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PSNet: Patient Safety Network
Journal Article
Study

Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations.

Okpala P. Int J Healthc Manage. 2020;13(S1):199-205.

A just culture must balance organizational context with appropriate accountability after an error. The authors analyzed findings from 21 studies and found that blame culture negatively affects nurses’ willingness to report errors, leads to increased nurse turnover, and causes psychological stress and trauma among nurses. The authors suggest that medical errors and accidents be addressed from an organizational context with a commitment-based management approach. The authors suggest that medical errors and accidents be addressed from an organizational context with a commitment-based management approach.