"It's really beyond coming up with a list of five things… [it's about] making it patient-centered care instead of provider-centered care," she says.
Perhaps this mentality shift can be best illustrated with the list's recommendation for talking with patients and families about continuing life support. "What this really recommends is pulling in the patients into these discussions, the patients and their families," she says. "This is something that nurses always encouraged… It has to be a joint decision."
Once new recommendations like these are made, working critical care professionals must actually act on them. Becker says large academic institutions are always evaluating and reevaluating care based on the most current clinical evidence, whereas smaller, community hospitals might have more trouble rethinking common care practices. In some organizations, the culture might be more autocratic, and nurses might be expected to simply implement care that physicians order without questioning it.
But Becker says nurse leaders can use these new recommendations to open up a dialogue with physicians by showing the list to members of the medical team and asking them what they think about it.