"I think the nurse leader has to have conversations with the medical team," Becker says. "This will help the physicians and nurses work together collaboratively."
Nurse leaders should encourage their staff nurses to do the same, empowering them to perhaps ask for rationales behind certain orders, speak up when they participate in rounds, or question care that they don't agree with, depending on the culture of the hospital and unit.
"The nurse leader has an obligation to really make this known to the staff nurses that these societies are backing this, and we really want to consider these items," Becker says. "Talking with them about how to initiate the conversations with the providers is important."
Ultimately, the recommendations are just that: recommendations. But they challenge routine, by-the-numbers care and should prompt physicians and nurses to ask themselves, "Am I just doing this because it's written on an order sheet?" Becker says.