Leaders will follow up with staff nurses during the report offering advice and direction. (Ferris, 2013) Strong leadership and communication skills are essential to creating an atmosphere of trust. Such qualities will also initiate change in staff attitudes and behaviors in a complex environment. (Evans, 2012) Binders will also be placed at each nursing station to allow nurses to note down any concerns or feedback management may need to know about the process. Subsequently, management will review the feedback left in the binder on a weekly basis and check in with nurses during staffing