Date of Award

2018

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Jillian B. Harvey

Second Advisor

Jeanette Green

Third Advisor

Frank Lyerla

Abstract

National safety concerns in healthcare have prompted many consumers to demand systems to be in place to provide better patient outcomes. With increasing acuity and the demands of daily patient care, it is inevitable that healthcare providers will make mistakes or experience misunderstanding in the hospital setting. When events occur that could cause harm to patients, visitors, and staff members, or place the institution at legal, financial, or ethical risk, a choice exists: to learn and take action or to blame. Highly reliable healthcare industries foster mindfulness and an environment of fair and just culture. Seventy nine nurses at a large Children’s Hospital completed a survey to assess their perceptions on the Seo Safety Climate Scale. The Survey consisted of 35 questions which had six domains: management, supervisor, competence, participation, coworkers, and culture. Ordinary Least Square regression was used to examine the relationship between generational cohort and Just Culture. In addition, we assessed the relationship between the six domains and the nurse’s perception of Just Culture behaviors. Generational differences were not related to the nurse’s perception of Just Culture behaviors in nursing practice. Results found a significant relationship between the domains of employee participation, competence level and Just Culture behaviors. Nurse Leaders need to foster an environment of safety by providing an infrastructure to support a Just Culture milieu. Frontline staff who feel employees can participate in safety activities and are competent in safety practices will foster and enhance a Just Culture climate. Placing more emphasis on these factors may have a larger contribution to a just culture environment than compared initiatives based on generational cohort.

Rights

All rights reserved. Copyright is held by the author.

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