Therefore, during the course of the audit, one-on-one education was provided by the project team members to staff nurses who verbalized uncertainties about the appropriate use of the rFLACC versus FLACC. The peer-to-peer defter feedback with a nurse was found to be most effective in educating about the practice change Uncertainties and insights exchanged benefited both the staff nurse and the project team member. The staff nurse learned the appropriate use of the tools, and the project team members learned the issues from different perspectives and ways to improve sustainability of practice change implementation