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Table 3 Leadership actions across levels of the nursing department

From: An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study

Leadership role

Examples of leadership actions

Program Co-Directors

• Prioritized program activities

• Pushed for more BPG-related improvement

• Sought creative sources for funding

• Advanced an agenda of expectations related to BPGs

• Reinforced a BPG-inspired framework for nursing practice

• Nurtured a “climate of inquiry” within the department

BPG Task Force Co-Leaders and Other Members

• Facilitated “re-implementation” of BPGs on units with lower levels of sustainability

• Implemented more recommendations from each of the BPGs

• Developed BPG-based patient teaching materials

• Adapted BPG nursing tools to unique patient populations

• Engaged other professionals to work on collaboration-related BPG practice challenges

• Updated organizational policies and procedures based on BPGs

Clinical Program Nursing Directors

• Included BPGs as a standing agenda item at program meetings

• Relieved unit managers from dossiers that took time away from BPG-promoting work

• Worked with unit managers to prioritize unit-based BPG practice monitoring

• Discussed BPG-related performance data formally and informally with unit management teams

• Reminded these teams to use measured BPG-related outcomes as “balancing indicators” during other unit changes

• Included BPG-related unit performance as a criterion in unit managers’ individual evaluations or annual unit progress reporting

• Participated in the annual health centre-wide prevalence survey