NURS 8302 Just Culture Discussion

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NURS 8302 Just Culture Discussion

NURS 8302 Just Culture Discussion

As an alternative to a punitive system, application of the Just Culture model, which has been widely used
in the aviation industry, seeks to create an environment that encourages individuals to report mistakes so
that the precursors to errors can be better understood in order to fix the system issues.
—American Nurses Association, 2010
Mistakes happen. There is no way to avoid all mistakes, so how might your practice change if the
reporting of mistakes was welcomed, versus penalized? How might this lead to a better understanding of
quality improvement and safety needs? How might patient safety be improved?
For this Discussion, consider the role of just culture in your organization. Reflect on your experience with
just culture and consider how this model might support patient care.
Reference:
American Nurses Association. (2010). Just culture [Position statement]. https://www.nursingworld.org/~4afe07/globalassets/practiceandpolicy/health-and-safety/just_culture.pdf

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To Prepare:
 Review the Learning Resources for this week, and reflect on your experiences with just culture.
 Consider how just culture connects to quality and safety. What is the role of the DNP-prepared
nurse in promoting just culture in organizations and nursing practice?
By Day 4 of Week 1
Post an explanation of whether your organization uses a just culture. Then, explain how this might impact
quality and safety for your healthcare organization, and why. What is the DNP-prepared nurse’s role in
supporting a just culture environment in a healthcare organization? Be specific and provide examples.
By Day 6 of Week 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two
different days by expanding upon your colleague’s post or suggesting an additional alternative
perspective on the role of the DNP-prepared nurse in supporting a just culture in a healthcare
organization.
Note: For this Discussion, you are required to complete your initial post before you will be able to view
and respond to your colleagues’ postings. Begin by clicking on the "Post to Discussion Question" link

and then select "Create Thread" to complete your initial post. Remember, once you click on Submit, you
cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully
before clicking on Submit!
Submission and Grading Information
Grading Criteria

To access your rubric:
Week 1 Discussion 2 Rubric

Post by Day 4 of Week 1 and Respond by Day 6 of Week 1

To Participate in this Discussion:
Week 1 Discussion 2

What's Coming Up in Week 2?

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Next week, you will examine the definitions of quality. You will explore nurse-sensitive quality
indicators and evaluate the influence of these indicators on nursing practice.
Looking Ahead: IHI Modules
This Assignment requires completion of 13 IHI Open School modules and the completion of the
Certificate of Completion at the Basic level. There are 13 modules that you must complete over the course
of these 11 weeks.

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Improvement Capability Patient Safety

QI 101: Introduction to Health Care Improvement PS 101: Introduction to Patient Safety

QI 102: How to Improve With the Model for
Improvement PS 102: From Error to Harm

QI 103: Testing and Measuring Changes With PDSA
Cycles PS 103: Human Factors and Safety

QI 104: Interpreting Data: Run Charts, Control
Charts, and Other Measurement Tools

PS 104: Teamwork and Communication
in a Culture of Safety

QI 105: Leading Quality Improvement PS 105: Responding to Adverse Events

 

Triple Aim for Populations Person and Family-Centered Care

TA 101: Introduction to the Triple Aim for
Populations

PFC 101: Introduction to Person- and
Family-Centered Care

 

Leadership

L 101: Introduction to Healthcare Leadership
To access the IHI Certificate Program, go to IHI.org, and register to create an account. Be sure to
enter Walden University as your organization. Under Role, you will select student.
Under Organization, you will select school, and under education type, you will select nurse.
Go to the Education tab, and select Open School Courses. Click on Online Courses and then
on Certificates and CEUs. You want to ensure that you are viewing the Basic Certificate in Quality
and Safety. Click on Earn Your Certificate Today, and you should be in your student dashboard to
begin completing the IHI modules. You will want to click on Go to your Learning Center. On the left-

side navigation menu, you will want to Search Catalog to search for, and enroll in, each of the 13
modules required for this certificate.
You will earn contact hours for each module, and once all 13 are completed, you will download the
certificate of achievement. Please save this certificate. You will be required to upload this to gradebook in
evidence of your completion.
You must complete all IHI modules and submit your certificate by Day 2 of Week 11.
Looking Ahead: Clinical Assignment: DNP Project Faculty Advisor and Site Identification
Preparation for project planning will begin during the clinical component of NURS 8302. By Day 7 of
week 6, you will identify an organization that you will approach to discuss a gap in practice or practice
change that you might assist with as your DNP project.
Possible appointments to explore a site for the project include those made with the chief nursing officer,
director of quality improvement, or director of education. In a clinic or community agency, the contact
person may be the director or someone in human resources. You may complete the project at your place
of employment, as long as you are not working on your own unit or with people that you supervise.

