The concept of a fair and just culture refers to the way an organization handles safety issues. Humans are fallible; they make mistakes. In a just culture, ‘hazardous’ human behavior such as staff errors, near–misses and risky actions are identified and discussed openly in hopes of finding ways to improve processes and systems—not to identify and punish the individual.
—Pepe & Caltado, 2011
This Discussion examines the opportunities of managers in working with groups to promote change that facilitates the delivery of safe, high–quality care.
To Prepare
Note: To access this weeks’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Dekker, S. & Nyce, J. (2013). Just culture: “Evidence, power and algorithms. Journal of Hospital Administration, 2(3), 73–78. Retrieved from http://sidneydekker.com/wp–content/uploads/2013/01…
Lockhart, L. (2015). Does your organization have a just culture?, Retrieved from http://www.NursingMadeIncrediblyEasy.com DOI–10.1097/01.NME.0000457286.16594.92
Document: Russell, K. A. & Radtke, B. K. (2014). An evidence–based tool for regulatory decision–making: regulatory decision pathway. Journal of Nursing Regulation, 5(2), 5–9. (PDF)
Copyright 2014 by Elsevier Science & Technology Journals. Used with permission of Elsevier Science & Technology Journals via the Copyright Clearance Center.
Outcome Engenuity (2016). Outcome Engenuity. Retrieved from https://www.outcome–eng.com/
Pepe, J., & Cataldo, P. J. (2011). Manage risk, build a just culture. Health Progress. Retrieved from http://www.outcome–eng.com/wp–content/uploads/2012…
Spreitzer, G., & Porath, C. (2012). Creating sustainable performance. Harvard Business Review, 90(1/2), 92–99.
Retrieved from the Walden Library databases.
Document: Tips on Distinguishing Peer Reviewed Articles (PDF)
Document: Outline for Strategic Plan for Change (Word document)
Optional Resources
West, E., Holmes, J., Zidek, C., & Edwards, T., (2013). Intraprofessional collaboration through an unfolding case and the just culture model. Journal of Nursing Education 52(8), 470–74. doi:10.3928/01484834–20130719–04
Retrieved from the Walden Library databases.
MedStar Health. (2014). What does it mean to adopt a fair and just culture in healthcare? Retrieved from