The coronary care unit (CCU) has an opportunity for improvement related to safe communication. According to a literature review conducted by Kear (2016), there have been several medical errors resulting from communication errors. Some research has reported a high prevalence of medical errors associated with inadequate communication during the critical time of transition or transfer of care between providers (Kear, 2016). In addition to ensuring safe and quality communication, the organization's mission, vision and values reiterate the value of employee qualities that are based on working together, excellence, customer service, responsibility, respect and enthusiasm (Covenant Healthcare, 2016). Provisions Three and Six of the Code of Ethics Provision three of the Code of Ethics for Nursing confirms that nurses should be involved in activities that protect the safety and rights of patients (American Nurses Association, 2010). By validating that a safe transfer has occurred, nurses protect the patients in their care and make every effort to minimize errors and redundancies in care during the transition. The sixth provision of the Code of Ethics for Nursing reiterates nurses' obligation to advocate for safe environments (American Nurses Association, 2010). Without secure transfer communication, transient errors can occur that could potentially cause patient harm. Therefore, by supporting efforts to implement positive change related to safe communication, nurses are aligning themselves with their nursing professionals. Channels such as evidence-based committees should be involved in this change for validation, acceptance and policy development. Unforeseen needs may arise during the process. However, the team can collaborate to solve these emerging needs. The team should be made up of emergency room and critical care staff to offer the benefit of diverse skills. Initially, these differences may create opposing philosophies; however, the final product must be the result of a collaboration between these two groups. Consequently, recognition of these contributions offers confirmation that CAS theory was the appropriate framework to apply to this task. Alignment Moving forward with macro ideas and promises, the team will need to recruit support. This intervention can be supported by offering information on how this project will demonstrate organizational and professional goals and values. Leadership would engage once they are able to recognize contributions to safe, quality care. According to CAS theory, “successful change fits the current organizational environment” rather than an idea (Marquis & Huston, 2015, p. 173). This organizational connection can help nurses develop a new way of managing communication that will become a routine practice. Project
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