A QI nurse has been asked to be the project leader on a project addressing compliance with hourly patient rounding. The QI nurse will lead the team, which includes administration, such as the chief nursing officer, supervisor, and unit manager, as well as two direct care nurses and one certified nursing assistant (CNA). During a team meeting, the direct care nurses and CNA were discussing potential solutions to the problem. The nurses and CNA have opposing viewpoints. Administration wants 100% compliance with hourly rounding. Considering the different viewpoints involving the problem, how can the project leader bring the interprofessional team together?

1.

What clinical judgment might the lead nurse make based upon the CUES (Assessment) in this scenario?

2.

What HYPOTHESIS (Diagnosis) will the lead nurse consider?

3.

What ACTION (Plan and Implement) will be most effective for the lead nurse to take?

4.

How will the lead nurse evaluate the situation OUTCOME (Evaluation) for the purpose of arriving at a satisfactory conclusion?