NUR 630 Health Care Culture

NUR/LDR 630 Health Care Culture

Health care organizations’ primary mandate is ensuring that patients receive care that meets patients’ specific needs. As a result, they must adopt systems and promote proper practices and cultures. Patients should always feel safe when seeking care, and health care providers should be motivated to achieve the desired goals. A health care culture focusing on excellence and safety is critical to attaining patient needs. All stakeholders should also be actively involved in the health care process and play their roles meticulously. The purpose of this paper is to discuss health care culture and the principles for building a culture of excellence and safety, stakeholders’ role in improving health care culture, and application of Christian Worldview principles.

Nursing leader’s server as advocates within their organizations. Leaders have requisite knowledge, skills, and understanding and represent the front door into the healthcare service delivery. Nursing leaders need to be comfortable withing their administrative structures to use their powers to advocate for the role of nurses. Advocating in policy discussions to help reduce health care cost and improvement in patients’ outcomes and quality of life through collaborative team-based care. (Stevenson, 2021) Advocating for nursing staff can begins with assessing needs. Do the nurses have the correct tools they need to provide best practice care. Are nurses being treated fairly and are they assuring measures to prevent nursing fatigue and burn out such as appropriate breaks and lunches.

Health Care Culture, Culture of Excellence and Safety

From a social dimension, a culture is a way of life. Its defining elements include norms, behaviors, and values that bring people together. A health care culture involves behavioral patterns, values, and beliefs characterizing the everyday practice of the health care system (Mannion & Davies, 2018). It involves organizational practices that vary across organizations for delivering health care to patients and populations. A culture of excellence is dominated by the pursuit to achieve unprecedented results and avoiding average performance as much as possible. In a culture of excellence, health care organizations use a system-wide approach to working where everybody is involved in setting and delivering measurable goals. Achieving quality care is the primary goal through guidance from forward-thinking leaders (Toussaint, 2018). On the other hand, a culture of safety involves an organization’s norms and practices that support and promote patient safety. Such a culture influences behaviors and actions that prevent patient harm (ECRI, 2019). The primary goal is to maintain a safe work environment by adopting adequate and relevant safety programs.

Principles for Building a Culture of Excellence and Safety

A culture of excellence and safety is vital for health care organizations to optimize patient outcomes. An example of principles for building such a culture is the commitment to quality improvement. In health practice, quality improvement involves standardizing processes and structure to improve patient outcomes and reduce variations in results (Mannion & Davies, 2018). Accordingly, health care organizations examine their performance progressively to determine practices that require improvement. A suitable example is upgrading inefficient technologies to ensure that health care services are not delayed. Improved efficiency improves health care quality and safety since it reduces waiting time and possible health complications.

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The other principle for a culture of excellence and safety is evidence-based practice. In this case, there must be a desire to change and solve problems comprehensively. Li et al. (2019) defined evidence-based practice (EBP) as a problem-solving approach that combines scientific evidence, clinical expertise, and patient values and preferences to solve clinical problems. Its goal is to ensure that issues hampering care quality and patient safety are addressed effectively. Such an approach ensures that patients receive the best care possible based on the best evidence and incorporating patient values in treatment plans. EBP also ensures that processes are proven and up-to-date.

Stakeholders’ Roles in Improving Health Care Culture

A health care culture’s goals cannot be achieved without active stakeholder participation. All stakeholders must work collaboratively to establish norms, policies, values, and beliefs for enabling an organization to achieve excellence and safety goals. The first influential stakeholder group involves the leadership, comprising of the management, nurse leaders, and departmental leaders. Leaders use their positions to foster appropriate cultures, influence best practices, and guide health care teams to achieve shared visions (Ayeleke et al., 2018). They also play an instrumental role in condemning and restricting practices that hamper care quality and patient safety.

Besides the leaders, the health care staff and patients’ role is essential in improving health care culture. Progressive outcomes’ improvement cannot be achieved without their engagement and commitment. Through their everyday interaction and close communication with patients, nurses and other health care professionals get a more comprehensive view of patient needs (Sibiya, 2018). They also better understand challenges that hamper outcomes and interventions necessary to achieve excellence and safety standards. As a result, they should drive relevant practice changes to improve quality and safety, among other critical health care aspects. In their part, patients should collaborate with health care providers to achieve the objectives of evidence-based practice. They should be ready to adopt practices that improve health and inform health care providers about their values and preferences.

