2022
DOI: 10.1097/pts.0000000000001012
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The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review

Abstract: Objectives: Healthcare workers wanting to report errors often encounter a culture of fear or blame. A just culture can improve patient safety by promoting safe and open communication, trust is hereby essential. We defined trust in a just culture when healthcare professionals believe that error communication is honest, safe, and reliable. In this study, we investigated barriers and enhancers to trust in error reporting in a just culture.Methods: This systematic review was conducted according to the Preferred Re… Show more

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Cited by 15 publications
(11 citation statements)
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“…37 Just is also more feasible than no-blame cultures. 38 To develop the right culture, this study echoes two important factors that have a role 39,40 – (1) visible leaders who uphold the culture, and (2) longstanding teams with psychological safety.…”
Section: Discussionmentioning
confidence: 90%
“…37 Just is also more feasible than no-blame cultures. 38 To develop the right culture, this study echoes two important factors that have a role 39,40 – (1) visible leaders who uphold the culture, and (2) longstanding teams with psychological safety.…”
Section: Discussionmentioning
confidence: 90%
“…One identified barrier to eliminating the culture of blame is concern that a blame-free environment lacks accountability and enables the grossly negligent to go unpunished. 46,47 The recent conviction of Registered Nurse RaDonda Vaught sharply contrasts the prolonged malpractice of Dr Christopher Duntsch, emphasizing the need to establish a robust balance between blame-free culture and accountability. 48 Just culture, another safety principle from the aviation industry, helps establish the balance between psychological safety and accountability.…”
Section: Just Culturementioning
confidence: 99%
“…Some examples are promotion awareness/campaigns, psychological first aid, resources detailing providers and self-help options, group and individual therapy, mobile support and connection, peer-led training sessions, and resilience promoting workshops ( Buselli et al, 2021 ) . Additionally, just culture development to extinguish a culture of blame to that of trust and safety can be implemented ( van Marum et al, 2022 ; Marx, 2001 ). National campaigns and associated funding that address the importance of health care providers’ prioritizing their own health and well-being, as well as addressing the stigma associated with help-seeking, would contribute to a shift in the current culture of health care.…”
Section: Recommendationsmentioning
confidence: 99%