Moving from a culture of blame to a culture of safety in the nursing home setting.

Topic: A culture of safety.

Purpose: 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.

Conclusion: 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.