jowell, Vicki MSN, RN, RN-BSN; Kaulback, Michelle EdD, RN, FNP-BC; Magpantay-Monroe, Edna EdD, APRN; Rudolph, Bethany MSN, RN; Toothaker, Rebecca PhD, RN; Vottero, Beth PhD, RN, CNE; Wallace, Sharon PhD, RN, CCRN-K. Nursing Students’ Perceptions of Just Culture in Nursing Programs: A Multisite Study. Nurse Educator 45(3):p 133-138, 5/6 2020. | DOI: 10.1097/NNE.0000000000000739

Sample Answer 3 for NURS 8302 Week 1: JUST CULTURE

Alternative Perspective: Restorative Justice in Healthcare

An additional alternative perspective to consider is the application of restorative justice principles in healthcare settings. Restorative justice focuses on repairing harm caused by wrongdoing and emphasizes healing and learning rather than punitive measures (Farrell, Alghrani & Kazarian, 2020). In the context of nursing practice and patient safety, adopting a restorative justice approach could involve a shift from blame and punishment towards a more collaborative and educational response.

In the scenario you described, instead of solely relying on a punitive measure like a write-up that affects financial incentives, a restorative justice approach could involve a structured process of reflection, dialogue, and education. The focus would be on understanding the root causes of the error, addressing the underlying issues, and facilitating the nurse’s professional growth through targeted learning experiences (Farrell, Alghrani & Kazarian, 2020).

This approach recognizes that individuals make mistakes, especially in complex and high-pressure environments like healthcare. It acknowledges that the primary goal is to learn from these mistakes, improve individual and team performance, and prevent similar errors in the future (González, Etow & De La Vega, 2019). In the case of the nurse who made the calculation mistake with heparin, a restorative justice approach might involve a facilitated conversation where the nurse can openly discuss the factors that contributed to the error, express the challenges she faced, and work collaboratively with peers and leaders to develop strategies for improvement.

By embracing restorative justice principles, healthcare organizations can create a culture that encourages open communication, shared learning, and continuous improvement (González, Etow & De La Vega, 2019). This approach may lead to a more just and supportive environment where individuals are motivated to report errors without fear of severe consequences, promoting a proactive stance toward patient safety and professional development.

References 

Anne-Maree Farrell, Amel Alghrani, Melinee Kazarian, Gross Negligence Manslaughter in Healthcare: Time for a Restorative Justice Approach?, Medical Law Review, Volume 28, Issue 3, Summer 2020, Pages 526–548, https://doi.org/10.1093/medlaw/fwaa013

González, T., Etow, A., & De La Vega, C. (2019). Health Equity, School Discipline Reform, and Restorative Justice. The Journal of Law, Medicine & Ethics, 47(2_suppl), 47-50. https://doi.org/10.1177/1073110519857316

Sample Answer 4 for NURS 8302 Week 1: JUST CULTURE

Your discussion on the concept of Just Culture in healthcare is insightful and highlights the importance of fostering an environment that promotes learning from mistakes rather than blaming individuals. Your emphasis on the systemic nature of medical errors and the need to address flawed systems, circumstances, and procedures aligns with current perspectives on patient safety.

Your example of how medical errors are addressed in your organization, where nurses are sent for further training after committing an error, illustrates a commitment to learning and improvement rather than punitive measures alone. The emphasis on investigating cases and providing additional training reflects a proactive approach to addressing root causes and preventing future occurrences.

The role of nurse leaders in establishing a Just Culture is crucial, as you rightly point out. Your emphasis on shared responsibility, accountability, and transparency emphasizes the collaborative effort required to create an environment where mistakes can be openly discussed for the sake of patient safety. The involvement of nurse leaders in supervising staff, promoting accountability, and encouraging open communication contributes to the overall culture of safety.

Your conclusion aptly summarizes the key points, highlighting the need for open discussions about mistakes to ensure patient safety, the importance of transparency in spotting and fixing systemic problems, and the shared responsibility in fostering a Just Culture. Your insights contribute to the ongoing dialogue on patient safety and quality improvement in healthcare.

References

Baarle, E. van, Hartman, L., Rooijakkers, S., Wallenburg, I., Weenink, J.-W., Bal, R., & Widdershoven, G. (2022, August 13). Fostering a Just Culture in Healthcare Organizations: Experiences in Practice, BMC Health Services Research, BioMed Central      

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08418-zLinks to an external site.

Panagioti, M., Khan, K., Keers, R.N., Abuzour, A., Phipps, D., Kontopantelis, E., Bower, P., Campbell, S., Haneef, R., Avery, A.J., & Ashcroft, D.M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4185Links to an external site.