NUR 630 Health Care Culture Assignment

Health Care Culture

The United States health care system is designed to provide essential services that address the health needs of diverse populations. Achieving this instrumental goal requires health care leaders and staff to ensure high-quality patient care in safe environments consistently. Accordingly, health care organizations should have the right culture that guides and inspires the staff to provide excellence and avoid issues that hamper patient outcomes. The Christian Worldview (CWV) should be integrated into routine practice to ensure nursing professionals adopt admirable individual and team values. The purpose of this paper is to describe health care culture and how to use CWV to improve ethical practices.

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Definition of Health Care Culture

Health care organizations have different visions, missions, and value standards. Irrespective of these differences, the desire to excel in patient care is universal as guided by shared values. From a health dimension, culture is about an organization’s persistent norms, behaviors, and practices (Malik et al., 2021). Accordingly, health care culture is about the behavior patterns and the established practice standards that impact health outcomes. The right culture impacts patients positively and should strive to achieve the best possible patient care. A culture of excellence is primarily about deliberate actions and shared norms that seek high performance and progressive improvement. Such a culture is associated with minimal errors and services consistent with the expected with the expected patient outcomes. A culture of safety recognizes patient safety as a fundamental element in delivering high-quality patient outcomes, prompting implementing practices with the least possible risk (Abdollahi, 2024). The patient is the focus, and nurses and leaders collaborate to ensure a blame-free environment where practices align with the established safety standards.

Examples of How to Build a Culture of Excellence and Safety

Health care organizations build a culture of excellence and safety by consistently adopting appropriate principles. One such principle is evidence-based practice (EBP). In the present nursing practice, EBP advocates for continuous improvements in patient care by integrating scientific evidence into problem-solving (Engle et al., 2021). These improvements enable nurses and organizational leaders to enhance outcomes by addressing excellence and safety issues. An EBP culture recognizes progress and innovative practices and ensures that patient values and preferences are considered when formulating treatment plans.

Besides EBP, open communication is critical to building a culture of excellence and safety. It is the foundation of a just culture, which provides the nursing staff with the necessary psychological safety and empowers them to speak up (Fencl et al., 2021). Such communication allows leaders to address staff well-being problems and medical errors promptly. Adherence to regulatory guidelines is also essential to promote a safety culture in nursing. The American Nurses Association (ANA) and other organizations like the Centers for Medicare & Medicaid Services (CMS) provide the foundational guidelines that health care facilities should follow to optimize safety (ANA Nursing Resources Hub, 2023). Priority areas include documentation, infection control, and proper medication guidelines.

Role of Various Stakeholders in Improving Health Care Culture

Stakeholders collaborate to ensure the high performance of teams and patient satisfaction. Organizational leaders improve health care culture by implementing practices that ensure continuous quality improvement. A suitable practice is progressive performance assessment through Surveys on Patient Safety Culture (SOPS), whose data is used to identify strengths and potential improvement areas (Agency for Healthcare Research and Quality, 2024). Leaders should also embrace transformational leadership to ensure excellence in the evolving care environment. A transformative approach to issues impacts culture and outcomes by ensuring patient care practices support the enculturation of Magnet principles (Pearson, 2020). Accordingly, leaders align the organization’s strategic goals toward high performance and improvements that benefit everyone.

Health care culture improvement also requires the active participation of the nursing staff. As key stakeholders in the health care system, nurses enable continuous improvements in critical areas by embracing change and being routine EBP implementers. Pro-change nurses have a positive attitude to innovation, allowing them to incorporate innovative methods to address safety and performance problems. Such nurses also engage in continuous learning to ensure they are up-to-date with practice changes, health care technologies, and emerging patient needs. Their other professional obligation is timely communication of issues as a just culture recommends.