Using Christian Worldview (CWV) Principles to Improve Ethical Practices

Health care organizations must promote ethical practice. Doing so ensures that the patient-provider relationship is not damaged, among other adverse consequences of unethical practice. To achieve the desired performance and relationship goals, health care organizations can use CWV principles to improve ethical practice. Such principles include human dignity, the common good, and subsidiarity. Human dignity involves recognizing that all human beings possess a unique value regardless of their age, social class, gender, and ethnicity, among other factors. In the same frame, patients and colleagues should be seen as unique individuals deserving respect and protection from harm. It helps to promote equality too. Common good is acting in a way beneficial to all, aligning with the principle of beneficence that obliges health care providers to act for the patients’ benefit by removing harm, protecting patients’ rights, and helping vulnerable patients (Varkey, 2021). A suitable example of subsidiarity is a nurse feeling responsible for patient needs. In such a case, nurses assume their profession more of a responsibility to serve instead of a duty that should be compensated.

Integrating Faith Learning and Work at GCU to Improve Health Care Culture

Broadly, integrating faith learning and work at GCU involves acting being guided by the Christian faith and doctrines. Such a concept can be implemented by promoting servant leadership based on the tenet that serving others is service to God. In this case, serving patients and nursing colleagues represents living as a co-worker of God’s activities. The other way of implementing the concept is fostering interprofessional collaboration following the principle that human beings should help to ease others’ burdens. Continuous promotion of service leadership and interprofessional collaboration builds a culture where health care providers mind each other and work to achieve a shared vision. Workplace conflicts and other issues hampering patient outcomes are minimal in such a culture.


Health care organizations should never tolerate average results. They should foster a culture founded on excellence and ensure optimal patient safety always. To achieve this goal, evidence-based practice, quality improvement, and interprofessional collaboration should dominate practice. Stakeholders must also play their part diligently and willingly. CWV principles can also be incorporated into routine patient care to foster ethical practice. Health care professionals should also implement faith learning and work ideals to improve a culture of excellence and safety.




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Health care organizations adopt different operation models depending on many factors, including patients’ conditions, flow, and health care resources. Despite these differences, they usually focus on optimizing care quality and ensuring that patients are safe when receiving care. It is also crucial to ensure that health care providers are physically, mentally, and emotionally stable to assist patients. Accordingly, organizational cultures should be dominated by behaviors that promote quality care and patient safety. The goal should be achieving excellence always. The purpose of this paper is to define health care culture, describe principles for building a culture of excellence and safety, and explains how Christian Worldview principles can improve ethical practices.

Defining Health Care Culture, Including Culture of Excellence and Safety

A culture represents the social behaviors, beliefs, and customs of a particular population or society. It has more to do with the highly regarded values and habits that dominate everyday life. The same concept applies to health care culture. Williamsen (2021) described health care culture as behaviors, values, and beliefs cultivated in health care settings to promote health. Its primary purpose is to ensure that the shared values that health care providers adopt are relevant in health practice.

A culture of excellence and safety are interrelated. When promoting a culture of excellence, health care providers consider patient safety a core element. On the other hand, optimizing patient safety enables health care organizations to achieve excellence. As Williamsen (2021) explained, a culture of excellence primarily involves the desire to achieve exemplary results, primarily on health care quality. Such a culture ensures that health care providers work towards purposeful, meaningful goals. A safety culture implies adopting behaviors, practices, and health care models to prevent patient harm (Mannion & Davies, 2018). It is instrumental in achieving quality care and promoting patient satisfaction.

Principles of Building a Culture of Excellence and Safety

Achieving excellence and safety in health care organizations is multifaceted and determined by the principles health care organizations adopt in health care delivery. One of the fundamental principles for building such a culture is a roadmap for change. In this case, health care organizations must understand their current position in terms of performance and outline goals for achieving better outcomes. A roadmap for change also includes practices that promote change, such as evidence-based practice that combines scientific evidence with clinical expertise and patient preferences to improve patient outcomes (Chien, 2019). The organization also works to match or surpass the accepted performance benchmarks.

