NURS 8302 Discussion Just Culture
As an alternative to a punitive system, application of the Just Culture model, which has been widely used in the aviation industry, seeks to create an environment that encourages individuals to report mistakes so that the precursors to errors can be better understood in order to fix the system issues.
—American Nurses Association, 2010
Mistakes happen. There is no way to avoid all mistakes, so how might your practice change if the reporting of mistakes was welcomed, versus penalized? How might this lead to a better understanding of quality improvement and safety needs? How might patient safety be improved?
For this Discussion, consider the role of just culture in your organization. Reflect on your experience with just culture and consider how this model might support patient care.
American Nurses Association. (2010). Just culture [Position statement]. https://www.nursingworld.org/~4afe07/globalassets/practiceandpolicy/health-and-safety/just_culture.pdf
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- Review the Learning Resources for this week, and reflect on your experiences with just culture.
- Consider how just culture connects to quality and safety. What is the role of the DNP-prepared nurse in promoting just culture in organizations and nursing practice?
By Day 4 of Week 1
Post an explanation of whether your organization uses a just culture. Then, explain how this might impact quality and safety for your healthcare organization, and why. What is the DNP-prepared nurse’s role in supporting a just culture environment in a healthcare organization? Be specific and provide examples.
By Day 6 of Week 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an additional alternative perspective on the role of the DNP-prepared nurse in supporting a just culture in a healthcare organization.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
To access your rubric:
Week 1 Discussion 2 Rubric
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Post by Day 4 of Week 1 and Respond by Day 6 of Week 1
To Participate in this Discussion:
Week 1 Discussion 2
What’s Coming Up in Week 2?
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Next week, you will examine the definitions of quality. You will explore nurse-sensitive quality indicators and evaluate the influence of these indicators on nursing practice.
Looking Ahead: IHI Modules
This Assignment requires completion of 13 IHI Open School modules and the completion of the Certificate of Completion at the Basic level. There are 13 modules that you must complete over the course of these 11 weeks.
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|Improvement Capability||Patient Safety|
|QI 101: Introduction to Health Care Improvement||PS 101: Introduction to Patient Safety|
|QI 102: How to Improve With the Model for Improvement||PS 102: From Error to Harm|
|QI 103: Testing and Measuring Changes With PDSA Cycles||PS 103: Human Factors and Safety|
|QI 104: Interpreting Data: Run Charts, Control Charts, and Other Measurement Tools||PS 104: Teamwork and Communication in a Culture of Safety|
|QI 105: Leading Quality Improvement||PS 105: Responding to Adverse Events|
|Triple Aim for Populations||Person and Family-Centered Care|
|TA 101: Introduction to the Triple Aim for Populations||PFC 101: Introduction to Person- and Family-Centered Care|
|L 101: Introduction to Healthcare Leadership|
To access the IHI Certificate Program, go to IHI.org, and register to create an account. Be sure to enter Walden University as your organization. Under Role, you will select student. Under Organization, you will select school, and under education type, you will select nurse.
Go to the Education tab, and select Open School Courses. Click on Online Courses and then on Certificates and CEUs. You want to ensure that you are viewing the Basic Certificate in Quality and Safety. Click on Earn Your Certificate Today, and you should be in your student dashboard to begin completing the IHI modules. You will want to click on Go to your Learning Center. On the left-side navigation menu, you will want to Search Catalog to search for, and enroll in, each of the 13 modules required for this certificate.
You will earn contact hours for each module, and once all 13 are completed, you will download the certificate of achievement. Please save this certificate. You will be required to upload this to gradebook in evidence of your completion.
You must complete all IHI modules and submit your certificate by Day 2 of Week 11.
Looking Ahead: Clinical Assignment: DNP Project Faculty Advisor and Site Identification
Preparation for project planning will begin during the clinical component of NURS 8302. By Day 7 of week 6, you will identify an organization that you will approach to discuss a gap in practice or practice change that you might assist with as your DNP project.
Possible appointments to explore a site for the project include those made with the chief nursing officer, director of quality improvement, or director of education. In a clinic or community agency, the contact person may be the director or someone in human resources. You may complete the project at your place of employment, as long as you are not working on your own unit or with people that you supervise.
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This project will include a development of a staff education program, development of a clinical practice guideline, or an evaluation of an existing quality improvement process. The project process cannot include patients or nursing students. The project cannot be completed at an academic setting.
Preparation for project planning will begin during the clinical component of NURS 8302. The DNP Project must follow guidelines set forth in one of the following DNP Project manuals:
- Clinical Practice Guidelines Manual
- Staff Education Manual
- Quality Improvement Evaluation Manual
NOTE: All forms and manuals are found on the DNP Capstone Resources site:
Your project team will consist of a preceptor or project mentor from the organization, and a three-member Faculty committee from Walden who will be assigned upon completion of this course. You will begin your project in the next term through the mentoring course, NURS 8702.