Using CWV Principles in Health Care Organizations to Improve Ethical Practices

Organizational leaders, nurses, and patients view health care processes differently based on religious values. The Christian worldview in nursing underlines holding to the profession as a calling and seeing a deeper meaning of the challenging work (Biber, 2023). This worldview ensures that nurses consult the scripture as a guide to the deeper meaning that nurses need to be firmly attached to their work. Valuable principles include compassionate care, extending grace, and seeking spiritual support when distressed (Biber, 2023). Health care organizations guided by these principles are in an advanced position to improve their ethical practices since they desire what is best for patients and their staff. Issues that can harm patients are avoided, while compassionate care enables nurses to treat all patients equally (foster justice) and with the deserved dignity. Encouraging and supporting nurses to seek spirituality when overwhelmed is essential for improved health and well-being. Doing so creates a healthy and productive workforce able to align patient care with the beneficence and nonmaleficence principles.

The Integration of Faith, Learning and Work at GCU to Improve Health Care Culture

The integration of faith, learning, and work at GCU is characterized by joining God and the knowledge in the universe to understand and develop meanings of humans and the world. It is a Christian approach to work that instills a sense of vocational calling and work that honors God, serves neighbors, and strives to advance society (Grand Canyon University, n.d.). Individuals can integrate this approach to improve health care culture by implementing interventions that help advance society. A suitable example is tech-driven patient care, which optimizes value and ensures patients participate actively in decision-making. Technologies also advance societies by promoting preventive care and enabling continuous learning of health problems and appropriate intervention measures. The integration of faith, learning, and work can also be implemented by approaching nursing as a calling to serve patients through compassionate care. Nurses serve patients as neighbors to honor God by utilizing their skills/expertise to foster a culture of excellence and safety in caregiving.

Conclusion

The organization’s culture includes shared norms and behaviors that guide health care professionals in daily practice. A culture of safety and excellence is a foundation of high-quality care, patient satisfaction, and a healthy workforce. It ensures that health care facilities invest in systems and values that allow progressive improvements and blame-free environments. Leaders and staff also collaborate to address issues in environments characterized by open communication, evidence-based interventions, and adherence to the established regulatory guidelines.

References

Abdollahi, R. (2024). Patient safety culture can improve the quality of nursing care. Journal of Nursing Reports in Clinical Practice, 1-2. https://doi.org/10.32598/JNRCP.2404.1067

Agency for Healthcare Research and Quality. (2024). SOPS surveys. https://www.ahrq.gov/sops/surveys/index.html

ANA Nursing Resources Hub. (2023). Safety standards every nurse leader needs to know. https://www.nursingworld.org/content-hub/resources/nursing-leadership/safety-in-nursing/

Biber, D. (2023). Persevering in nursing with Godly purpose. Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship, 40(2), E12–E13. https://doi.org/10.1097/CNJ.0000000000001057

Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care: Doing both well. Health Care Management Review, 46(3), 174–184. https://doi.org/10.1097/HMR.0000000000000254

Fencl, J. L., Willoughby, C., & Jackson, K. (2021). Just culture: the foundation of staff safety in the perioperative environment. AORN Journal, 113(4), 329-336. https://doi.org/10.1002/aorn.13352

Grand Canyon University. (n.d.) Integration of faith, learning and work at Grand Canyon University. https://www.gcu.edu/sites/default/files/media/Documents/IFLW.pdf

Malik, R. F., Buljac-Samardžić, M., Amajjar, I., Hilders, C. G., & Scheele, F. (2021). Open organisational culture: what does it entail? Healthcare stakeholders reaching consensus by means of a Delphi technique. BMJ Open, 11(9), e045515. https://doi.org/10.1136/bmjopen-2020-045515

Pearson, M. M. (2020). Transformational leadership principles and tactics for the nurse executive to shift nursing culture. The Journal of Nursing Administration, 50(3), 142–151. https://doi.org/10.1097/NNA.0000000000000858

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Assessment Traits

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Assessment Description

The purpose of this assignment is to discuss health care culture and describe how CWV can be used to improve ethical practices. In a 1,000-1,250-word essay, discuss the important factors associated with health care culture. Include the following in your essay:

A definition of health care culture, including culture of excellence and safety.
Two or three examples of principles for building a culture of excellence and safety.
An explanation of the role of various stakeholders in improving health care culture.
An explanation of how Christian worldview (CWV) principles might be used by health care organizations to improve ethical practices, whether the organizations are Christian or not.
Two or three examples of how the integration of faith learning and work at GCU can be implemented by individuals to improve health care culture.

