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Barriers

Even if you have the information, you are a nurse and you want to advocate for better assessment and or screening, you can't get it done. The knowledge might be there but not the values to improve the health care. Even when one is in a position to have some influence.

First of all - congrads on the article!

I'm not sure exactly where you should start. Were you interested in initially working with a subset of women (e.g. maternity)? If that were the case I'd start perhaps with blank and blank (or whoever is OB chief). If you were thinking of a broader population, perhaps blank would be a good place to start.

Just to muddy the waters a little - I totally understand what your mission is and it sounds like a great way of potentially saving lives. On the other hand, keep in mind that everyone is supersensitive to the amount of documentation nsg is required to do and the amount of data collection/assessments that continues to fall on the staff nurse. (I just had this conversation regarding VTE prophylaxis and I suspect more will be coming with the new code status order sheets). I could be wrong, but I suspect you may get resistance is from the managers who may not want their nurses having to answer one more question (and then "do" something depending on the answer). With that being said - maybe you could share your work with Mgmnt Council and feel them out about possible pursuing this as a quality initiative.

Please understand - I am not trying to be a downer. I just have concerns that the acute care nurse on the general med/surg (or critical care) unit can handle be asked to do much more than they are already done.

Again - congrads on the article.

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