A chief nursing officer (CNO)has implemented a model for teamwork training in the facility.The model seems to be working in some areas but not in others.The best action by the CNO would be to:

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The most important element of a teamwork training program is the support of both formal and informal leaders.The CNO should assess for any change agents within the facility who do not support the program and whose attitudes might be sabotaging the program.Informing the staff that teamwork improves safety and is expected would be part of the educational process.This information, provided in isolation, might make the staff resentful that this is being forced upon them.More education and training might be needed, but the CNO first needs to find out whether there are leaders who are not supportive of the plan.Rotating staff members to different areas would create confusion and possibly decrease patient safety because nurses could be forced to work in areas in which they had no expertise.

A Chief Nursing Officer (CNO)has Implemented a Model for Teamwork