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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