Just Culture in Nursing Education: Supporting Practice Readiness
A just culture is one that balances system accountability with individual accountability when addressing errors. Healthcare organizations support a just culture by encouraging error reporting without fear of punishment and by conducting investigations to determine causes to improve quality and learn from mistakes. The same is not true of prelicensure nursing education where the response to errors is often punitive and threatens dismissal. This academic-practice gap threatens patient safety as students learn to conceal errors and near-misses, preventing processes from being modified to mitigate future errors and impeding the process of learning from mistakes. This presentation will explore just culture principles in nursing education and discuss evidence-based strategies to bridge the gap between academia and practice for this important issue.