Читать книгу Kelly Vana's Nursing Leadership and Management - Группа авторов - Страница 264

The just culture model requires leadership competencies to manage behavioral choices. The Just Culture recognizes that many errors result from interactions between humans and the systems in which they work. Nurses and other clinicians should not be held accountable for system failings over which they have no control. Discipline should be tied to the behavior of individuals and the riskiness of their behavior, not only to the actual outcome of their actions (Marx, 2001). Nurse leaders must appropriately hold individuals accountable for their behaviors and investigate the behaviors that led to the error.

Building and reinforcing accountability is part of managing behavioral choices. Nurse leaders must set clear behavioral expectations, educate staff, and build staff skills. Everyone within the organization must be educated on these expectations. Nurse leaders must recognize that three types of accountability exist: vertical, horizontal, and intrinsic accountability.