Imagine that you work at a large Northern Midwest clinic. Your department implemented a very successful quality improvement six months ago that has reduced medication errors. The improvement requires the evidence-based practice of having two nurses review the vaccine type and dosage. The hospital’s CFO has recently suggested not requiring the two-nurse process for vaccine administration for the summer, since it requires extra staffing to make sure there are enough nurses to perform the processes. In summer, especially during extended hours, it is difficult to find enough nurses for that staffing level since almost all the nurses use their vacation time during the summer. You have overheard some nurses supporting the CFO’s suggestion for the summer. While the success of the new intervention was shared with the clinic director, you do not know if that major improvement was communicated with the nurses.

This discussion will help you explain how to persuade and change behaviors of various stakeholders to sustain quality improvement and identify how to persuade and generate enthusiasm to sustain an initiative.

In your initial post, address the following:

• What could you do to build support and sustain the two-nurse vaccine administration quality improvement?
• What are some ways you could create new enthusiasm for the two-nurse vaccine administration quality improvement with nurses?
• If the CFO asked for your opinion on his suggestion, how would you reply?

follow all directions

follow all directions

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   • Reflect on your learning experience in this course. Which concepts stood out to you and made an impact?  How do you envision using these concepts in your future nursing practice as a master’s prepared nurse practitioner?
   • Describe how course learning activities and assignments will help you achieve Program Outcome 3: Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. (Cultural Humility)
   • Describe how course assignments or activities will help you achieve ONE of the sub-competencies from the advanced-level nursing education competencies from AACN Essentials Competency 5.2 Contribute to a culture of patient safety.
     • 5.2g Evaluate the alignment of system data and comparative patient safety benchmarks.
     • 5.2h Lead analysis of actual errors, near misses, and potential situations that would impact safety.
     • 5.2i Design evidence-based interventions to mitigate risk.
     • 5.2j Evaluate emergency preparedness system-level plans to protect safety.

Speak in first Person

In response to at least two of your peers, answer the following:

• Do you feel your peer’s responses spoke “truth to power” sufficiently in their response to the CFO?
• Since you are not the director of quality at the hospital, is it ever your role to speak “truth to power” in a healthcare setting? Defend your position.