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A Multifaceted Approach To Promoting Speaking Up Behavior In A Community Hospital, Carrie Carls
A Multifaceted Approach To Promoting Speaking Up Behavior In A Community Hospital, Carrie Carls
Doctor of Nursing Practice Projects
Introduction
This project describes results of a multifaceted approach to promoting Speaking Up Behavior (SUB) among nurses in a community hospital. Patient safety outcomes, perception of healthy work environment, and nurse retention are connected to caregiver communication.
Methods
Interventions included development of a structured SUB communication and debriefing tool, SUB administrative policy, leadership rounding and verbal support for SUB, formal recognition of SUB, and SUB education including role-playing activities. Cross-sectional surveys evaluating nurse comfort and confidence with SUB using validated tools were implemented before and after the multifaceted interventions.
Results
The bedside nurse voluntary turnover rate reduced from 14.5% to …