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Just Culture: The Foundation of Staff Safety in the Perioperative Environment
Author(s) -
Fencl Jennifer L.,
Willoughby Carrie,
Jackson Katrina
Publication year - 2021
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1002/aorn.13352
Subject(s) - organizational culture , foundation (evidence) , safety culture , variety (cybernetics) , perioperative nursing , patient safety , perioperative , public relations , empowerment , health care , nursing , business , medicine , management , political science , computer science , surgery , artificial intelligence , law , economics
In today’s perioperative setting, staff members are potentially exposed to a variety of safety and environmental concerns. As health care organizations implement measures to provide safe environments for perioperative team members, organizational leaders must pivot away from antiquated mindsets and responses and other hierarchical models of leadership. Foundational to creating and fostering safe environments is providing an atmosphere in which staff members, regardless of their role, are empowered to speak up for safety. This article defines a just culture; explores the critical elements of a just culture, including psychological safety, leader and staff member responsibilities, and staff member empowerment; and provides tools and resources that may be beneficial for leaders who are creating a just culture for staff safety in the perioperative setting.