Creating a Just Culture: A Nurse Leader's Guide

Step-by-step guidance to create and sustain a just culture at your facility

This practical resource explains the process of creating and sustaining a just culture in which staff members are encouraged to report adverse events to improve quality care. You'll get sure-fire strategies to gain buy-in from leadership, improve employee satisfaction, and turn mistakes and near-misses into useful data to improve processes and reporting. Help your nurses understand it's not the 'who' but the 'what' that went wrong.

This book will help you:

- Overcome potential roadblocks to culture change with successful strategies from accomplished patient safety, risk, and nursing experts
- Motivate staff to report adverse events
- Discover how a just culture increases patient safety, nurse satisfaction, and retention
- Evolve your current culture into a just culture using the easy-to-understand, step-by-step instructions

You also receive helpful tools such as:

- Sample timeline for just culture implementation
- Just culture policy from a leading hospital
- Staff education checklist

Take a look at the Table of Contents:

Chapter 1: Why a Just Culture?
National Emphasis on Patient Safety
Avoiding Toxic Work Environment
Your Professional Duty
Why Staff and Patients Should Care
Enhancing Recruitment
Retaining Staff
Get Ahead with Public Reporting

Chapter 2: Assess Your Organization
Policy and Procedure
Mandatory Reporting Policy and Regulation
Assess Your Staff's Knowledge
Undertake a Cultural Assessment

Chapter 3: Plan the Change
Leverage Current Strengths
Identify Stakeholders
Identify Champions
Establish Symbols of Change

Chapter 4: Identify Desired Outcomes
Increasing Occurrence Reporting
Reporting New Errors
Open Discussions of Change
Use of FMEA

Chapter 5: Implementation Strategies
Provide Training
Supporting Errors Occurring Within
Your New Culture
Emphasizing Values of Courage, Honesty, and Integrity
Teaching Peers To Support and Comfort
Streamlining Error Reporting

Chapter 6: Evaluate the Change
Benchmarking Within and Outside of Your Organization
Resurveying Your Hospital
Monitoring Your Progress

Chapter 7: Case Scenarios and Expert Advice

Chapter 8: Weighing Ethical Decisions
Cultural Barriers to Disclosure
Items to Include in Disclosures
Who Should Disclose
Exceptions to Disclosure