Developing Successful Culture Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to developing successful culture and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves developing successful culture. A strong answer should include explanation, application, and examples.

Original Question

Developing a successful culture of safety at the point of care is accomplished through staff members working within the elements of an effective safety culture. Two units decided to create a safety culture. One unit cares for patients with complex gastrointestinal (GI) issues and patients requiring colorectal, gynecological, and urological surgery. The other unit cares for patients who are listed for or have had kidney, liver, or small bowel transplants and patients who have had bariatric or other complex surgical procedures. The nurse leader supports the culture by implementing a healthy work environment where there is a commitment of leadership to safety, all employees are empowered and engaging in ongoing vigilance, and there is an organizational learning from near misses (precursor events). On one unit, the nurse leader implemented the following high-reliability processes: Organizational safety brief Rounding to influence Unit huddles Charge nurse huddles (flow, staffing, safety issues) Senior leader walks rounds Medical response team Safety team Interdisciplinary shared governance Improvement science training Rapid cycle improvement collaborative Crucial conversations training Safety coach training How did the nurse leader put it together? One example is a standardized shift huddle at 7am and 7pm for about 5 minutes that includes reviewing the state of the unit, which addresses a review of safety data, status (census, watchers, staffing), a look ahead (admits, discharges, potential problems, regulatory visitors), a look back (any concerns from the prior shift), and tracking safety issues. Another example is standardization of the shift report, including in-room safety checks, introduction, checking the patient’s ID bracelet, review of fluids and medications, emergency equipment, and review and edit of the patient plan of care.

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