Nursing Professional Development Certification (NPD-BC) Practice Exam

In a just culture, how should a nurse be responded to if they commit a medication error because they know the patient?

1. Suspending the nurse

2. Taking no action

3. Coaching the nurse and reviewing procedures

4. Recommending their release for dangerous behavior

The correct answer is: Coaching the nurse and reviewing procedures

In a just culture, the focus is on learning and improving systems rather than assigning blame or punishment for errors. When a nurse commits a medication error, especially one that is known to involve a personal connection to the patient, it is crucial to assess the situation in a supportive and constructive manner. Coaching the nurse and reviewing procedures is aligned with the principles of a just culture, which emphasizes understanding the factors that contributed to the error. This option encourages the nurse to reflect on the situation, promotes accountability, and allows for constructive discussion about safe practices and the importance of adhering to guidelines, regardless of personal relationships with patients. Through coaching, the nurse can gain insights into the circumstances that led to the error, reinforcing the importance of protocols and procedures in providing safe care. This process not only helps the individual nurse learn from the experience but can also lead to improvements in the healthcare system's practices overall. This approach differs significantly from punitive measures, such as suspension or release, which can create an environment of fear or defensiveness, inhibiting open communication and the willingness to report errors. In a just culture, the goal is to cultivate a culture of safety where staff can learn from mistakes and enhance patient care without fear of retribution.