Question

Review the American Nurses Association (ANA)'s position statement on Just Culture. Discuss your understanding of this concept.

Do you agree or disagree that the concept of Just Culture promotes client safety and improves health outcomes?

Read Crossing the Quality Chasm. Discuss the definition of the Quality Care and how nursing relates this information to healthy outcomes. How does nursing respond to the issues/needs brought forward in this report?

Answer 1

The concept of Just culture is

• The development of the organizational culture that promotes and improves a quality environment for both the patient and the employees.
• It provides a safe learning environment that encourages the report of adverse events, near misses event, mistakes, and errors.
• It distinguishes the categories of behavior such as human errors, at-risk behavior, and reckless behavior.
• An individual is accountable for their own performance and job responsibilities.
• The safe design system improves the work processes and ensures the client and staff safety.

Yes. I agree with the concept of Just Culture. It promotes the client safety and improves the health outcomes in the following way.

• It encourages the staff members to report the errors and the events without fear because just culture focuses the error as a behavioral choice of practitioners.
• It assures that the staff members will prevent from threatening of action for errors.
• Human errors are managed by rectifying the cause, correcting the processes and fixing the variation.
• Recognizing the compliance of at-risk behavior in the emergency situation.
• Reckless behavior is rectified by educating, counseling of staff members on policies and procedures.

Just culture improves the staff satisfaction and health outcomes.

The IOM Quality chasm series is Too err is human: Building a Safer Health system.

The definition of quality care is "the optimal balance between the possibilities realised and framework of norms and values".

The nurse work for the patient safety and improving health outcome. Advocacy is vital in nursing to improve health outcomes. Continuing education empowers the nurses to improve the health outcome. The quality care of safe, effective, timely, patient-centered effective care improves the overall health outcomes.

Nurses respond to the issues by root-cause analysis and use of quality indicator tool. Nurses play the key role in providing quality care through patient safety.