Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations

The study aimed at assessing nurses’ perspectives on the impact of management approach on blame culture in health care organizations. The research questions that guided the study included the evaluation of the effect of blame culture on nurses and the determination of the impact of management approaches such as the organizational function logic approach, the individual blame logic approach, the control-based approach, and the commitment-based management approach on blame culture. The research was carried out using the quantitative analysis approach, which involved the analysis of 21 studies. The study findings indicated that blame culture negatively affects the nurses’ willingness to report errors leading to increased nurse turnover. The blame culture was also observed to cause psychological stress and trauma among nurses. The study also indicated that nurses perceive the adoption of the organizational function logic management approach and the commitment-based management approach in addressing medical errors as associated with a significant decline in blame culture (p = 0.002 and p = 0.037, respectively). The study, therefore, recommends that the organizational function logic and the commitment-based management approaches be adopted in addressing medical errors.