Date of Graduation

Winter 12-15-2019

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Elena Capella


The reduction of nurse burnout has shown to have an increase in patient satisfaction and quality of care. It also has shown a decrease in patient-related or sentinel events. Accordingly, with the reduction of nurse burnout, there has also been a reduction of compassion fatigue. This project has illuminated the benefits of acuity-based caseload at the micro-level, including the cost-effective nature of overtime pay, including HCHAPS benefit score. The method of obtaining, planning, and implementing was based on the Plan, Do, Study, Act (PDSA), which required collaboration amongst multiple disciplines, groups, departments, and executives. The process and goals concluded to have increased in HCHAPS scores, reduction in overtime, and the ability to hire additional staff. The most considerable implementation was more patient-centered/driven care, where consumer satisfaction increased. By implementing TEAMSTEPPS, the nursing staff showed to be more willing to adopt change and felt heard as they had “buy-in” in the process as change occurred.