Evidence map›Paper›PMID 37173096›Full record

ReviewBMJ open quality2023

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.

John S Murray, Jonathan Lee, Stacey Larson, Amy Range, Donald Scott, Joan Clifford

Abstract readReview
In one paragraph

Review in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Review
  3. The Limbic Brain, Moral Distress and Ethical Decision-Making in Nursing Practice.Nursing philosophy : an international journal for healthcare professionals · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Establishing a Just Culture: Implications for the Veterans Health Administration Journey to High Reliability.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

John S MurrayHRO Support, Cognosante LLC, Falls Church, Virginia, USA jmurray325@aol.com.
Jonathan LeeVeterans Health Administration, Bedford, Massachusetts, USA.
Stacey LarsonVeterans Health Administration, Bedford, Massachusetts, USA.
Amy RangeVeterans Health Administration, Bedford, Massachusetts, USA.
Donald ScottVeterans Health Administration, Bedford, Massachusetts, USA.
Joan CliffordVeterans Health Administration, Bedford, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify requirements for implementing a 'just culture' within healthcare organisations.

methodsUsing Whittemore and Knafl's methodology for integrative reviews, we searched PubMed, PsychInfo, Cumulative Index of Nursing and Allied Health Literature, ScienceDirect, Cochrane Library and ProQuest Dissertations and Theses. Publications were considered eligible when reporting requirements for implementing a 'just culture' within healthcare organisations.

resultsAfter screening for inclusion and exclusion criteria, 16 publications were included in the final review. Four main themes were identified: leadership commitment, education and training, accountability and open communication.

conclusionThe themes identified in this integrative review provide some insight into the requirements for implementing a 'just culture' within healthcare organisations. To date, most of the published literature on 'just culture' is theoretical in nature. Additional efforts are needed to conduct research to explore further what requirements must be addressed in order to successfully implement a 'just culture' which is needed to promote and sustain a culture of safety.

Indexed as

CommunicationLeadershipDelivery of Health CareHumansHarm ReductionOrganizational CulturePatient safety

Identifiers

PMID37173096
PMCPMC10186448

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.