Date of Graduation

Winter 12-16-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Scout Hebinck

Abstract

Problem: Hospital A’s 9th floor telemetry units lacked a standardized method of handoff and required investigation. Current practices were evaluated, and an intervention was designed based on weak communication areas. Context: Using a 5 P’s assessment the key stakeholders included unit nurses, the nursing director, nurse educators, and unit nurse managers, and the patients were medsurg telemetry patients. The process included handoff in care and the pattern evaluated was methods of reporting with the purpose of providing high quality evidence-based patient centered care. A SWOT analysis revealed strong teamwork, interdisciplinary collaboration, and proficiency in health record technologies as strengths and driving forces that would aid change. Short staffing, burnout, poor leader buy-in and limited time acted as barriers to implementing change. Interventions: An education presentation was developed highlighting and providing examples of critical SBAR, TRACER, and centralized EHR reporting tools. The slideshow was designed to allow for nurse educators to further develop a communication education plan for unit nurses. Measures: Initial data collection included using a survey, observing, and individual interviews. A post survey accompanied the education intervention so impact can be evaluated. Results: 10 survey responses were collected. Main themes from data collection included a need for clarity, efficiency, and conciseness. Unit nurses utilized a variety of evidenced-based communication methods; however, there lacked consistency and there was little bedside reporting. Conclusions: Based on similar quality improvement studies further development of this handoff education intervention is likely to show better standardization in communication, more satisfactory handoff reporting between nurses, and fewer patient care errors related to miscommunication.

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