The Choosing Wisely campaign was established in 2012 to educate and encourage health professionals to provide high-value care by reducing unnecessary testing and procedures. Four major professional and scientific societies, including the American Association of Critical-Care Nurses and the Society of Critical Care Medicine, support the campaign’s 5 specific recommendations.

Wiencek and colleagues surveyed nurses working in acute and intensive care settings in the United States to assess their awareness and use of the campaign. They found

  • More advanced practice nurses (64%) than registered nurses (36%) were aware of the campaign.

  • Many staff and advanced practice nurses (72%) reported clinical care implementation of the campaign recommendations.

  • Three themes were identified regarding implementation:

    • Addressing staff resistance

    • Providing ongoing education

    • Changing the intensive care unit’s culture

The authors advocate for strategies such as specific protocols and order sets, quality improvement initiatives, and electronic medical record...

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