Date of Graduation

Spring 5-20-2022

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Nneka Chukwu


The Enhanced Recovery Medical (ERM) pathway was created by the high reliability organization (HRO) to prevent hospital-acquired disability (HAD). The goal of the ERM pathway is to decrease physiological stress and maximize the patient’s recovery during hospitalization. This action plan will be assessing the staff readiness in a microsystem (i.e. medical-surgical telemetry unit) in Hospital A in Northern California. The ERM pathway will be going live in May 2022. A literature review was conducted to identify evidence-based strategies for implementing change within the microsystem. The proposed intervention would be utilizing the gap assessment tool to identify gaps within the microsystem needing to be resolved before the implementation of the ERM pathway. Education will be given to staff on any gaps in the ERM pathway. The effectiveness of this assessment will be measured through a nursing questionnaire to assess the nurse’s knowledge of the ERM evidence-based interventions and proper documentation. This measure will be conducted before utilization of the gap assessment tool and about three to four weeks after. Evidence-based strategies for implementing change and staff education were developed in the adult medical-surgical telemetry unit to implement the ERM pathway. Implementation of the ERM pathway will decrease hospital complications and increase patient satisfaction.

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