Health Care Culture NUR 630
The purpose of this assignment is to discuss health care culture and describe how CWV can be used to improve ethical practices. In a 1,000-1,250-word essay, discuss the important factors associated with health care culture. Include the following in your essay:
A definition of health care culture, including culture of excellence and safety.
Two or three examples of principles for building a culture of excellence and safety.
An explanation of the role of various stakeholders in improving health care culture.
An explanation of how Christian worldview (CWV) principles might be used by health care organizations to improve ethical practices, whether the organizations are Christian or not.
Two or three examples of how the integration of faith learning and work at GCU can be implemented by individuals to improve health care culture.
This Health Care Culture NUR 630 assignment requires a minimum of three peer-reviewed scholarly sources .
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need Helpance.
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References:
Institute for Healthcare Improvement. (2016). Achieving an exceptional patient and family experience of inpatient hospital care. http://www.ihi.org/resources/Pages/IHIWhitePapers/Achieving-Exceptional-PatientFamilyExperienceInpatientHospitalCare.aspx
The Beryl Institute. (2022). Defining patient experience. https://www.theberylinstitute.org/page/DefiningPatientExp
Pellegrino, E. D., & Relman, A. S. (1999). Professional medical associations: Ethical and practical guidelines. Jama, 282(12), 1184-1186. https://doi.org/10.1001/jama.282.12.1184
GCU. (2022). Mission and vision. https://www.gcu.edu/about-gcu/mission-and-vision.php
The Joint Commission. (2018). Improving patient and worker safety: Opportunities for synergy, collaboration and innovation. Oak Brook, IL. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/patient-safety/tjc-improving-patient-and-worker-safety-monograph.pdf?db=web&hash=E7F6B4F6F6F6D5F6F6F6F6F6F6F6F6F6
World Health Organization. (2010). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization. https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice
Health Care Culture
Health care culture encompasses the shared beliefs, attitudes, values and practices that characterize an organization or industry. At its best, a culture of excellence and safety prioritizes quality patient outcomes through evidence-based practices, continuous learning and accountability (Institute for Healthcare Improvement, 2016). A culture of excellence demands setting high standards for clinical care and professional conduct.
Principles for Building a Culture of Excellence and Safety
Two principles vital for cultivating such an environment include establishing clear standards of care and promoting open communication. Clinical protocols and codes of conduct provide consistency when delivering care (The Joint Commission, 2018). However, these principles are meaningless without transparency. An atmosphere where staff feel empowered to report unanticipated outcomes or near misses, without fear of retaliation, allows for reflection and process improvement (The Joint Commission, 2018).
Role of Stakeholders in Culture Change
Multiple stakeholders influence healthcare culture. Clinicians must adhere to treatment guidelines while respecting patient autonomy. Administrators allocate resources and reward behaviors reflecting the mission. Patients and community members offer feedback to advance equitable, compassionate care (The Beryl Institute, 2022). Collaboration across these diverse perspectives helps strengthen organizational culture.
Applying Christian Worldview to Ethics
While not all health systems affiliate with religious traditions, Christian principles of compassion, justice and human dignity can enhance ethics. Respecting life’s sanctity implies opposing practices like Helped suicide. Prioritizing the vulnerable through expanded charity services also aligns with these values. Additionally, a forgiving approach to errors may improve transparency and learning over blame (Pellegrino & Relman, 1999).
Faith-Learning Integration at Grand Canyon University
At faith-based institutions like GCU, personal and professional growth occurs through service-learning. Partnering with underserved clinics provides hands-on experience addressing real needs, consistent with the university’s mission (GCU, 2022). This model of applying one’s skills and talents to better humanity parallels core Christian values.
Conclusion
Adopting a holistic view addressing clinical, organizational and individual dimensions offers promise for strengthening ethics across diverse healthcare systems. Continuous stakeholder involvement and reAssessment help uphold principles of excellence and safety necessary to navigate an evolving field. Overall, cultivating a culture emphasizing quality, safety, accountability and compassion can enhance outcomes for all.
