Michelle Freeman1, Linda A Morrow2, Margo Cameron3, Karen McCullough4. 1. Associate Professor and Graduate Coordinator, Faculty of Nursing, University of Windsor, Toldo Health Education Centre, Windsor, ON. 2. Director, Learning & Workplace Development, Windsor Regional Hospital, Windsor, ON. 3. Sessional Instructor, Faculty of Nursing, University of Windsor, Windsor, ON. 4. Chief Operating Officer and Chief Nurse Executive, Windsor Regional Hospital, Windsor, ON.
Abstract
BACKGROUND: Healthcare organizations have been challenged to create a just culture as part of their culture of safety. PURPOSE: To explore perceptions of nurse managers in developing personal competencies in order to enable them to effectively implement a just culture in their units. METHOD: Qualitative content analysis of semi-structured interviews with nine nurse managers identified themes. Data were independently analyzed by three members of the research team. FINDINGS: Analysis of interview transcripts identified the following four themes: need for education of managers and employees, need for a variety of new skills for nurse managers, need to change attitudes from the long-standing punitive culture and fault of individual and challenges in implementation because of time constraints. CONCLUSION: Implementing a just culture is complex. Education of nurse managers is crucial. A series of educational strategies is recommended. Findings support the need for new competencies to enable nurse managers to effectively implement a just culture in their units.
BACKGROUND: Healthcare organizations have been challenged to create a just culture as part of their culture of safety. PURPOSE: To explore perceptions of nurse managers in developing personal competencies in order to enable them to effectively implement a just culture in their units. METHOD: Qualitative content analysis of semi-structured interviews with nine nurse managers identified themes. Data were independently analyzed by three members of the research team. FINDINGS: Analysis of interview transcripts identified the following four themes: need for education of managers and employees, need for a variety of new skills for nurse managers, need to change attitudes from the long-standing punitive culture and fault of individual and challenges in implementation because of time constraints. CONCLUSION: Implementing a just culture is complex. Education of nurse managers is crucial. A series of educational strategies is recommended. Findings support the need for new competencies to enable nurse managers to effectively implement a just culture in their units.
Authors: Jan-Willem Weenink; Iris Wallenburg; Laura Hartman; Eva van Baarle; Ian Leistikow; Guy Widdershoven; Roland Bal Journal: BMJ Open Date: 2022-07-27 Impact factor: 3.006