Besides a roadmap for change, the other principle for building a culture of excellence and safety is knowledge building. Generally, health care providers differ in knowledge, attitudes, and experience. They also adapt differently as situations change. Knowledge building implies making health care providers ready to apply current practices to deliver excellence and optimize patient safety. A perfect scenario where knowledge building is necessary for health practice is integrating technology into patient care. Technologies such as electronic health records make health care more efficient and safe by digitizing clinical tasks (Schopf et al., 2019). However, not all health care providers can use such technologies as situations oblige. Continuous training and other forms of empowerment and capacity building ensure that health care providers are excellently positioned to provide care that address patient needs holistically.

Role of Stakeholders in Improving Health Care Culture

Improving health care culture is highly demanding. It requires stakeholders to understand the need for continuous improvement and remain committed to achieving excellence and safe practices. Organizational leadership is a major stakeholder whose role is critical in achieving high patient outcomes. Seljemo et al. (2020) explained that transformational leaders help health care organizations to build a culture of safety by championing safe practices. Such a culture includes a just culture. In health practice, a just culture encourages employees to report patient safety issues such as medication errors without being held responsible for them. Instead, the system inadequacies leading to the issue are examined, and suitable intervention measures are adopted to prevent future occurrences (Mannion & Davies, 2018). Leadership committed to excellence and safety also commits sufficient resources to improve employees’ knowledge and skills to provide quality care.

Besides leadership, health care providers must also be active in improving health care culture. They should build a positive culture by embracing teamwork to achieve shared goals. Goolsarran et al. (2018) found that patient safety issues such as medication errors are minimal when health care staff collaborates. A desire for continuous improvement should also dominate their everyday practice. Accomplishing this goal requires a health care staff that embraces change and accepts it as part of individual and organizational growth. Accordingly, such a staff engages in evidence-based practice projects to improve patient outcomes.

Using Christian Worldview (CWV) Principles to Improve Ethical Practices

Ethical practice is not an option in health practice. CWV principles can guide health care organizations to make ethical decisions by using Christian teachings as the reference for decision-making. One of the core Christian principles is avoiding immoral actions such as harming others, injustice, and inequity. Christianity teaches that all people are the same. Using the same ideology in health care organizations would oblige health care providers to avoid harmful actions and treat all patients equally. Whether Christian or not, the primary objective would be to address patient challenges and ensure that health care resources are shared according to a patient’s immediate needs. Honesty and integrity, among other elements promoting ethical practice, would dominate health care delivery.

Integration of Faith, Learning and Work at GCU Ideologies

GCU has many initiatives for improving individuals and the world. The integration of faith, learning and work seeks to join God’s and the universe’s knowledge to develop a true understanding of people and the world (Grand Canyon University, 2022). Implementing this idea can help improve health care since the objective will be working to honor God and advance society. Advancing society would be accomplished by promoting health and well-being. A practice that honors God would be accomplished by prioritizing patients’ needs as a sign of love, kindness, and care. Health care providers would be further committed to serving patients how they would serve other needy people in society.


Cultures are characterized by shared values dominating people’s ways of life. Their defining elements include norms, beliefs, and behaviors giving people a unique identity. The same case applies to health care culture. It is all about health care providers’ values, beliefs, and norms focusing on health. As discussed in this paper, a culture of excellence and safety prioritizes quality care and protects patients from harm. Leaders and health care providers should work collaboratively to build a culture of excellence and safety.




Chien, L. Y. (2019). Evidence-based practice and nursing research. The Journal of Nursing Research: JNR27(4), e29.

Goolsarran, N., Hamo, C. E., Lane, S., Frawley, S., & Lu, W. H. (2018). Effectiveness of an interprofessional patient safety team-based learning simulation experience on healthcare professional trainees. BMC Medical Education18(1), 1-8.

Grand Canyon University.(2022). Christian identity and mission.

Mannion, R., & Davies, H. (2018).Understanding organisational culture for healthcare quality improvement. Bmj363.

Schopf, T. R., Nedrebø, B., Hufthammer, K. O., Daphu, I. K., &Lærum, H. (2019). How well is the electronic health record supporting the clinical tasks of hospital physicians? A survey of physicians at three Norwegian hospitals. BMC Health Services Research19(1), 1-9.

Seljemo, C., Viksveen, P., &Ree, E. (2020). The role of transformational leadership, job demands and job resources for patient safety culture in Norwegian nursing homes: A cross-sectional study. BMC Health Services Research20(1), 1-8.

Williamsen, M. (2021). Delivering safety excellence: Engagement culture at every level.Wiley-Blackwell.