This assignment requires a minimum of three peer-reviewed scholarly sources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Resources

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Continuous Quality Improvement in Health Care

Required

Read Chapters 2 and 9 in Continuous Quality Improvement in Health Care.

Health Care Culture – Rubric

LISTGRID

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Rubric Criteria

Total100 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Definition of Health Care Culture Definition of Health Care Culture	0 points A definition of health care culture is not present.	8.8 points A definition of health care culture, including culture of excellence and culture of safety is present, but lacks detail or is incomplete.	9.68 points A definition of health care culture, including culture of excellence and culture of safety, is present.	10.12 points A definition of health care culture, including culture of excellence and culture of safety, is present and detailed.	11 points A definition of health care culture, including culture of excellence and culture of safety, is present and thorough.
Examples of How to Build a Culture of Excellence and Culture of Safety Examples of How to Build a Culture of Excellence and Culture of Safety	0 points Two or three examples of how to build a culture of excellence and a culture of safety are not present.	9.6 points Two or three examples of how to build a culture of excellence and a culture of safety are present, but lack details or are incomplete.	10.56 points Two or three examples of how to build a culture of excellence and a culture of safety are present. Some examples are appropriate.	11.04 points Two or three examples of how to build a culture of excellence and a culture of safety are present and detailed. Most examples are appropriate.	12 points Two or three examples of how to build a culture of excellence and a culture of safety are present and thorough. All examples are appropriate.
Role of Various Stakeholders in Improving Health Care Culture Role of Various Stakeholders in Improving Health Care Culture	0 points An explanation of the role of various stakeholders in improving health care culture is not present.	9.6 points An explanation of the role of various stakeholders in improving health care culture is present, but lacks detail or is incomplete.	10.56 points An explanation of the role of various stakeholders in improving health care culture is present.	11.04 points An explanation of the role of various stakeholders in improving health care culture is present and detailed.	12 points An explanation of the role of various stakeholders in improving health care culture is present and thorough.
Explanation of How CWV Principles Might Be Used Explanation of How CWV Principles Might Be Used by Health Care Organizations to Improve Their Ethical Practices	0 points An explanation of how CWV principles might be used by health care organizations to improve ethical practices is not present.	9.6 points An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present, but lacks detail or is incomplete.	10.56 points An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present.	11.04 points An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present and detailed.	12 points An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present and thorough.
Examples of How the Integration of Faith, Learning, and Work Examples of How the Integration of Faith, Learning, and Work at GCU Can Be Implemented by Individuals to Improve Health Care Culture	0 points Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are not present.	9.6 points Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present, but lack details or are incomplete.	10.56 points Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present.	11.04 points Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present and detailed.	12 points Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present and thorough.
Scholarly Sources Scholarly Sources	0 points Peer-reviewed, scholarly sources are not present.	8.8 points Two or three peer-reviewed, sources are present, but are not scholarly. Limited research is present.	9.68 points A minimum of three peer-reviewed, scholarly sources are present.	10.12 points A minimum of three peer-reviewed, scholarly sources are present. Sources address all of the requirements stated in the assignment criteria.	11 points A minimum of three peer-reviewed, scholarly sources are present. Sources are distinctive and address all of the requirements stated in the assignment criteria.
Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience.	0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.	5.6 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.	6.16 points The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.	6.44 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.	7 points The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.
Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development.	0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.	6.4 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.	7.04 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.	7.36 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.	8 points The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.
Evidence Selects and integrates evidence to support and advance position/purpose; considers other perspectives.	0 points Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.	4 points Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.	4.4 points Relevant evidence that includes other perspectives is used.	4.6 points Specific and appropriate evidence is included. Other perspectives are integrated.	5 points Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.
Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	4 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	4.4 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	4.6 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	5 points No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc.,	0 points Appropriate format is not used. No documentation of sources is provided.	4 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	4.4 points Appropriate format and documentation are used, although there are some obvious errors.	4.6 points Appropriate format and documentation are used with only minor errors.	5 points No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Definition of Health Care Culture

