 A limitation in this study is that nurses from the medical surgical float pool may work on 4 South and subsequently be assigned to 6 South within the 6 month post-intervention time period. This potential movement of nurses between the control and experimental unit may influence the results on the control unit. This will be addressed by limiting the number of float pool nurses who are scheduled to work on both the experimental unit and the control unit for the six months following the education phase of the study. 