Date of Graduation

Spring 5-19-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor


Second Advisor



CNL Final Project Abstract

With my CNL project, I sought to reduce patient supply waste in the clinical microsystem by 50% by the end of the second quarter of 2017. The project was conducted in a 19-single-room adult surgical/orthopedic unit in a community hospital. I completed a through microsystem analysis with 5 P’s, SWOT analysis, and hospital HCAHPS scores as well as staff interviews. I then continued doing observational audits for supply use, barcode scanning, supplies in patient rooms, staff efficiency, and challenges facing nurses and their time constraints (Godfrey, Nelson, & Batalden, 2004).

During this process, I also completed a staff survey and examined the unit Par Level Sheet and the Hospital Chargemaster for a rundown on supplies in order to get an overall understanding of our unit and organization. After I analyzed my findings, I shared them with my preceptor and the unit nurse manager regarding the need for an improvement project. Furthermore, I continued the staff education in huddles and in services to bring awareness of supply waste and unscanned supplies in the unit.

Lewin’s three stage change theory was utilized to help implement the CNL project.To evaluate the project’s effectiveness, I completed a final observational audit in the unit and estimated once again the supply waste in patient rooms. This time the average estimate was $35 per patient room, which results in $7,000 in savings already (from $50 per patient supply waste)

Even though I did not reach my goal of a 50% improvement, this was still a great start to help improve not only the quality of patient care, but also patient and staff satisfaction.

I learned that gathering the baseline data can be as challenging as implementing an improvement project in a patient unit. Also, it is my hope to sustain this project in the unit with the help of staff volunteers on each shift and embed this project into the unit culture.

With the help of the CNL competencies and collaboration with the healthcare team, I helped reduced patient supply waste in the clinical microsystem to increase not only the quality of patient care but also staff efficiency and satisfaction (Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice, 2013).


Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice, 2013. Retrieved from

CNL:MSN Poster.pptx (1564 kB)

Included in

Nursing Commons