Date of Graduation

Fall 12-10-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Elena Capella


It is the obligation of the Clinical Nurse Leader to place their skills up against the pulse of the microsystem they work within. This nursing leader is in a position to observe and react to flaws that affect their specific workforce. This microsystem project will provide an evidence-based perspective on how to improve monthly scheduling within the unit of 4 South, Surgical Intensive Care. The intent is to increase nurse retention as a function of improved scheduling efforts, allowing staff the ability to manage their own exchange of shifts while addressing the daily staffing needs of the unit. Despite efforts to work towards this goal, the most recent data has shown that 20 nurses have left the unit since January 2018. Continuing efforts to evolve with the needs of staff has been a challenge of this project, as it has not demonstrated the goals intended. This has been an especially difficult task with the sudden switch to central online scheduling which the macrosystem launched within the last month of this update.