Please review the case presented and answer all the questions at the end of it. CASE INTRODUCTION Huddles are such an important part of nursing – they relay pertinent information, increase safety, offer team building opportunities, promote better outcomes for the patient, and ultimately can reduce costs. Your nurse manager identifies that the staff on your rehabilitation unit, and particularly that you as the evening charge nurse, are resistant and oppositional to an important new patient safety strategy of implementing huddles to improve staff communication. BRIEF SUMMARY OF CASE Paragraph 1  Your nurse manager meets with you, the evening charge nurse, (and with you he had previously begun a disciplinary action process because you refused to implement huddles on the shifts when you was in charge).   You now understands that you (and the staff) were wrong, and you begin to explore with the manager how better to implement huddles on your shift. Paragraph 2  In a quarterly staff development in-service for the rehab facility’s leaders, a group of nurses and charge nurses, including you, learn about implementing change using Lewin’s five-step Stages of Change (SCM) Model. The nurse manager and you apply this model to their failed implementation of huddles. Paragraph  3 – You return to your unit and share with the staff that you—and they—were wrong to refuse to implement huddles. You begin to start the process as a change agent. DISCUSSION GUIDE – QUESTIONS  Worth 2 points each (16 points) Paragraph 1 Paragraph 2

In this case, the nurse manager identifies that the staff on the rehabilitation unit, specifically the evening charge nurse, are resistant to implementing huddles as a patient safety strategy. The nurse manager initially began a disciplinary action process because the charge nurse refused to implement huddles on their shifts. However, the charge nurse now realizes they were wrong and expresses a willingness to explore how to better implement huddles on their shift.

In a quarterly staff development in-service, the nurse manager and charge nurse learn about Lewin’s five-step Stages of Change model for implementing change. This model is applied to the failed implementation of huddles in their conversation.

Upon returning to the unit, the charge nurse acknowledges to the staff that they were wrong to refuse to implement huddles. They begin the process of being a change agent, taking the lead in implementing huddles on the unit.

Now let’s move on to the questions:

Paragraph 1:

1. What was the initial reaction of the charge nurse and the staff towards implementing huddles?
2. Why did the nurse manager consider disciplinary action against the charge nurse?
3. How has the charge nurse’s perspective changed regarding the implementation of huddles?
4. What does the charge nurse want to explore with the nurse manager now?

Paragraph 2:

5. What did the nurse manager and charge nurse learn about at the quarterly staff development in-service?
6. What was the purpose of applying Lewin’s five-step Stages of Change model to the failed implementation of huddles?
7. How can the Stages of Change model help in implementing huddles effectively?
8. How did the nurse manager and charge nurse plan to use this model moving forward?

Please provide a thorough and detailed response to each of these questions in order to demonstrate your understanding of the case.