A Comprehensive Examination of Just Culture Principles in Nurses' Transition to Practice.

IF 1.7 4区 医学 Q3 NURSING Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-02-11 DOI:10.1097/NCQ.0000000000000837
Manisa Baker, Rebecca Toothaker, Danielle Walker, Randi Sue Flexner, Linda S McQuiston, Lora Hromadik
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引用次数: 0

Abstract

Background: Transition to practice from a nursing student to registered nurse comes with challenges. Just culture is taught in nursing education, yet not easily translated into practice.

Purpose: The purpose of this study was to the understand NGN's perception of just culture from transition to practice.

Methods: A secondary data analysis was conducted from a mixed-methods longitudinal study. Just culture perceptions were assessed at 2 time points, while in school and 6 months after graduation.

Results: Data converged around the beliefs of just culture and willingness to report safety events. Other aspects of just culture, such as continuous improvement and fear of reporting, not only change across time as NGN transition to practice but are divergent.

Conclusion: Students and NGN participants reported understanding the concept of just culture; however, challenges remain with institutional and societal norms.

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护士转职过程中公正文化原则的综合考察。
背景:从护生到注册护士的过渡伴随着挑战。护理教育中讲授公正文化,但不容易转化为实践。目的:本研究的目的是了解NGN从过渡到实践对公正文化的感知。方法:从一项混合方法的纵向研究中进行二次数据分析。在两个时间点,即在校期间和毕业后6个月,对Just文化感知进行了评估。结果:数据集中在公正文化的信念和报告安全事件的意愿。公正文化的其他方面,如持续改进和对报告的恐惧,不仅随着NGN向实践的过渡而随着时间的推移而变化,而且存在分歧。结论:学生和NGN参与者报告了对公正文化概念的理解;然而,体制和社会规范方面的挑战依然存在。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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