Getting the Horse to Drink: A Guide for Nursing Leaders

The proverb “you can lead a horse to water but you can’t make it drink” often reflects the frustrations and barriers of nursing leaders. Value-based purchasing and other Centers for Medicare & Medicaid Services (CMS) programs are establishing new pathways that influence hospital practices. Nursing leaders need to encourage nursing staff to do more with less and replace old practices with evidenced-based ones. Research reveals numerous best practices, yet some are hesitant to change their current routines and culture. It is essential for nursing leaders to gain staff compliance and engagement and instill the importance of evidenced-based practices. Caring for patients is a nurse’s priority and best practices are a road map to proven success, and nursing leaders must marry the two. Understanding the basics, motivating employees, measuring metrics, communicating, holding staff accountable, and setting expectations are key components to successful quality patient care.