Just Culture on the Performance of Pediatric Nurses in a Government Hospital

Abstract

This study utilized a quantitative descriptive–correlational research design to assess the level of just culture and nursing work performance, and to determine whether the dimensions of just culture predict nursing performance in a pediatric unit of a government hospital. A total of 67 nurses participated in the study using validated questionnaires measuring just culture and nursing work performance in terms of frequency and quality. Descriptive statistics, including mean and standard deviation, were used to determine levels of just culture and performance, while multiple regression analysis was used to examine predictive relationships. Findings revealed that nurses perceived a high level of just culture across organizational trust, openness of communication, quality of event reporting, accountability, and continuous learning, while fear of reporting was moderate. Nursing work performance was high in terms of both frequency and quality. However, regression analysis showed that the dimensions of just culture did not significantly predict nursing performance. This indicates that nurses maintained consistent and quality performance regardless of variations in perceived just culture. The findings suggest that just culture supports a safe and fair work environment, while nursing performance is primarily sustained by professional competence, clinical standards, and organizational systems. A Just Culture and Nursing Performance Enhancement Plan is proposed to strengthen patient safety culture and sustain high-quality nursing care.