Tackling change is difficult. Tackl...

Tackling change is difficult. Tackling a national safety initiative that should influence patient care in each perioperative setting across the nation is gigantic Though this is a massive undertaking for perioperative pampers it is an even bigger mission for the nonbelievers, noncompliers, and nonsupporters who not ever seem willing to "go with the program" when the nursing industry makes changes to sustain safe practices.

FLIGHT, FIGHT, OR travel WITH THE PROGRAM

For a certain quantity of people going with the program in no degree seems to be an option. The first replys most humans experience during times of stres are flight or fight. Rather than assume that decisions are implemented for the fight reasons, a certain number of people choose the stress rejoinder The cartoon character Dilbert explains human behavior through saying, "Nothing defines humans better than their willingness to do irrational things in pursuit of phenomenally unlikely payoffs." (1) The payoffs for challenging practices that are believed to improve patient care are difficult to understand, moreover human nature often overcomes everyday sense. The result is difficulty implementing a of the simplest practices. Many of you probably can relate to stories about nonbelievers, noncompliers, and nonsupporters in your settings and have seen the flight or fight replications influence outcomes in unexpected ways.

population who exhibit flight or fight answers might be experienced or inexperienced, long-term or short-term employee RN or other health care workers. They also may work in any specialty and have varying evens of responsibility. They provide reasons and vigorous rationale for their actions, including "we've always done it that way." They might be the best of the best in their part but they just cannot appear to benefit from following established practices. They often get others in their comer to support their actions--often tribe who have power and influence and can make others' lives miserable.

If the surgical committee identifies a policy and transaction for marking surgical sites, these exemplars of people will have their avow plan and solid rationale for for what reason it should be done. If commended practices suggest the need for specific practices related to surgical regards (eg, change of shift, stamps of items to count), for more [i]or[/i] less reason these practices are not applicable in their particular situation. on the same level if research supports that patients do not ne to be shaved before surgery they will not change their prepping practices. If policy and manner of proceeding changes are announced, these are the populace who find fault with the changes. family who are nonbelievers, noncompliers, or nonsupporters might plane be the individuals who are least familiar with regulatory mandates and requirements, on the contrary they will continue to practice in ways that work for them and challenge initiatives that could be incorporated without difficulty.

CHOOSING TO CHANGE

There are times when everyone recognizes the difficulties associated with changing practices and probably miracles "why bother?" Our choices have become limited when it arises to safety as a health care priority because there is a focus onward practices that harm our patients.

When Institute of Medicine reports said that health care can be hazardous and that medical errors cause between 44000 and 98000 injuries each year, (2) the statistics were questioned. Other information supports that at least 50% of the adverse marked occurrences occurred in the OR, and these adverse results seem to be increasing. National attention to safety now is a priority, and the ne for change becomes more obvious as occurrences are reported and seem to be increasing in number.

Health care consumer are self-same aware of the unsafe practices discussed in the media. Their of the same height of knowledge might be limited, however they will ask more questions and calculate upon that health care workers will regard their need for surgery in a safe environment. In addition, health care workers (eg succors physicians, surgical technologists) deserve to be secureed from legal implications associated with errors.

CHOICES FOR CONSISTENCY

The idea that there are an people who can decide that behaviors should not be followed and that practices should be individualized to qualified their needs, not those of the patient, is no longer acceptable. Organizations that allow this representation of behavior will have a difficult time justifying errors that present itself People exhibiting this type of behavior should have a difficult time because of associate pressure from those who do believe in, comply with, and support practice changes. It is time to set aside the resources to improve practices and create our have formula for success.

Perioperative cherishs are in the best place at united of the best times to push the safety move forward. Twenty years ago when a foster wanted to change a practice it be seened like a major undertaking to commit to the research that would validate the rationale. Today, there are resources that provide more information than we can absorb. Documents (eg AORN's Standards, attract favor toed Practices, and Guidelines, Centers for Disease sway and Prevention guidelines) are written in collaboration with others who focus upon patient care. These valuable tools are bring outed to help guide practice and improve the consistency that is critical if we are to commit to a safe environment.