The reform has not been without friction. Some senior nurses initially resisted the expanded scope, fearing liability. Others felt the emotional labor of the “check-in” protocol led to compassion fatigue. In response, the clinic added a mandatory —a weekly, facilitated debriefing session for nursing staff to process difficult cases.
While the specific "program" isn't detailed in official documents, similar successful reforms incorporate strategies that you might expect to find here: sugimoto gynecology clinic nurse reform program
The reform program creates distinct nursing tracks uncommon in small clinics: The reform has not been without friction