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Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.在医疗保健组织中实施“公正文化”的要求:综合审查。
BMJ Open Qual. 2023 May;12(2). doi: 10.1136/bmjoq-2022-002237.
3
How effectively has a Just Culture been adopted? A qualitative study to analyse the attitudes and behaviours of clinicians and managers to clinical incident management within an NHS Hospital Trust and identify enablers and barriers to achieving a Just Culture.“公正文化”的实施效果如何?本研究通过定性分析 NHS 医院信托中临床医生和管理人员对临床事件管理的态度和行为,旨在识别实现“公正文化”的促进因素和障碍因素。
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9
Just culture in healthcare: An integrative review.医疗保健中的公正文化:综合述评。
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恢复性公正文化:对成功实施的促成条件的探索

Restorative Just Culture: An Exploration of the Enabling Conditions for Successful Implementation.

作者信息

Boskeljon-Horst Leonie, Steinmetz Vincent, Dekker Sidney

机构信息

Netherlands Defence Academy, Isaac Delprat Paviljoen, Hogeschoollaan 2, 4818 BB Breda, The Netherlands.

Voqx-Innovative Safety, Willem van Oranjelaan 21, 1412 GJ Naarden, The Netherlands.

出版信息

Healthcare (Basel). 2024 Oct 15;12(20):2046. doi: 10.3390/healthcare12202046.

DOI:10.3390/healthcare12202046
PMID:39451461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11507443/
Abstract

BACKGROUND/OBJECTIVES: Restorative responses to staff involved in incidents are becoming recognized as a rigorous and constructive alternative to retributive forms of 'just culture'. However, actually achieving restoration in mostly retributive working environments can be quite difficult. The conditions for the fair and successful application of restorative practices have not yet been established. In this article, we explore possible commonalities in the conditions for success across multiple cases and industries.

METHODS

In an exploratory review we analysed published and unpublished cases to discover enabling conditions.

RESULTS

We found eight enabling conditions-leadership response, leadership expectations, perspective of leadership, 'tough on content, soft on relationships', public and media attention, regulatory or judicial attention to the incident, second victim acknowledgement, and possible full-disclosure setting-whose absence or presence either hampered or fostered a restorative response.

CONCLUSIONS

The enabling conditions seemed to coagulate around leadership qualities, media and judicial attention resulting in leadership apprehension or unease linked to their political room for maneuver in the wake of an incident, and the engagement of the 'second victim'. These three categories can possibly form a frame within which the application of restorative justice can have a sustainable effect. Follow-up research is needed to test this hypothesis.

摘要

背景/目标:对涉及事件的员工采取恢复性措施,正被视为一种严格且具建设性的方式,可替代“公正文化”中的惩罚性形式。然而,在多数惩罚性的工作环境中切实实现恢复性措施可能相当困难。恢复性实践公平且成功应用的条件尚未确立。在本文中,我们探究多个案例和行业中成功条件的可能共性。

方法

在一项探索性综述中,我们分析已发表和未发表的案例以发现促成条件。

结果

我们发现了八个促成条件——领导回应、领导期望、领导视角、“对事严格,对人宽容”、公众和媒体关注、监管或司法对事件的关注、对“第二受害者”的认可,以及可能的全面披露环境——其存在与否要么阻碍要么促进恢复性回应。

结论

促成条件似乎集中在领导素质、媒体和司法关注上,这导致领导在事件发生后因政治回旋空间而产生担忧或不安,以及“第二受害者”的参与。这三个类别可能构成一个框架,在其中恢复性司法的应用能够产生可持续的效果。需要后续研究来检验这一假设。