0 points

A definition of health care culture is not present.

8.8 points

A definition of health care culture, including culture of excellence and culture of safety is present, but lacks detail or is incomplete.

9.68 points

A definition of health care culture, including culture of excellence and culture of safety, is present.

10.12 points

A definition of health care culture, including culture of excellence and culture of safety, is present and detailed.

11 points

A definition of health care culture, including culture of excellence and culture of safety, is present and thorough.

Examples of How to Build a Culture of Excellence and Culture of Safety

0 points

Two or three examples of how to build a culture of excellence and a culture of safety are not present.

9.6 points

Two or three examples of how to build a culture of excellence and a culture of safety are present, but lack details or are incomplete.

10.56 points

Two or three examples of how to build a culture of excellence and a culture of safety are present. Some examples are appropriate.

11.04 points

Two or three examples of how to build a culture of excellence and a culture of safety are present and detailed. Most examples are appropriate.

12 points

Two or three examples of how to build a culture of excellence and a culture of safety are present and thorough. All examples are appropriate.

Role of Various Stakeholders in Improving Health Care Culture

0 points

An explanation of the role of various stakeholders in improving health care culture is not present.

9.6 points

An explanation of the role of various stakeholders in improving health care culture is present, but lacks detail or is incomplete.

10.56 points

An explanation of the role of various stakeholders in improving health care culture is present.

11.04 points

An explanation of the role of various stakeholders in improving health care culture is present and detailed.

12 points

An explanation of the role of various stakeholders in improving health care culture is present and thorough.

Explanation of How CWV Principles Might Be Used

Explanation of How CWV Principles Might Be Used by Health Care Organizations to Improve Their Ethical Practices

0 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is not present.

9.6 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present, but lacks detail or is incomplete.

10.56 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present.

11.04 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present and detailed.

12 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present and thorough.

Examples of How the Integration of Faith, Learning, and Work

Examples of How the Integration of Faith, Learning, and Work at GCU Can Be Implemented by Individuals to Improve Health Care Culture

0 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are not present.

9.6 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present, but lack details or are incomplete.

10.56 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present.

11.04 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present and detailed.

12 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present and thorough.

Scholarly Sources

0 points

Peer-reviewed, scholarly sources are not present.

8.8 points

Two or three peer-reviewed, sources are present, but are not scholarly. Limited research is present.

9.68 points

A minimum of three peer-reviewed, scholarly sources are present.

10.12 points

A minimum of three peer-reviewed, scholarly sources are present. Sources address all of the requirements stated in the assignment criteria.

11 points

A minimum of three peer-reviewed, scholarly sources are present. Sources are distinctive and address all of the requirements stated in the assignment criteria.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

5.6 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

6.16 points

The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.

6.44 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

7 points

The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

6.4 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

7.04 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

7.36 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.

8 points

The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

4 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

4.4 points

Relevant evidence that includes other perspectives is used.

4.6 points

Specific and appropriate evidence is included. Other perspectives are integrated.

5 points

Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

4 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

4.4 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

4.6 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

5 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc.,

0 points

Appropriate format is not used. No documentation of sources is provided.

4 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

4.4 points

Appropriate format and documentation are used, although there are some obvious errors.

4.6 points

Appropriate format and documentation are used with only minor errors.

5 points

No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.