Date of Graduation

Fall 12-12-2014

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


This Clinical Nurse Leader (CNL) project involves the nursing staff and patients of a 23-bed post-surgical medical-surgical nursing unit at a Bay Area community hospital. The goal of this project was to improve patient care, patient satisfaction and staff workflow. Assessment of the microsytem revealed that from July 2013 through July 2014, the nursing unit scored below the unit’s goal 10 out of the 12 months for the HCAHPS question related to patient’s receiving help as soon as they pressed their call button. The unit’s goal is 64%; however, the 12-month average was 50%, with one month as low as 13%. To improve poor staff responsiveness, an in-service training for nursing staff was implemented. A policy and procedure for call lights, hourly rounding handout for patients’ welcome folder and the Visilert device were also suggested for implementation. It is projected that six months post-implementation, HCAHPS scores will increase from 50% to 65%. It is also estimated that in 12-months, the HCAHPS scores will continue to increase to 85%, the average score for top performing hospitals in the nation. In addition, it is projected that patients will become more educated and play a more active role in their care.

Included in

Nursing Commons