Concept Analysis: Just Culture

Title: Concept Analysis: Just CultureBackground: Traditionally, healthcare’s culture has held individuals accountable for all errors or mishaps that befall patients under their care. This punitive approach creates the culture of fear among practitioners that withheld information that is needed to identify faulty systems and create safer ones. As an alternative to this traditional system, application of a model which is widely used in aviation industry known as the Just Culture Model seeks to create an environment that encourages individuals to report mistakes so that the precursors to errors can be better understood in order to fix the system issues (ANA, 2010). Methods: This concept analysis that utilized the Walker and Avant method aims to (a) observe the basic elements of the concept under study i.e., defining attributes, antecedents, consequences and empirical referents; (b) develop an operational definition that is meaningful across different discipline and participants that can be easily understood and useful across research, policy and practice; and (c) highlight implications for research of the future.Results: Defining Attributes: According to this analysis, the occurrence of a just culture environment involves three main features which include (a) encouragement of error disclosure through open communication; (b) a well-established balanced accountability; and (c) a collaborative learning environment. These attributes reinforces the implicit claim of just culture that it is inevitable for practitioners to commit mistakes that even the most experienced individual is capable of making mistakes. It is also implied in just culture that punishment is not an assurance that workers will not be making mistakes and that perfecting a performance is impossible and can never be sustained.Conclusion:    Based on the attributes extracted by this concept analysis, just culture is hereby operationally defined as an environment that reflects a well-established balance accountability supporting collaborative learning that stems from the encouragement of error-disclosure attained through open communication. Having the concept operationally defined and despite the recognized importance of a just culture, not every healthcare institution has adopted this type of approach. Keyword: concept analysis, just culture, nursing practice, nursing educatio

Rethinking Criminal Law and Family Status

In our recent book, Privilege or Punish: Criminal Justice and the Challenge of Family Ties (OUP 2009), we examined and critiqued a number of ways in which the criminal justice system uses family status to distribute benefits or burdens to defendants. In their review essays, Professors Alafair Burke, Alice Ristroph & Melissa Murray identify a series of concerns with the framework we offer policymakers to analyze these family ties benefits or burdens. We think it worthwhile not only to clarify where those challenges rest on misunderstandings or confusions about the central features of our views, but also to show the deficiencies of the proposed alternatives. While we appreciate and admire the efforts of our critics to advance this important conversation, we hope this Essay will illuminate why the normative framework of Privilege or Punish remains a more helpful structure to policymakers assessing how family status should intersect with the criminal law within a liberal democracy such as our own

Enhancing the role of the voluntary and community sector - a case study of the Yorkshire and Humber Region

This report was commissioned by the Chief Executive of the National Offender Management Service (NOMS) to evaluate at ground level, using the Yorkshire and Humberside region as a case study, what is currently being achieved by the Prison and Probation Services in working with the Voluntary and Community Sector (VCS); and to identify and provide analysis of perceived barriers and make recommendations to improve the engagement of the sector

An Independent Evaluation of the Strategic Legal Fund for Vulnerable Young Migrants

The Strategic Legal Fund for Vulnerable Young Migrants1 (SLF) was set up by the Diana Princess of Wales Memorial Fund (DPOWMF) in 2011. When the Diana Fund closed down in late 2012, Trust for London agreed to take over the hosting of the SLF and provided additional funding with Esmée Fairbairn Foundation for a second phase (December 2012 to March 2014 initially, though this has now been extended).In 2012 an interim evaluation of the SLF concluded that it was achieving results, and suggested some changes of focus and operation for the future. One year on, the purpose of this further evaluation is: a. to identify the full range of outcomes, benefits and changes to which the SLF project has contributed in order to understand the value of what has been funded to date. b. to help Trust for London, Esmée Fairbairn Foundation and other potential funders discuss and decide if and how they want to take forward the funding of strategic legal work on migration issues in the current climate. c. to take stock of the model being used to identify, assess, support and review SLF grants and learn lessons about this which can: i) help improve current ways of working; ii) enable decisions about how such a fund should be administered in the future. d. to stimulate discussions about the potential use of such a model in funding strategic legal work in other areas of law

Above the Law: The Prosecutor\u27s Duty to Seek Justice and the Performance of Substantial Assistance Agreements

We study the gravitational-wave (GW) signatures of clouds of ultralight bosons around black holes (BHs) in binary inspirals. These clouds, which are formed via superradiance instabilities for rapidly rotating BHs, produce distinct effects in the population of BH masses and spins, and, for real fields, a continuous monochromatic GW signal. We show that the presence of a binary companion greatly enriches the dynamical evolution of the system, most remarkably through the existence of resonant transitions between the growing and decaying modes of the cloud (analogous to Rabi oscillations in atomic physics). These resonances have rich phenomenological implications for current and future GW detectors. Notably, the amplitude of the GW signal from the clouds may be reduced, and in many cases terminated, much before the binary merger. The presence of a boson cloud can also be revealed in the GW signal from the binary through the imprint of finite-size effects, such as spin-induced multipole moments and tidal Love numbers. The time dependence of the cloud's energy density during the resonance leads to a sharp feature, or at least attenuation, in the contribution from the finite-size terms to the waveforms. The observation of these effects would constrain the properties of putative ultralight bosons through precision GW data, offering new probes of physics beyond the Standard Model