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This project will include a development of a staff education program, development of a clinical practice
guideline, or an evaluation of an existing quality improvement process. The project process cannot
include patients or nursing students. The project cannot be completed at an academic setting.
Preparation for project planning will begin during the clinical component of NURS 8302. The DNP
Project must follow guidelines set forth in one of the following DNP Project manuals:
 Clinical Practice Guidelines Manual
 Staff Education Manual
 Quality Improvement Evaluation Manual
NOTE: All forms and manuals are found on the DNP Capstone Resources site:
https://academicguides.waldenu.edu/research-center/program-documents/dnp
Your project team will consist of a preceptor or project mentor from the organization, and a three-member
Faculty committee from Walden who will be assigned upon completion of this course. You will begin
your project in the next term through the mentoring course, NURS 8702.
Once you identify a site and have contacted the organization, you will complete the DNP Project Faculty
Advisor and Site Identification—Matching Request Form identifying the site and describing the
possible practice change or gap to be addressed. This form must be completed and turned in by Day 7 of
Week 6.
Approaching the organization:

1. Identify the organization where you would like to make an appointment with organization
leadership to discuss your DNP project. This can be within your workplace or at a different site.
The site for the project does not need to be the same site as the clinical practicum site.
2. Find out from the organization if there is a key person who oversees students doing DNP projects.
This might be the director of nursing, the director of staff development, or the person in charge of
quality improvement initiatives. In a clinic or community organization, this might be the medical
director or a non-medical person in a leadership or administrative role. If there is no key person,
your first contact should be someone from nursing leadership. If you are unsure of how to
proceed, discuss with your NURS 8302 Faculty.
3. Make an appointment with the identified person (above) to discuss the Walden University DNP
project.
 Briefly explain the focus of the DNP project.
o As a requirement of Walden University’s DNP degree, you are required to complete a
DNP Project.
o This project will focus on a quality improvement initiative that integrates project
management tools and techniques, as well as addresses a gap in nursing practice or an
identified practice change.
o For the purpose of this project, a quality improvement initiative is defined as an
intervention that supports an improvement in healthcare outcomes. This project will
follow one of the DNP project manuals for the project and can focus on a staff education
program, development of a clinical practice guideline, or an evaluation of an existing
quality improvement process. The project process cannot include patients or nursing
students.
o The project process requires a mentor from the organization that will work with the
Walden Faculty Advisor to oversee the project process.

 Explore a possible gap in practice or practice change that the organization is seeking to address
through an education program, clinical practice guideline, or evaluation of change completed by
the organization to improve outcomes.
 Discuss identification of a project mentor for the project.
 Share the next steps in the process.
o You will be assigned a Faculty Advisor when the next term begins (date).
o You will contact organization representative during the first week of the term to set up a
meeting with the Faculty Advisor, the organization representative, and the project mentor
to discuss the project.

Next Week

To go to the next week:
Week 2

Rubric Detail

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Name: NURS_8302_Week1_Discussion2_Rubric
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Excellent
90–100

Good
80–89

Fair
70–79

Poor
: 0–69

Main Posting:

Response to the Discussion
question is reflective with critical
analysis and synthesis
representative of knowledge gained
from the course readings for the
module and current credible
sources.

40 (40%) – 44 (44%)
Thoroughly responds to the
Discussion question(s).
Is reflective with critical analysis
and synthesis representative of
knowledge gained from the course
readings for the module and current
credible sources.
No less than 75% of post has
exceptional depth and breadth.
Supported by at least three current
credible sources.

35 (35%) – 39 (39%)
Responds to most of the Discussion
question(s).
Is somewhat reflective with critical
analysis and synthesis representative
of knowledge gained from the course
readings for the module.
50% of the post has exceptional
depth and breadth.
Supported by at least three credible
references.

31 (31%) – 34 (34%)
Responds to some of the Discussion
question(s).
One to two criteria are not addressed
or are superficially addressed.
Is somewhat lacking reflection and

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critical analysis and synthesis.
Somewhat represents knowledge
gained from the course readings for
the module.
Cited with fewer than two credible
references.

0 (0%) – 30 (30%)
Does not respond to the Discussion
question(s).
Lacks depth or superficially
addresses criteria.
Lacks reflection and critical analysis
and synthesis.
Does not represent knowledge
gained from the course readings for
the module.
Contains only one or no credible
references.

Main Posting:

Writing

6 (6%) – 6 (6%)
Written clearly and concisely.
Contains no grammatical or spelling
errors.
Adheres to current APA manual
writing rules and style.

