Date of Graduation

Fall 12-16-2016

Document Type

Project/Capstone

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Abstract

The purpose of the CNL project is to develop a standardized approach to communication during nurse shift handoffs through utilization of bedside shift reporting (BSR). Shift handoffs are integral to nursing practice; therefore, this process must be accurate, effective, and consistent in order to ensure the delivery of safe and quality care. The project focuses on the CNL curriculum element of Quality Improvement and Safety, under the role of an Outcomes Manager. Prior to BSR implementation, shift handoffs in the sub-acute unit were being conducted at the nurse’s station or by the medication carts. Nurse shift handoffs were often rushed, inconsistent, and ineffective, which made it difficult for the nurses to give and receive a more accurate and complete information pertinent to the patients. A microsystem assessment revealed that the majority of the nurses were dissatisfied with the previous process. A pre-implementation nurse satisfaction survey showed a low nurse satisfaction score of 61%. In addition, 5 medication errors were reported in the first two quarters of 2016, which were associated with miscommunication. In response, BSR was implemented in the sub-acute unit as a method to improve the nurses’ communication and collaboration during shift handoffs. Lewin’s theory was the main framework used to guide the implementation of this project. Five weeks after BSR was implemented, early results showed an improvement in nurse satisfaction score from 61% to 73%. In addition, there were no medication errors reported during this period.

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