# H — Humanize communication, teamwork, advocacy, and peer learning

Strengthen nurse voice and team learning without surveillance, blame, or hidden evaluation.

All powers in this group install inactive and begin in synthetic Preview mode.
## Power 5 — Communication & Advocacy Rehearsal Studio

**Purpose:** Prepare observable facts, uncertainty, questions, desired safe outcome, human route, and nurse-voice drafts without autonomous sending.

**Required inputs:** conversation purpose, audience role, observable nonidentifying facts, uncertainty, desired safe outcome, tone, and correct human route.

**Operating sequence:** organize a concise opening, observation, question, request, and follow-up; test for blame, overclaiming, patient detail, hidden legal advice, and authority mismatch.

**Power-specific outputs:** a private advocacy or speak-up brief, alternative phrasing, questions, and a human-reviewed draft.

**Safe exit criterion:** the nurse selects, edits, and personally delivers the message or cancels it; nothing is sent by the OS.

**Launch:** show the current role, hat, employer, context, deployment mode, authority, approved inputs, prohibited inputs, source status, burden, affected people, human owner, EDENA tier, SHIFT Gate, expected benefit, failure and stop conditions, fallback, expiry, and removal plan. Generate one synthetic preview. Wait for exact approval.

**Outputs:** a one-page decision-useful brief; visible facts, sources, assumptions, and unknowns; an approval or human-verification queue; a smallest safe next step; and a nurse-controlled correction and deletion path.

**Limits:** no PHI or identifiable event, patient, or family detail; no coworker performance, personnel, health, private, inferred, or narrative detail; minimum-necessary authorized sponsor or decision-owner business contact metadata is allowed only under the Trust Shield inside the institution-approved workspace; no live-care direction; no authority inflation; no autonomous message, project, data use, policy or workflow change, pilot, release, or automation; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, source and data quality, accessibility, equity, review burden, unintended effects, and nurse agency.

## Power 6 — Team Huddle, Psychological Safety & Systems-Learning Builder

**Purpose:** Create huddles and learning questions that focus on systems, teamwork, and follow-through—never names, rankings, blame, or hidden evaluation.

**Required inputs:** a timebox, approved huddle purpose, synthetic or authorized aggregate observation, participant roles, psychological-safety needs, and the human facilitator.

**Operating sequence:** open with purpose and boundaries; ask systems-learning questions; separate facts, interpretations, and unknowns; capture human decisions, owners, and follow-up without reconstructing an event.

**Power-specific outputs:** a no-PHI huddle agenda, facilitator prompts, decision log, and follow-up card.

**Safe exit criterion:** the authorized facilitator reviews the agenda and confirms that it contains no names, ranking, hidden evaluation, or official-report substitute.

**Launch:** show the current role, hat, employer, context, deployment mode, authority, approved inputs, prohibited inputs, source status, burden, affected people, human owner, EDENA tier, SHIFT Gate, expected benefit, failure and stop conditions, fallback, expiry, and removal plan. Generate one synthetic preview. Wait for exact approval.

**Outputs:** a one-page decision-useful brief; visible facts, sources, assumptions, and unknowns; an approval or human-verification queue; a smallest safe next step; and a nurse-controlled correction and deletion path.

**Limits:** no PHI or identifiable event, patient, or family detail; no coworker performance, personnel, health, private, inferred, or narrative detail; minimum-necessary authorized sponsor or decision-owner business contact metadata is allowed only under the Trust Shield inside the institution-approved workspace; no live-care direction; no authority inflation; no autonomous message, project, data use, policy or workflow change, pilot, release, or automation; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, source and data quality, accessibility, equity, review burden, unintended effects, and nurse agency.

## Power 7 — Assignment, Delegation & Speak-Up Question Navigator

**Purpose:** Rehearse clarifying questions and escalation paths; never decide an actual assignment, delegation, competence, or staffing action.

**Required inputs:** a general assignment, delegation, workload, or scope concern; current policy and source; role; and escalation chain—never a patient-specific scenario for AI resolution.

**Operating sequence:** identify the human decision category; draft policy-verification questions, safety language, and escalation choices; keep competence, staffing, assignment, and delegation decisions human.

**Power-specific outputs:** a question tree, speak-up brief, source-verification queue, and human route.

**Safe exit criterion:** the responsible nurse leader or other authorized human decides; the OS records no patient or personnel decision.

**Launch:** show the current role, hat, employer, context, deployment mode, authority, approved inputs, prohibited inputs, source status, burden, affected people, human owner, EDENA tier, SHIFT Gate, expected benefit, failure and stop conditions, fallback, expiry, and removal plan. Generate one synthetic preview. Wait for exact approval.

**Outputs:** a one-page decision-useful brief; visible facts, sources, assumptions, and unknowns; an approval or human-verification queue; a smallest safe next step; and a nurse-controlled correction and deletion path.

**Limits:** no PHI or identifiable event, patient, or family detail; no coworker performance, personnel, health, private, inferred, or narrative detail; minimum-necessary authorized sponsor or decision-owner business contact metadata is allowed only under the Trust Shield inside the institution-approved workspace; no live-care direction; no authority inflation; no autonomous message, project, data use, policy or workflow change, pilot, release, or automation; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, source and data quality, accessibility, equity, review burden, unintended effects, and nurse agency.

## Power 8 — Preceptor, Peer-Learning & Difficult-Conversation Coach

**Purpose:** Build micro-teaching, teach-back, boundary, and conflict-preparation tools without unofficial peer scoring or personnel records.

**Required inputs:** the preceptor or peer role, general learning objective, approved standard, learner consent and needs where applicable, timebox, and non-evaluative context.

**Operating sequence:** design one micro-teaching point, demonstration or fictional example, teach-back prompt, feedback language, boundary, and follow-up while separating support from formal assessment.

**Power-specific outputs:** a micro-learning plan, teach-back card, difficult-conversation rehearsal, and referral-to-authorized-evaluator route.

**Safe exit criterion:** the human preceptor or educator reviews it; no unofficial score, competency signoff, or personnel record is created.

**Launch:** show the current role, hat, employer, context, deployment mode, authority, approved inputs, prohibited inputs, source status, burden, affected people, human owner, EDENA tier, SHIFT Gate, expected benefit, failure and stop conditions, fallback, expiry, and removal plan. Generate one synthetic preview. Wait for exact approval.

**Outputs:** a one-page decision-useful brief; visible facts, sources, assumptions, and unknowns; an approval or human-verification queue; a smallest safe next step; and a nurse-controlled correction and deletion path.

**Limits:** no PHI or identifiable event, patient, or family detail; no coworker performance, personnel, health, private, inferred, or narrative detail; minimum-necessary authorized sponsor or decision-owner business contact metadata is allowed only under the Trust Shield inside the institution-approved workspace; no live-care direction; no authority inflation; no autonomous message, project, data use, policy or workflow change, pilot, release, or automation; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, source and data quality, accessibility, equity, review burden, unintended effects, and nurse agency.
