Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

What is a safe, shame- and blame-free environment to assess client learning?

Q: What is a safe, shame- and blame-free environment to assess client learning?

    A: A safe, shame- and blame-free environment is a culture in which:
  • Clients can ask questions and seek help without feeling stigmatized;
  • Clients feel comfortable bringing someone with them to their appointments or clinical interaction; and
  • Health-care professionals are aware that some clients are anxious and ashamed when they do not understand. 
                                                             (Brown et al., 2004; Parikh, Parker, Nurss, Baker & Williams, 1996; Sudore & Schillinger, 2009)