Which should be the FIRST step in implementing a bedside shift report as a new...

This question aligns with Organizational Culture and Leadership , particularly change management and staff engagement. CPXP principles emphasize that successful implementation of new processes begins with creating understanding and buy-in among staff. Option C is correct because establishing why the change is necessary builds purpose, reduces resistance, and fosters intrinsic motivation. Without this foundation, staff may comply superficially but not sustain the change. Option A (education) is important but should come after staff understand the reason for change. Option B (mandating) can create resistance and does not support a positive culture. Option D (written commitment) is premature without engagement. CPXP highlights that sustainable culture change starts with shared purpose, communication, and alignment , ensuring staff feel involved rather than forced into new practices.