NURS 8302 Discussion 2: Just Culture
Walden University NURS 8302 Discussion 2: Just Culture ANSWER-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 8302 Discussion 2: Just Culture ANSWER 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 Discussion 2: Just Culture ANSWER
Whether one passes or fails an academic assignment such as the Walden University NURS 8302 Discussion 2: Just Culture ANSWER 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 Discussion 2: Just Culture ANSWER
The introduction for the Walden University NURS 8302 Discussion 2: Just Culture ANSWER 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 Discussion 2: Just Culture ANSWER
After the introduction, move into the main part of the NURS 8302 Discussion 2: Just Culture ANSWER 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 Discussion 2: Just Culture ANSWER
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 Discussion 2: Just Culture ANSWER
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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By Day 4 of Week 1
Post an explanation of whether your organization uses a just culture. Then, explain how this might impact quality and safety for your healthcare organization, and why. What is the DNP-prepared nurse’s role in supporting a just culture environment in a healthcare organization? Be specific and provide examples.
Sample Answer for NURS 8302 Discussion 2: Just Culture ANSWER
A Just Culture is a concept that helps to create an atmosphere of trust in a workplace. It encourages and rewards people that provide essential safety-related information and is explicit in what it considers unacceptable or acceptable behaviors (American Nurses Association, 2010). A just culture can be seen as the bridge between patients’ safety and safety culture but focuses more on the behavior of individuals and the risks that their behavioral outcomes than the outcome of itself (American Nurses Association, 2010).
Two critical questions are addressed with just culture; 1) What is the role of punitive sanction in the safety of our health care system, and 2) Does the threat and application of punitive sanction as a remedy for human error help or hurt our system safety efforts? (American Nurses Association, 2010). The just culture fram
ework acknowledges that humans are bound to make mistakes and that the framework cannot be perfect (American Nurses Association, 2010). Due to this potential for human error, adverse effects and human error should be considered when outcomes are being measured, monitored and steps made to correct rather than conceal (American Nurses Association, 2010).
The company I work for uses just culture. Workers are encouraged to alert the administration of mistakes without fear of retribution to act quickly in reversing any harm that the error may have caused a patient. My company also pays for liability insurance to help in protecting both the company and the staff. The DNP-prepared nurse focuses on patients’ care and is also in roles that specialize in practice at an aggregate, systems, or organizational level to contribute to implementing the just culture model.
Reference
American Nurses Association. (2010). Just culture [Position statement].
Sample Answer 2 for NURS 8302 Discussion 2: Just Culture ANSWER
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?pqorigsite=gscholar&cbl=51922&diss=y
Sample Answer 3 for NURS 8302 Discussion 2: Just Culture ANSWER
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
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.
Sample Answer 4 for NURS 8302 Discussion 2: Just Culture ANSWER
Your thoughtful assessment of the role of DNP-trained nurses in creating a just culture within healthcare organizations provides crucial insight. Thus, building upon your points, it is imperative to emphasize their proactivity when responding to errors and preventing future incidents.
I agree that DNP-prepared nurses are uniquely poised to act as intermediaries between frontline healthcare delivery and systemic policy-making. Leveraging their advanced education in clinical practice, leadership, and system management, DNP nurses can utilize evidence-based practices that reduce errors(Marx, 2019). Not only should immediate issues related to errors be addressed directly, but root cause analyses must also be undertaken in order to fully comprehend how such errors arise in the first place.
You mentioned that “education and mentoring staff is paramount, and DNP-prepared nurses play a crucial role in this.”By creating an atmosphere where mistakes are welcomed rather than punished, these DNP nurses can foster a culture of continuous improvement that aligns with just cultural principles (Paradiso & Sweeney, 2019). Here, the focus should be on understanding why errors occurred and improving systems rather than solely assigning blame to individuals. DNP-prepared nurses can set an excellent example in encouraging open communication and transparency within an organization by creating safe spaces where staff members can report errors and near misses without fear of reprisals. Ultimately, this canstrengthen the organization’s safety culture.
Based on your discussion, it is evident that DNP-prepared nurses play a critical role in creating and supporting a just culture by not simply managing errors. Their role encompasses proactive engagement in risk assessment, staff education, system enhancement, and creating an atmosphere conducive to open communication and learning (Paradiso & Sweeney, 2019). Their holistic approach addresses existing issues and preemptively mitigates potential threats that threaten patient safety and care quality.
References
Marx, D. (2019). Patient safety and the just culture. Obstetrics and Gynecology Clinics, 46(2), 239-245.https://doi.org/10.1016/j.ogc.2019.01.003
Paradiso, L., & Sweeney, N. (2019). Just culture: It’s more than policy. Nursing management, 50(6), 38.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716556
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource