Date of Graduation

Fall 12-13-2024

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

Dr. Dunbar

Second Advisor

Dr. Lombard

Abstract

Our quality improvement project at Regina House addresses communication gaps during patient handoffs, which have led to missed or delayed care. The research underscores the critical role of effective communication in patient safety, particularly for vulnerable populations in nursing homes. Current handoff practices at Regina House are inconsistent, especially among Certified Nursing Assistants, resulting in frequent reporting errors and communication disparities.

To enhance patient safety and care continuity, this project introduces a standardized handoff tool and an incident reporting system, aligning with Regina House’s goal of improving care quality. Over three months, CNAs will receive training on the tool, with the aim of achieving 90% compliance and reducing missed or delayed care incidents. Guided by Kotter’s Change Management Model, the project encompasses the development, testing, and refinement of the tool. Baseline data and continuous feedback will be collected to monitor adherence, accuracy, and timeliness of handoffs.

Our initial findings are promising, suggesting that structured handoff protocols and team training can improve patient outcomes, communication efficiency, and staff accountability. By standardizing handoff procedures, we strive to create a safer environment and ensure that critical information is reliably conveyed during patient transitions, especially for those in hospice care.

Available for download on Thursday, November 27, 2025

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