title: Facilitating a just and trusting culture.
abstract: OBJECTIVE
  The purpose of this paper is to identify managerial and organizational characteristics and behaviors that facilitate the fostering of a just and trusting culture within the healthcare system.
  
  
  METHODS
  Two studies were conducted. The initial qualitative one was used to identify themes based on interviews with health care workers that facilitate a just and trusting culture. The quantitative one used a policy-capturing design to determine which factors were most likely to predict outcomes of manager and organizational trust.
  
  
  RESULTS
  The factors of violation type (ability vs integrity), providing an explanation or not, blame vs no blame by manager, and blame vs no blame by organization were all significant predictors of perceptions of trust.
  
  
  CONCLUSIONS
  Limitations to the generalizability of findings included both a small and non-representative sample from one health care region.
  
  
  CONCLUSIONS
  The present findings can be useful in developing training systems for managers and organizational executive teams for managing medical error events in a manner that will help develop a just and trusting culture.
  
  
  CONCLUSIONS
  A just and trusting culture should enhance the likelihood of reporting medical errors. Improved reporting, in turn, should enhance patient safety.
  
  
  CONCLUSIONS
  This is the first field study experimentally manipulating aspects of organizational trust within the health care sector. The use of policy-capturing is a unique feature that sheds light into the decision-making of health care workers as to the efficaciousness of particular managerial and organizational characteristics that impact a just and trusting culture.
authors: Department of Psychology, University of Calgary, Calgary, Canada.
authors: Jill
authors: J
authors: Pattison
authors: Theresa
authors: T
authors: Kline
mesh_terms: D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000458:organization & administration*; D004282:Documentation; D005260:Female; D006270:Health Facility Administrators / Q000523:psychology*; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D015279:Organizational Culture; D061214:Patient Safety; D057766:Policy; D011787:Quality of Health Care; D035502:Trust
keywords: Incident reporting; Organizational culture; Patient safety