Episode 246: Create a Culture of Safety: Fair and Just Culture The Oncology Nursing Podcast

“I love the motto, ‘If you see a problem, you can solve a problem.’ So, no matter what level you fall on on the clinical ladder or within your administration, you always have the opportunity to promote and create positive change and do that with the leadership support,” ONS member Klara Culmone, MSN, RN, OCN®, assistant nurse manager at the Laura and Isaac Perlmutter Cancer Center at NYU Langone Health, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a discussion about the factors involved in creating a fair and just culture. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below. This episode is part of a series on creating a culture of safety, we’ll add a link to future episodes in the episode notes after the next episode airs.
Music Credit: “Fireflies and Stardust” by Kevin MacLeod
Licensed under Creative Commons by Attribution 3.0
Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by February 10, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation.
Learning outcome: The learner will report an increase in knowledge related to creating a just and fair culture.
Episode Notes
Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 231: Nurses Thrive in a Healthy Work Culture ONS Voice resources: Culture of safety topic tag Licensure, Scope of Practice, and Reporting: Every Nurse’s Essential Responsibilities Under the Nightingale Pledge Clinical Journal of Oncology Nursing articles: Vaught’s Single Story and Health Care’s Culture of Safety Improving Patient Safety With Error Identification in Chemotherapy Orders by Verification Nurses Kulmone’s 2022 ONS Congress® poster: Promoting a Culture of Safety: High Reliability at an Ambulatory Oncology Infusion Center ONS book: Scope and Standards of Oncology Nursing Practice ONS clinical practice resource: Recognize It; Report It Learn more about the Swiss cheese model. The Joint Commission The Essential Role of Leadership in Developing a Safety Culture Sentinel Event Alert Newsletters Patient Safety Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities.
To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.
Highlights From Today’s Episode
“A fair and just culture includes encouraging and supporting people to discuss safety-related events or information with one another. This culture really includes a transparent, nonpunitive approach to reporting and learning from adverse events or close calls and even unsafe conditions. The goal is to prevent and minimize events that may cause harm.” Timestamp (TS) 02:15
“Oncology nurses are critical in the establishment of this type of culture. They are leaders and often role models within their institutions. Oncology nurses understand policies, standards of care, and up-to-date evidence-based practice. Being on the front lines, oncology nurses see how these three things can come together and directly affect our patients and also the work environment. This global understanding positions the oncology nurses to be the liaison between patients, members of the healthcare team, and leadership.” TS 02:43
“In health care, we really need to look at these different safety steps we have in place to prevent patient harm. It’s really important to remind oncology nurses that we report safety events so that we can prevent them from happening again.” TS 12:15
“Leaders need to support a questioning attitude from oncology nurses. They should stop and resolve using thoughtful, two-way questioning.