Effect of Just Culture on Nurses’ Willingness to Report Medication Errors

E. El-Gazar, Heba; A. Zoromba, Mohamed; Shawer, Mona; D. Abousoliman, Ali

doi:10.21608/ejhc.2020.255687

Effect of Just Culture on Nurses’ Willingness to Report Medication Errors

Document Type : Original Article

Authors

¹ Lecturer of Nursing Administration, Faculty of Nursing, Port Said University, Egypt

² Lecturer of Psychiatric Nursing and Mental Health, Faculty of Nursing, Mansoura University, Egypt

³ Teacher in High Institution of Nursing, Mansoura, Egypt

⁴ Lecturer of Nursing Administration, Faculty of Nursing, Kafrelsheikh University, Egypt

10.21608/ejhc.2020.255687

Abstract

Background: Medication error reporting is a critical healthcare issue globally. Although research
has established that a just culture is beneficial for raising safety in health care settings, it’s less clear
whether a hospital’s just culture can boost nurses’ willingness to report their own medication errors.
Aim: This study aims to explore the effect of the hospital’s just culture on nurses’ willingness to
report their own medication errors. Methods: A quantitative, cross-sectional, descriptive, and
correlational study design was adopted. A sample of 378 clinical nurses employed in Port Said,
Egypt, completed measures of the perceived just culture and willingness to report their own medication
errors. Data were analyzed using descriptive statistics, point-biserial correlations, and logistic
regression. Results: Nurses perceived their hospitals with a low level of just culture, and 55.8% of
them were unwilling to report their medication errors. Logistic regression revealed that perceived
hospital just culture among nurses increased significantly the odds of nurses’ willingness to report
their medication errors by 10.7%. Conclusion: Hospitals adopting the just culture boost their nurses’
willingness to report their medication errors. Recommendations: Hospital managers at all levels
should adopt just culture and implement all of its dimensions as a strategy to encourage nurses to
report their medication errors. In addition, nursing scholars should take the responsibility to
disseminate the just culture concept in hospitals through workshops, seminars, and educational
studies to increase awareness of the just culture concept.

Keywords