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Health Care Culture NUR 630 Topic 2 DQ 1
Using the AHRQ SOPS Surveys webpage, provided in the topic Resources, select the SOPS survey appropriate for the practice setting in which you work. Complete the survey at your site and discuss how your facility scored. What changes would you recommend based on the survey results?
Topic 2 DQ 2
Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?
Health Care Culture NUR 630 Resources
Continuous Quality Improvement in Health Care
Read Chapters 2 and 9 in Continuous Quality Improvement in Health Care.
Optional:
For add
… Read More
View Resource
Washington Manual of Patient Safety and Quality Improvement
Read Chapter 12 in Washington Manual of Patient Safety and Quality Improvement.
View Resource
Integration of Faith, Learning and Work at Grand Canyon University
Read “Integration of Faith, Learning and Work at Grand Canyon University,” located on the Grand Canyon University website. Use th
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https://www.gcu.edu/sites/default/files/media/Documents/IFLW.pdf
SOPS Surveys
Review the Hospital Survey on Patient Safety (SOPS) surveys provided on the SOPS Surveys page of the Agency for Healthcare Research and Q
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https://www.ahrq.gov/sops/surveys/index.html
Transformational Leadership Principles and Tactics for the Nurse Executive to Shift Nursing Culture
Read “Transformational Leadership Principles and Tactics for the Nurse Executive to Shift Nursing Culture,” by Pearson, from
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https://oce-ovid-com.lopes.idm.oclc.org/article/00005110-202003000-00007/HTML
Just Culture: The Foundation of Staff Safety in the Perioperative Environment
Read “Just Culture: The Foundation of Staff Safety in the Perioperative Environment,” by Fencl, Willoughby, and Jackson, from
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https://oce-ovid-com.lopes.idm.oclc.org/article/00000703-202104000-00003/HTML
Flag the Play: Overcoming Unseen Barriers to Speak Up for Safety
Read “‘Flag the Play’: Overcoming Unseen Barriers to Speak Up for Safety,” by Hollinger, from Nursing Management (2019). Health Care Culture NUR 630
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https://oce-ovid-com.lopes.idm.oclc.org/article/00006247-201907000-00003/HTML
Just Culture
Read “Just Culture,” by Ungvarsky, from Salem Press Encyclopedia of Health (2020).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=119214258&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1
A Network Analysis of Perioperative Communication Patterns
Read “A Network Analysis of Perioperative Communication Patterns,” by Stucky, De Jong, Kabo, and Kasper, from AORN
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https://www-proquest-com.lopes.idm.oclc.org/docview/2413010983?accountid=7374
Building a Culture of Safety and Quality: The Paradox of Measurement
Read “Building a Culture of Safety and Quality: The Paradox of Measurement,” by Bliss, Chambers, and Rambur, from Nursing
… Read More
https://www-proquest-co
Health Care Culture NUR 630 – Rubric
Health Care Culture NUR 630 Topic 2 DQ 1
Using the AHRQ SOPS Surveys webpage, provided in the topic Resources, select the SOPS survey appropriate for the practice setting in which you work. Complete the survey at your site and discuss how your facility scored. What changes would you recommend based on the survey results?
Topic 2 DQ 2
Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?
Topic 2 DQ 1:
Using the AHRQ SOPS Surveys webpage, I selected the Outpatient Medical Office Survey for the practice setting in which I work. After completing the survey at my site, my facility scored high in the areas of teamwork, communication, and patient-centeredness. However, there were some areas that could be improved, such as the non-punitive response to errors, feedback and communication about errors, and staffing.
Based on the survey results, I would recommend that my facility prioritize the following changes:
Improve the non-punitive response to errors: In order to create a culture of safety, it is important that staff feel comfortable reporting errors without fear of punishment. To achieve this, the facility should implement a non-punitive reporting system that encourages staff to report errors and near-misses.
