To mention a few: staff ignorance about the safety and quality of patient care; misunderstanding of organizational policy and procedure; self-interest and staff preference to stick to the old habits (doing things as usual) are internal obstacles to implementing evidence-based practices (Carroll, 2010). On the other hand, governmental policies, regulations, benchmarks, and reimbursement standards are external challenges that middle between healthcare organization and patients. These government requirements are sometimes helpful to improve patient care and other times they are obstacles to addressing quality and safety of patient care (Carroll, 2010). So, to provide high standard patient care, nurse leaders must build a substantial relationship with staff nurses, middle management, senior health care leaders within their organization and with governmental agencies outside the organization to make the necessary adjustments and changes to the culture of patient care (Marquis & Huston, …show more content…
Therefore, preventing HCAIs is not just solely the responsibility of staff nurses at the bedside. There are other factors such as nurse leaders unable to fulfill staffing requirements, middle management inconsistent oversight, staffing shortages, lack of supplies, and lack of nurses’ emotional support. According to Ledlow and Coppola (2012), leaders in health care organization should be ethical and moral agents because the success of their organization depends on the perception of their staff and the community as a whole. To sum it up, it is super imperative for nursing leadership to support nurses and to lift unnecessary emotional, moral, and ethical, burden off their shoulders so that nurses focus on positive patient outcomes, without having ethical and moral distresses related to unsafe and compromised patient