Nursing

Blog spotlight: Preceptor perspectives on a just culture

Nurse Leader Insider, April 18, 2011

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By Julie Harris, MSN, RN

Just culture. This term has been thrown around in the nursing literature for many years. Many nurses, including preceptors, might think that it was started in healthcare. Actually, healthcare borrowed the idea from the aviation industry. After a terrible plane crash, the aviation industry started a program to change and correct pilots’ behaviors.

About 20 something years later, the Institute of Medicine published a report, “To Err is Human: Building a Safer Health System,” that cited tens of thousands of preventable human deaths per year in United States’ hospitals. This report was a wake-up call to many healthcare leaders. After seeing the success of the aviation industry, many hospitals adapted a similar process and the phrase, “a just culture,” was born.

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