Date of Graduation

Summer 8-12-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Mary Seed

Second Advisor

Dr. Elena Capella



Communication is the soul of healthcare, without it, the microsystem cannot survive. There are many disciplines in healthcare, in order for safe and effective care to be delivered strong communication is key. With initiatives taken, there is always room for improvement where gaps can be identified. In particular, a gap in communication between night shift nurses and primary care physicians. According to the CRICO Strategies (2015) there has been a $1.7 billion-dollar loss and 2,000 deaths in healthcare nationally as a result of miscommunication. Poor communication has serious devastating effects if it is not corrected promptly. The duty of a clinical nurse leader (CNL) quickly becomes apparent that change is in order, to bridge this gap and ensure patient safety. A CNL has a distinct role in designing, implementing and evaluating patient care. This is done by collaborating, delegating, and overseeing the success of care. With the use of evidence-based practice and innovation, a CNL ensures the best care is provided for patients within the microsystem (, 2018). A long-term acute care medical-surgical unit was assessed, which revealed under efficient scores from Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) that only 20 percent of staff felt efficiency in communication between nurses and primary care physicians. The goal of this project is to create a standardized communication tool to improve efficiency in communication in three months’ time. After the implementation of this project, efficiency in communication improved and nurse satisfaction was achieved in the process.

Included in

Nursing Commons