- Limited accountability for nursing to follow evidence-based process; practices are often fear-based and driven by a "not my lane" attitude. Nurses do not follow mobility protocols; patients only get out of bed when therapy does it. Nursing and leadership not open to looking past "we've always done it this way" for things like managing patient mobility, swallowing, oral care, documenting, or answering patient questions.
- Nursing and leadership are not proactive at all. In terms of patient care, I personally experienced pushback multiple times when escalating new neurological concerns about patients (two different patients, two different units of the hospital, two different years), only to call code strokes myself with imaging revealing new strokes. Nursing had chalked it up to patient being sleepy or due to their prior history of stroke despite my indicating patients were dramatically different. Leadership did not respond to emails or "Safety Always" escalations for further discussions/RCA. This is absolutely felt to represent a pattern.