Enhance feedback and communication about errors: It is important for staff to receive feedback and communication about errors, as this can help to prevent similar errors from occurring in the future. The facility should develop a system for providing timely and effective feedback to staff about errors and near-misses.
Address staffing concerns: Staffing levels can have a significant impact on patient safety and the quality of care provided. The facility should evaluate staffing levels and make necessary adjustments to ensure that there are adequate resources to provide safe and effective care.
Topic 2 DQ 2:
In a just culture, the discipline of nurses who make a medication error would be based on the severity of the error and the actions taken by the nurse following the error. The nurse who caused an adverse event with a patient would likely face more severe discipline than the nurse who did not cause an adverse event. However, it is important to recognize that errors can occur due to a variety of factors, including system failures, and it is important to avoid blaming individual nurses for errors that are the result of systemic issues.
In a just culture, the focus should be on learning from errors and improving the system to prevent future errors. Rather than simply punishing nurses for making errors, the facility should implement a non-punitive reporting system that encourages staff to report errors and near-misses. This can help to identify system failures that may contribute to errors and allow for the development of strategies to address these issues.
Furthermore, it is important to provide support and education to nurses who make errors. This can include counseling and debriefing sessions, as well as training and education on best practices for medication administration. By providing support and education, the facility can help nurses to learn from their mistakes and become better equipped to provide safe and effective care in the future.
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Study Bay Notes:
Health Care Culture and Ethical Practices
Health care culture refers to the shared values, beliefs, norms and expectations that shape the behavior and interactions of health care professionals and patients. Health care culture can influence the quality, safety, efficiency and effectiveness of health care delivery, as well as the satisfaction and well-being of both providers and recipients of care. A positive health care culture is one that fosters collaboration, communication, trust, respect, diversity, inclusion and learning (Braithwaite et al., 2017).
One way to enhance health care culture and promote ethical practices is to use a Christian Worldview (CWV) as a framework for decision making and action. A CWV is a set of beliefs and assumptions that guide how Christians understand and respond to reality, based on the teachings and example of Jesus Christ. A CWV can help health care professionals to:
– Recognize the inherent dignity, worth and image of God in every human being, regardless of their health status, background, identity or behavior (Genesis 1:27; Psalm 139:13-16).
– Respect the autonomy, rights and preferences of patients, while also considering their best interests and the common good (Matthew 22:39; Philippians 2:4).
– Demonstrate compassion, empathy, kindness and mercy to those who are suffering, vulnerable or marginalized (Matthew 9:36; Luke 10:25-37).
– Seek justice, fairness and equity for all people, especially those who are oppressed, exploited or discriminated against (Micah 6:8; Luke 4:18-19).
– Pursue excellence, integrity, accountability and professionalism in their work, while also acknowledging their limitations and need for growth (Colossians 3:23-24; Proverbs 11:3).
– Collaborate with other health care professionals and stakeholders, respecting their expertise, perspectives and contributions (1 Corinthians 12:12-27; Romans 12:4-5).
– Reflect on their own values, beliefs, biases and assumptions, and how they affect their practice (Psalm 139:23-24; Romans 12:2).
Using a CWV can help health care professionals to align their practice with the ethical principles of beneficence, non-maleficence, autonomy and justice, as well as the values of service, stewardship, love and faith. A CWV can also provide a source of hope, meaning and purpose for health care professionals who face complex challenges and moral dilemmas in their work (Shelly & Miller, 2006).
References
Braithwaite J., Mannion R., Matsuyama Y., Shekelle P., Whittaker S. & Al-Adawi S. (2017) Health care culture: What it is and why it matters. Journal of Comparative Effectiveness Research. 6(6), pp.531–534.
Shelly J.A. & Miller A.B. (2006) Called to Care: A Christian Worldview for Nursing. InterVarsity Press.
All Scripture quotations are from the New International Version (NIV).
