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Mentoring Clinical Nurses Toward a Just Culture

Successful Implementation of Nursing Peer Case Review

Korkis, Leah MSN, RN, AGCNS; Ternavan, Kimberly MS/MBA, RN, NE-BC, CPHQ; Ladak, Anila MSN, GNP-BC, CNS, RN-BC; Maines, Michele MSN, RN, CNL; Ribeiro, Denise MSN, MA, RN, RNC-NIC; Hickey, Sharron JD, PHN, BSN, RN, CPHQ

JONA: The Journal of Nursing Administration: July/August 2019 - Volume 49 - Issue 7/8 - p 384–388
doi: 10.1097/NNA.0000000000000772

The nursing peer-review process is an effective and underutilized method to enhance nurse accountability and ownership of patient care and nursing practice. This article describes how 1 hospital created a clinical nurse–driven, nonpunitive, peer case review structure and mentorship processes. This innovative structure provides a framework to support nurses through shared governance and supports organizational efforts including Magnet® and Just Culture initiatives.

Author Affiliations: Magnet Program Adviser and Writer (Ms Korkis), Geriatric Clinical Nurse Specialist Nursing (Ms Ladak), Interim Assistant Unit Director (Ms Ribeiro), and Clinical Quality Improvement Specialist (Dr Hickey), University of California Los Angeles Health System, Santa Monica; and Director of Strategic Quality Management (Ms Ternavan) and Assistant Unit Director (Ms Maines), University of California Los Angeles Health System, Westwood, California.

The authors declare no conflicts of interest.

Correspondence: Ms Ternavan, UCLA Health, 924 Westwood Blvd, Suite 900 Los Angeles, CA 90095 (

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Online date: July 17, 2019

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