Nurse 600
Just Culture: Theories and Concept to Implement a Change
To modify healthcare policies in a facility to a Just Culture environment, one must learned what “Just Culture” entails. By using economic, organizational change, and systems science theories and/or concepts a Just Culture program will be implemented into a facility by a leadership team.
Just Culture
Mistakes and errors caused by medical providers happen in the healthcare field, resulting in punitive actions against the provider. As cited by Geffken-Eddy (2011) studies by the Institute of Medicine have shown that punishment will only lead to more medical errors or providers not reporting their wrong doings unless the risk of being caught is great. A new way to implement safer practices is to introduce a concept called “Just Culture” to a workplace. Just Culture consists of a work environment which healthcare providers are encouraged to provide essential safety-related information and report mistakes of their own or others (Geffken-Eddy, 2011). Having a Just Culture allows for open communication among healthcare workers to admit to their mistakes and using those mistakes as stepping stones to learn different means to prevent the error from occurring again.
Economic
Economics theories can be broken down into a microeconomic theory, which focuses on the individuals in a group and the action of supply and demand, which drives the economy (Anderson, 2013). Scarcity becomes a driving force for consumers to act; for example, when a product is scarce, the demand becomes greater and product becomes costly affecting the consumer’s ability to obtain the product (Anderson, 2013). To relate the microeconomics theory to healthcare and implement Just Culture, one must view the healthcare providers’ services as valuable products that could potentially become scarce. Because healthcare is a product that needs to be readily
References: Anderson, K. (2013). The Difference Between Macro and Microeconomics | Mint.com. Retrieved October 13, 2013, from https://www.mint.com/the-difference-between-macro-and-microeconomics/ Bishop, S. (2011). Theories of organizational behavior and leadership. In J. Butts & K. Rich (Eds.), Philosophies and theories for advanced nursing practice (pp. 347-362). Sudbury, MA: Jones & Bartlett Learning, LLC. Connelly, M. (n.d.). Kurt Lewin model of change. Retrieved October 12, 2013, from http://www.change-management-coach.com/kurt_lewin.html Geffken-Eddy, D. (2011, October 11). Implementing a just culture on advance for nurses. Retrieved October 5, 2013, from http://nursing.advanceweb.com/Features/Articles/Implementing-a-Just-Culture.aspx Goal attainment theory: key concepts. (n.d.). Retrieved from http://imogenekingtheory.blogspot.com/p/key-concepts.html Gonzales, Y., & Moreno-Fergusson, M., Whetsell, M., (2011). Models and theories focused on a systems approach. In J. Butts & K. Rich (Eds.), Philosophies and theories for advanced nursing practice (pp. 413-443). Sudbury, MA: Jones & Bartlett Learning, LLC.