Analyze some of the issues that Carol must anticipate

Carol Butterworth, RN, is a staff nurse in a 22-bed critical care unit within a large health care organization for over 10 years. She returned to school for a master’s degree in nursing last year and would like to do her graduate project in her clinical area. Carol identified the rate for hospital-acquired ventilator-associated pneumonia (VAP) was higher than local, state, and national benchmarks. She gathered information about sedation protocol could improve patient outcomes. She plans to enlist the support of the VAP committee that includes members of the interdisciplinary team and frontline health care workers. She first seeks consultation from the Advanced Practice Provider, who is a nurse practitioner.
Carol wants to develop and implement policies, procedures, physician order sets, and establish a sedation protocol based on national clinical guidelines. She has identified key stakeholders, that is, physicians, frontline nurses, clinical nurse specialists (CNS), ICU mid-level managers, pulmonary technicians, and directors of intensivists, critical care, and pharmacy. She is contemplating how to gain support for this project that will be piloted on this one unit. Critical care nurses as well as the intensivists will receive sufficient education on this evidence-based guideline and its protocol.

1. Analyze some of the issues that Carol must anticipate.
2. What theory or model might be useful and why? Kurt Lewin, John Kotter, G. Lippitt, or Everett Rogers.
3. How might Carol and the committee problem-solve staff resistance?