Nursing Students' Perceptions of Just Culture in Nursing Programs: A Multisite Study

Nurse Educ. 2020 May/Jun;45(3):133-138. doi: 10.1097/NNE.0000000000000739.

Abstract

Background: While just culture is embraced in the clinical setting, just culture has not been systematically incorporated into nursing education.

Purpose: The purpose of this study was to assess prelicensure nursing student perceptions of just culture in academia.

Methods: Following a quantitative, descriptive design, the Just Culture Assessment Tool for Nursing Education (JCAT-NE) was used to measure just culture across multiple (N = 15) nursing programs.

Results: The majority of JCAT-NE respondents (78%) reported their program has a safety reporting system, 15.4% had involvement in a safety-related event, and 12% submitted an error report. The JCAT-NE mean total score was 127.4 (SD, 23.6), with a statistically significant total score decline as students progressed from the beginning (133.6 [SD, 20.52]) to the middle (129.77 [SD, 23.6]) and end (122.2 [SD, 25.43]) of their programs (χ[2] = 25.09, P < .001).

Conclusions: The results from this study are a call to action for nursing education to emphasize the tenets of just culture, error reporting, and quality improvement.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Education, Nursing, Baccalaureate / organization & administration*
  • Female
  • Humans
  • Male
  • Medical Errors / nursing*
  • Medical Errors / prevention & control
  • Middle Aged
  • Nursing Education Research
  • Nursing Evaluation Research
  • Organizational Culture*
  • Patient Safety
  • Students, Nursing / psychology*
  • Students, Nursing / statistics & numerical data
  • Surveys and Questionnaires
  • Young Adult