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Improving a Hospital's Just Culture ...

Bridges, Renee Pouliot.

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Improving a Hospital's Just Culture Environment: Reframing Nurse Leader Responses to Adverse Events through Education and Role Play.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Improving a Hospital's Just Culture Environment: Reframing Nurse Leader Responses to Adverse Events through Education and Role Play./
Author:	Bridges, Renee Pouliot.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	162 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-01, Section: B.
Contained By:	Dissertations Abstracts International82-01B.
Subject:	Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27833864
ISBN:	9798641455228

Improving a Hospital's Just Culture Environment: Reframing Nurse Leader Responses to Adverse Events through Education and Role Play.
Bridges, Renee Pouliot.

Improving a Hospital's Just Culture Environment: Reframing Nurse Leader Responses to Adverse Events through Education and Role Play. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 162 p.

Source: Dissertations Abstracts International, Volume: 82-01, Section: B.

Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2020.

This item must not be sold to any third party vendors.

This quality improvement project addressed nurse leaders' perceptions of Just Culture concepts and their application of Just Culture in situations to create a learning environment following after an adverse event. An educational intervention was designed to include content on Just Culture concepts, use of the Just Culture Algorithm©, event investigation, case scenario reviews, and opportunities to practice skills learned through role play. The intervention consisted of two one-hour educational sessions. A survey to assess nurse leaders' perceptions of Just Culture was administered pre- and post-intervention, using the Just Culture Assessment Tool (JCAT). The JCAT was scored on a seven-point Likert-type scale, where 1 = strongly agree, and 7 = strongly disagree. Thus, the goal was for nurse leaders' responses post-intervention to be lower scores, reflecting greater agreement with the principles of Just Culture represented by JCAT dimensions.Nurse leaders, those in formal nurse leader positions, were invited to participate in the educational program. Fifty-five participants completed both sessions, 67 in educational session one, and 62 in educational session two. Responses to all surveys were compared using t-tests: the "matched" pre-post responses (n = 8) were compared using a paired t-test, and then all responses (n = 22) were compared using an independent t-test.The analysis of the paired t-test indicated there were no significant differences in mean scores. However, the largest difference observed was on the dimension of openness of communication, with post-intervention scores being 1.625 points lower than pre-intervention scores (95% CI [−6.356, 9.606]).The results of the independent t-test comparing participants completing only pre- or post-intervention surveys found lower JCAT scores on the following dimensions: feedback and communication about events (t35.473 = 2.467, p = 0.029), and openness of communication (t29.341 = 2.680, p = 0.038). The findings of this project indicate that the educational intervention may improve nurse leaders' responses regarding communication, especially feedback about events and openness of communication specific to Just Culture. Future projects are needed to understand how such an educational session affect nurse leaders' knowledge of Just Culture principals and concepts, and the extent to which they actually apply them in practice.

ISBN: 9798641455228Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Education

Improving a Hospital's Just Culture Environment: Reframing Nurse Leader Responses to Adverse Events through Education and Role Play.
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