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A Comprehensive Examination of Just Culture Principles in Nurses' Transition to Practice
Journal article   Peer reviewed

A Comprehensive Examination of Just Culture Principles in Nurses' Transition to Practice

Manisa Baker, Rebecca Toothaker, Danielle Walker, Randi Sue Flexner, Linda S McQuiston and Lora Hromadik
Journal of nursing care quality, Vol.40(3), pp.234-244
2025
DOI: https://doi.org/10.1097/NCQ.0000000000000837
PMID: 39937741
Web of Science ID: WOS:001500963300009

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Abstract

Transition to practice from a nursing student to registered nurse comes with challenges. Just culture is taught in nursing education, yet not easily translated into practice. BACKGROUND - Transition to practice from a nursing student to registered nurse comes with challenges. Just culture is taught in nursing education, yet not easily translated into practice.The purpose of this study was to the understand NGN's perception of just culture from transition to practice. PURPOSE - The purpose of this study was to the understand NGN's perception of just culture from transition to practice.A secondary data analysis was conducted from a mixed-methods longitudinal study. Just culture perceptions were assessed at 2 time points, while in school and 6 months after graduation. METHODS - A secondary data analysis was conducted from a mixed-methods longitudinal study. Just culture perceptions were assessed at 2 time points, while in school and 6 months after graduation.Data converged around the beliefs of just culture and willingness to report safety events. Other aspects of just culture, such as continuous improvement and fear of reporting, not only change across time as NGN transition to practice but are divergent. RESULTS - Data converged around the beliefs of just culture and willingness to report safety events. Other aspects of just culture, such as continuous improvement and fear of reporting, not only change across time as NGN transition to practice but are divergent.Students and NGN participants reported understanding the concept of just culture; however, challenges remain with institutional and societal norms. CONCLUSION - Students and NGN participants reported understanding the concept of just culture; however, challenges remain with institutional and societal norms.

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