1. Melnyk, Halia MPH, RN, CCRC, CDE, CIP
  2. Rosenfeld, Peri PhD
  3. Glassman, Kimberly S. PhD, RN, NEA-BC, FAAN


This article describes our experience participating in a multisite collaborative study involving frontline nurses and operational failures (OFs). We encountered a range of challenges conducting the study as proposed by the study's coordinating center (CC), which hindered our ability to meet our goals and objectives. We identified 3 general areas in which our expectations and actual experience diverged: 1) research resources, design, and methods; 2) CC communications and deliverables; and 3) influencing organizational change. Nurse executives considering collaborative research or assessing methods to engage clinical nurses in organizational improvements will benefit from our experience.