title: Moving from a culture of blame to a culture of safety in the nursing home setting.
abstract: OBJECTIVE
  A culture of safety.
  
  
  OBJECTIVE
  To explore the current culture of blame and what organizational elements must be impacted to move toward a culture of safety in the nursing home setting.
  
  
  METHODS
  A mixed-method approach incorporating a case study and staff member survey results were used to explicate the organizational elements impacting the current nursing home culture.
  
  
  CONCLUSIONS
  Nurse leaders can create an environment in which every member of the team feels a responsibility and an ability to insure that residents are safe by improving communication and participation in decision making.
authors.affiliation: University of Missouri-Columbia, Sinclair School of Nursing, Columbia, MO, USA. scottji@missouri.edu
authors.forename: Jill
authors.initials: J
authors.lastname: Scott-Cawiezell
authors.forename: Amy
authors.initials: A
authors.lastname: Vogelsmeier
authors.forename: Charlotte
authors.initials: C
authors.lastname: McKenney
authors.forename: Marilyn
authors.initials: M
authors.lastname: Rantz
authors.forename: Lanis
authors.initials: L
authors.lastname: Hicks
authors.forename: Dave
authors.initials: D
authors.lastname: Zellmer
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D004647:Employee Discipline; D005239:Fear; D006272:Health Facility Environment / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D008508:Medication Errors / Q000451:nursing / Q000517:prevention & control* / Q000523:psychology; D009718:Nurse Administrators / Q000458:organization & administration* / Q000523:psychology; D015403:Nursing Evaluation Research; D009735:Nursing Homes / Q000458:organization & administration*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D019982:Organizational Case Studies; D015279:Organizational Culture; D009936:Organizational Innovation; D017751:Safety Management / Q000458:organization & administration*; D012933:Social Identification; D017749:Total Quality Management / Q000458:organization & administration