Nursing Students' Perceptions of Just Culture in Nursing Programs

Walker, Danielle; Altmiller, Gerry; Hromadik, Lora K.; Barkell, Nina; Barker, Nancy; Boyd, Teri; Compton, M.R.; Cook, Pamela; Curia, Marianne; Hays, Deana; Flexner, Randi; Jordan, Janet; Jowell, Vicki; Kaulback, Michelle; Magpantay-Monroe, Edna; Rudolph, Bethany; Toothaker, Rebecca; Vottero, Beth; Wallace, Sharon

doi:10.1097/nne.0000000000000739

Cited by 13 publications

(42 citation statements)

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“…During development, painstaking actions were taken to remain true to the original JCAT instrument’s 27 items while making the modifications needed so that the newly developed JCAT-NE used language that aligned with the academic experience of nursing students. The JCAT-NE was then validated as a tool to measure just culture in academia and a small pilot study using the instrument with 133 students demonstrated the reliability of the JCAT-NE with a Cronbach’s α = 0.75 (Walker et al., 2020). A larger, multi-site study administered the JCAT-NE to 849 students at 15 nursing schools across the United States and found significant differences in the perceptions of students based on whether they were at the beginning, middle or end of their nursing education programme (Walker et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

“…The JCAT-NE was then validated as a tool to measure just culture in academia and a small pilot study using the instrument with 133 students demonstrated the reliability of the JCAT-NE with a Cronbach’s α = 0.75 (Walker et al., 2020). A larger, multi-site study administered the JCAT-NE to 849 students at 15 nursing schools across the United States and found significant differences in the perceptions of students based on whether they were at the beginning, middle or end of their nursing education programme (Walker et al., 2020). The factor analysis supports further refinement of the JCAT-NE as a valid and reliable instrument to assess students’ perceptions of just culture within their nursing education programmes.…”

Section: Discussionmentioning

confidence: 99%

“…experienced reporting an event in the multi-site study of the JCAT-NE (Walker et al, 2020). Perceptions about the process among students may be more conceptual than based on direct experience.…”

Section: Continuous Improvement Processesmentioning

confidence: 99%

“…The JCAT-NE was initially tested in a study that included over 800 nursing students from 15 prelicensure nursing programmes across the United States; the results are reported in a previous paper (Walker et al., 2020). Following that study, Institutional Review Board approval was obtained to conduct an exploratory factor analysis on the individual item scores using principle component analysis (PCA), a statistical method that uncovers the underlying structure of a scale and identifies relationships between the variable and the respondent.…”

Section: Designmentioning

confidence: 99%

“…The Just Culture Assessment Tool-Nursing Education (JCAT-NE) was developed and validated for this purpose (Walker et al., 2019). The JCAT-NE has demonstrated reliability (α = 0.936) among students in pre-licensure nursing programmes (Walker et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

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Exploratory factor analysis of the Just Culture Assessment Tool for nursing education

Walker

Hromadik

Altmiller

et al. 2020

Journal of Research in Nursing

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Background Just culture has been identified as a vital component of safety culture by national and international organisations. In a just culture, emphasis is not placed on blaming individuals for errors but rather on examining personal and system processes that can best support safety and prevent reoccurrence. Although those in the practice arena have worked to implement the concepts of just culture, the same is not true in nursing education, leaving nursing students lacking the pre-requisite knowledge, skills and attitudes to implement just culture in practice on graduation. Aims Assessment of this phenomena is the essential first step to align nursing education with practice in promoting just culture as a mechanism for patient safety. The purpose of this paper is to further refine the Just Culture Assessment Tool-Nursing Education through exploratory factor analysis. Methods The Just Culture Assessment Tool-Nursing Education was adapted from the Just Culture Assessment Tool, an instrument created for the practice setting. Validity and reliability were established for the Just Culture Assessment Tool-Nursing Education in a study of 800 nursing students to assess their perceptions and understanding of just culture with their nursing programmes. Using the previously conducted data, an exploratory factor analysis was conducted. Results Factor analysis supports six subscales, similar to that of the Just Culture Assessment Tool. However, individual items were loaded into different subscales. All subscales demonstrated good reliability. Factor analysis supported further refinement of two items to improve the instrument’s ability to capture data. Conclusions Perceptions of just culture differ between experienced providers and nursing students; nursing students have less experience with reporting errors. Factor analysis of Just Culture Assessment Tool-Nursing Education items demonstrated these differences, supporting modification of items by the instrument developers. An ‘if’ statement for students to consider their possible actions rather than experience was added to two items to better capture data from nursing students when completing the assessment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Continuous Improvement Processesmentioning

confidence: 99%

Section: Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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