While just culture is embraced in the clinical setting, just culture has not been systematically incorporated into nursing education.
The purpose of this study was to assess prelicensure nursing student perceptions of just culture in academia.
Following a quantitative, descriptive design, the Just Culture Assessment Tool for Nursing Education (JCAT-NE) was used to measure just culture across multiple (N = 15) nursing programs.
The majority of JCAT-NE respondents (78%) reported their program has a safety reporting system, 15.4% had involvement in a safety-related event, and 12% submitted an error report. The JCAT-NE mean total score was 127.4 (SD, 23.6), with a statistically significant total score decline as students progressed from the beginning (133.6 [SD, 20.52]) to the middle (129.77 [SD, 23.6]) and end (122.2 [SD, 25.43]) of their programs (χ2 = 25.09, P < .001).
The results from this study are a call to action for nursing education to emphasize the tenets of just culture, error reporting, and quality improvement.
Author Affiliations: Assistant Professor (Dr Walker), Texas Christian University, Fort Worth; Professor (Dr Altmiller), The College of New Jersey, Ewing; Associate Professor (Dr Hromadik), Indiana University of Pennsylvania; Nursing Faculty (Mss Barkell and Compton), Oakland Community College, Waterford, Michigan; Assistant Professor (Drs Barker and Kaulback), West Chester University of Pennsylvania; Assistant Professor (Dr Boyd) Goldfarb School of Nursing at Barnes Jewish College, St Louis, Missouri; Assistant Professor (Ms Cook and Dr Toothaker), Bloomsburg University, Pennsylvania; Assistant Professor (Dr Curia), Purdue University Northwest–Westville, Indiana; Assistant Professor (Dr Hays), Oakland University, Rochester, Michigan; Clinical Assistant Professor (Dr Flexner), Rutgers, The State University of New Jersey School of Nursing, New Brunswick; Clinical Instructor (Mss Jordan and Rudolph) and Coordinator (Ms Jowell), Clinical Faculty, University of Texas at Tyler; Professor (Dr Magpantay-Monroe), Chaminade University of Honolulu, Hawaii; Associate Professor (Dr Vottero), Purdue University Northwest, Hammond, Indiana; and Assistant Professor (Dr Wallace), Pacific Lutheran University School of Nursing, Tacoma, Washington.
The authors declare no conflicts of interest.
Correspondence: Dr Walker, TCU Box 298620, Fort Worth, TX 76129 (email@example.com).
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Accepted for publication: July 22, 2019
Published ahead of print: October 9, 2019