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the methods of success are captured for replication with other topics.49,50 tworking with academic staff way to ensure that practice change is facilitated and CASE STUDY 12.1 Caitlin's first placement as a new graduate is a busy surgical ward where there are many patients with wounds. On the evening shift , she is instructed by the senior registered nurse to use a particular dressing for a patient's wound. The following morning, working with another registered nurse, Caitlin is given advice to use a different dressing for the same wound. It concerns her that the advice being given is not consistent. In her undergraduate program, she remembers being told that variability in practice is usually not effective. She is uncomfortable about questioning either of these very experienced registered nurses. REFLECTIVE QUESTIONS 1. How does Caitlin determine which advice to follow? 2. What objective sources of information might be available to her on the ward? 3. Consider how she might approach the two registered nurses to resolve this issue without SUL causing offence. sustai Dutcard CONTEM with el che CASE STUDY 12.2 Sam is a final-year nursing student working on a medical ward where many patients are nursed in isolation due to norovirus gastroenteritis. He has noticed that many of the staff are not adhering precisely to care plan instructions about personal protective equipment REFLECTIVE QUESTIONS 1. What are Sam's responsibilities in dealing with this situation? 2. Who should Sam be talking with to improve the practice around personal protective equipment? 3. What resources might be required to promote the use of personal protective equipment by the staff? CASE STUDY 12.3 Maddy is a new graduate working on a ward that has been chosen for a knowledge translation project to improve hydration status in elderly patients. Maddy indicates that she thinks this is an important issue and wants to help with the project. wher REFLECTIVE QUESTIONS 2. How can Maddy encourage other staff to improve the hydration status of their elderly 1. What part do you think Maddy would be able to play in this project? patients? 3. What measures might be used to determine if the project is successful and sustainable?