ArticleBMC nursing2025
Just culture and its influence on nurse interns' willingness to report near-miss events: a cross-sectional study in five Egyptian university hospitals.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Chronic Obstructive Pulmonary Disease Care Preparedness Among Nursing Interns in Egypt: A Cross-Sectional Comparative Study.Healthcare (Basel, Switzerland) · 2026Article
- Article
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Authors and funding
3 authors.
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Abstract
backgroundNear-miss incidents represent critical learning opportunities in healthcare, yet they are frequently underreported due to fear of blame and lack of organizational support. A Just Culture framework promotes fairness, trust, and learning from errors, which may encourage voluntary reporting, especially among nurse interns in high-stakes clinical environments.
aimTo assess the perception of Just Culture among nurse interns and examine its influence on their willingness to report near-miss events in governmental university hospitals in Egypt.
methodsA cross-sectional analytical study was conducted among 163 nurse interns (sampling frame N = 264) using systematic random sampling across five university hospitals in Cairo, Egypt. Data were collected between March and April 2025 using a self-administered questionnaire comprising the Just Culture Assessment Tool (JCAT) and a researcher-developed Willingness to Report Near-Miss Scale. Data analysis included descriptive statistics, correlation analysis, and multiple linear regression.
resultsThe mean Just Culture score was 3.6 (SD = 0.5), while the mean willingness to report near-miss events was 3.6 (SD = 0.5). Significant positive correlations were observed between Just Culture dimensions (trust, feedback, openness, balance, and continuous improvement) and willingness subdomains (awareness, skills, attitude, behavior) (p < 0.001). Regression analysis indicated that Just Culture score (B = 0.70, β = 0.67, p < 0.001) was the strongest predictor of willingness to report, explaining 55% of the variance.
conclusionA supportive Just Culture significantly enhances nurse interns' willingness to report near-miss events. Strengthening institutional safety culture through leadership, training, and non-punitive policies is essential to fostering early-career nurses' engagement in safety reporting.
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