Moving from a culture of blame to a culture of safety in the nursing home setting

Nurs Forum. 2006 Jul-Sep;41(3):133-40. doi: 10.1111/j.1744-6198.2006.00049.x.

Abstract

Topic: A culture of safety.

Purpose: To explore the current culture of blame and what organizational elements must be impacted to move toward a culture of safety in the nursing home setting.

Methods: A mixed-method approach incorporating a case study and staff member survey results were used to explicate the organizational elements impacting the current nursing home culture.

Conclusion: Nurse leaders can create an environment in which every member of the team feels a responsibility and an ability to insure that residents are safe by improving communication and participation in decision making.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Attitude of Health Personnel
  • Clinical Competence / standards
  • Communication
  • Cooperative Behavior
  • Decision Making, Organizational
  • Employee Discipline
  • Fear
  • Health Facility Environment / organization & administration*
  • Humans
  • Interprofessional Relations
  • Leadership
  • Medication Errors / nursing
  • Medication Errors / prevention & control*
  • Medication Errors / psychology
  • Nurse Administrators / organization & administration*
  • Nurse Administrators / psychology
  • Nursing Evaluation Research
  • Nursing Homes / organization & administration*
  • Nursing Methodology Research
  • Nursing Staff / education
  • Nursing Staff / organization & administration
  • Nursing Staff / psychology
  • Organizational Case Studies
  • Organizational Culture
  • Organizational Innovation
  • Safety Management / organization & administration*
  • Social Identification
  • Total Quality Management / organization & administration