Date of Graduation

Spring 2018

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




DNP Completion

First Advisor

Dr. Juli Maxworthy

Second Advisor

Dr. Elena Capella



Recent changes to healthcare reimbursement models have forced hospitals to improve their quality of care while reducing costs. John Muir Health has adopted the Performance Improvement philosophy to address these challenges. However, the current state for improvement project design is not standardized and does not guarantee that Magnet© standards will be followed. This design has caused confusion, inability to achieve project goals, and dissatisfaction among team members. The inability to achieve project goals has resulted in an ineffective use of resources and redundant work.

The objectives of this project were to standardize the way improvement projects are reviewed utilizing the Iowa Model of Evidence-Based Practice to Improve Quality Care, and to create a Magnet© toolkit for following the correct standards for improvement projects and data collection. A standardized process allows the proper stakeholders to be involved in the improvement project, which in turn allows achievable and appropriate goals to be set. Achieving the defined goals will improve patient safety and quality. It is also important for a Magnet© designated facility to use an evidence-based approach for improvement projects.

A standardized process was created that will allow the proper stakeholders to be engaged from the beginning of the project. Due to significant changes in the hospital leadership structure, the proposed interventions could not be implemented. As a remedy to this challenge, an online educational module was created that provides all the education and materials necessary to implement the interventions in the future. An online educational model was also created that describes Magnet© data collection standards to ensure that improvement projects are always compliant with Magnet© standards.

Included in

Nursing Commons