Author Question: The staff development trainer is preparing a seminar to review the concepts of a just culture, which ... (Read 38 times)

jwb375 · **on:** Jun 25, 2018

The staff development trainer is preparing a seminar to review the concepts of a just culture, which is being implemented in the organization. Which elements are integral when training on this content? Select all that apply.

A) Managers providing feedback to staff regarding actions
B) Proactive environment that supports employee involvement in decision making
C) Supports learning
D) Examines system failures when an adverse event occurs
E) Nurse accountability for actions

Question 2

During an assessment of a child in the urgent care clinic, the nurse notes that the child has a swollen and split lip. When asking the parent how the child's lip injury occurred, the parent responds, We are here for my child's ear not my child's lip

Which is the rationale for reporting this incident?
A) The child reports that a parent caused the injury.
B) The lip injury is unrelated to the ear infection.
C) The nurse can be sued if there is no abuse.
D) Suspected abuse must be reported.

bdobbins · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C, D, E

Just culture is a proactive environment that supports employee involvement in decision making, supports learning, and examines what systems failed when an error or adverse event occurs. Nurses remain accountable for their own actions and are expected to provide constructive feedback to their peers. The nurse manager is not expected to provide feedback to staff regarding actions that may have led to an adverse event.

Answer to Question 2

Answer: D

Suspected child abuse must be reported by law. Healthcare personnel are protected by good faith immunity because the ultimate goal is the protection of the child. The lip injury being unrelated to the ear infection is not a reason to report the injury. Most children will not accuse an abuser; rather, they generally protect the abuser. The reason for the law is that experts can assess the situation and determine if abuse has occurred. The nurse is protected by good faith immunity.