5 (5%) – 5 (5%)
Written concisely.
May contain one to two grammatical
or spelling errors.
Adheres to current APA manual
writing rules and style.

4 (4%) – 4 (4%)
Written somewhat concisely.
May contain more than two spelling
or grammatical errors.
Contains some APA formatting
errors.

0 (0%) – 3 (3%)
Not written clearly or concisely.
Contains more than two spelling or
grammatical errors.
Does not adhere to current APA
manual writing rules and style.

Main Posting: 9 (9%) – 10 (10%) 8 (8%) – 8 (8%) 7 (7%) – 7 (7%) 0 (0%) – 6 (6%)

Timely and full participation

Meets requirements for timely, full,
and active participation.
Posts main Discussion by due date.

Meets requirements for full
participation.
Posts main Discussion by due date.

Posts main Discussion by due date. Does not meet requirements for full

participation.
Does not post main Discussion by
due date.

First Response:

Post to colleague's main post that is
reflective and justified with
credible sources.

9 (9%) – 9 (9%)
Response exhibits critical thinking
and application to practice settings.
Responds to questions posed by
faculty.
The use of scholarly sources to
support ideas demonstrates synthesis
and understanding of learning
objectives.

8 (8%) – 8 (8%)
Response has some depth and may
exhibit critical thinking or
application to practice setting.

7 (7%) – 7 (7%)
Response is on topic and may have
some depth.

0 (0%) – 6 (6%)
Response may not be on topic and
lacks depth.

First Response:
Writing

6 (6%) – 6 (6%)
Communication is professional and
respectful to colleagues.
Response to faculty questions are
fully answered, if posed.
Provides clear, concise opinions and
ideas that are supported by two or
more credible sources.
Response is effectively written in
standard, edited English.

5 (5%) – 5 (5%)
Communication is mostly
professional and respectful to
colleagues.
Response to faculty questions are
mostly answered, if posed.
Provides opinions and ideas that are
supported by few credible sources.
Response is written in standard,
edited English.

4 (4%) – 4 (4%)
Response posed in the Discussion
may lack effective professional
communication. Response to faculty
questions are somewhat answered, if
posed.
Few or no credible sources are cited.

0 (0%) – 3 (3%)
Responses posted in the Discussion
lack effective communication.
Response to faculty questions are
missing.
No credible sources are cited.

First Response:
Timely and full participation

5 (5%) – 5 (5%)
Meets requirements for timely, full,
and active participation.
Posts by due date.

4 (4%) – 4 (4%)
Meets requirements for full
participation.
Posts by due date.

3 (3%) – 3 (3%)
Posts by due date.

0 (0%) – 2 (2%)
Does not meet requirements for full
participation.
Does not post by due date.

Second Response:
Post to colleague's main post that is
reflective and justified with
credible sources.

9 (9%) – 9 (9%)
Response exhibits critical thinking
and application to practice settings.
Responds to questions posed by

8 (8%) – 8 (8%)
Response has some depth and may
exhibit critical thinking or
application to practice setting.

7 (7%) – 7 (7%)
Response is on topic and may have
some depth.

0 (0%) – 6 (6%)
Response may not be on topic and
lacks depth.

faculty.
The use of scholarly sources to
support ideas demonstrates synthesis
and understanding of learning
objectives.

Second Response:
Writing

6 (6%) – 6 (6%)
Communication is professional and
respectful to colleagues.
Response to faculty questions are
fully answered, if posed.
Provides clear, concise opinions and
ideas that are supported by two or
more credible sources.
Response is effectively written in
standard, edited English.

5 (5%) – 5 (5%)
Communication is mostly
professional and respectful to
colleagues.
Response to faculty questions are
mostly answered, if posed.
Provides opinions and ideas that are
supported by few credible sources.
Response is written in standard,
edited English.

4 (4%) – 4 (4%)
Response posed in the Discussion
may lack effective professional
communication.
Response to faculty questions are
somewhat answered, if posed.
Few or no credible sources are cited.

0 (0%) – 3 (3%)
Responses posted in the Discussion
lack effective communication.
Response to faculty questions are
missing.
No credible sources are cited.

Second Response:
Timely and full participation

5 (5%) – 5 (5%)
Meets requirements for timely, full,
and active participation.
Posts by due date.

4 (4%) – 4 (4%)
Meets requirements for full
participation.
Posts by due date.

3 (3%) – 3 (3%)
Posts by due date.

0 (0%) – 2 (2%)
Does not meet requirements for full
participation.
Does not post by due date.

Total Points: 100
Name: NURS_8302_Week1_Discussion2_Rubric

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