Developing a Just Culture
Barbara A. Brunt, MA, MN, RN-BC, director of nursing education and staff development at Summa Health System, a multihospital system in Akron, OH, writes about the philosophy of a just culture. Just culture refers to a values-supportive model of shared accountability. It's a culture that holds organizations accountable for the systems they design and for how they respond to staff behaviors fairly and justly. In turn, staff members are accountable for the quality of their choices and for reporting both their errors and system vulnerabilities.