what do you think was the most important factor that led to the change in practice in the SICU?

Read this article:
Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.
In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?
If you worked in a facility that needed a practice change, what framework would you use and why?
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