here are several key takeaways for preparing middle managers in transforming to a culture of continuous improvement, including all of the following, EXCEPT: Question 10 options: a) Ensuring that middle managers are supported and coached in the new behaviors and tools is important in ensuring that improvement initiatives don't stall or fail in the medium-term. b) Nursing staff are often quick to engage and able to apply and derive benefits from the approach through the nature of their frontline work; they can become early and strong advocates. c) Successfully ensuring that middle management are bought into continuous improvement, and even more important, that they understand its value, can greatly aid in ensuring the shift in working practices is cultural as well as operational. d) Frontline managers are a great mediator between leadership and the front lines, but are unable to deliver sustainable operational changes on their own