The Power of Risk-Taking: Shaping Excellent Nursing Practice: The Official Voice of Perioperative Nursing

ABSTRACT

There also are risks inherent in introducing new or improved practice models, such as * innovative clinical models (eg, advanced practice roles), * newer educational programs (eg, fellowships, RN residency programs), and * creative staffing models (eg, self-staffing, adaptable shift schedules). In the late 1970s and early 1980s, I implemented parttime staffing in the cardiac surgery program at my hospital, when a 1.0 full-time equivalent (FTE) was the only available staffing model, but full-time staff members were difficult to find. Because I was able to provide consistency and demonstrate knowledge of the surgeon's surgical preferences, the surgeon and I decided to make the RNFA role permanent. The following are simple (but not simplistic) lessons that I have learned. * Do the homework, "learn the rules," engage champions. * Persist;make the case (eg, cost savings, efficiency, more knowledgeable staff members, better outcomes). * Solicit support from others for a cause greater than yourself. * Identify experts (set no boundaries on potential sources of expertise). * People rarely argue in settings where food is served. * Friendships matter. * Help others to succeed and recognize their value.