Capella 4005 Assessment 4

Name

Capella university

NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations

Prof. Name

Date

Stakeholder Presentation

Good day, everyone. I’m [Your Name], and I’m here to present a strategic and evidence-based solution designed to resolve the communication breakdowns experienced during nursing shift handovers at Mercy General Hospital (MGH). Ineffective handovers compromise care quality and patient safety, leading to errors, treatment delays, and overall dissatisfaction (Chien et al., 2022). The proposed plan involves a structured interdisciplinary approach incorporating SBAR (Situation, Background, Assessment, Recommendation) and TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety). This presentation outlines the plan’s objectives, the phases of implementation, and the anticipated benefits for both clinical outcomes and organizational performance.

1. Healthcare Challenge and the Importance of Interdisciplinary Collaboration

Communication Breakdown and Its Organizational Impact

At MGH, inconsistent communication during transitions between night and day nursing shifts has led to critical misunderstandings. These lapses contribute to fragmented care, incomplete data sharing, and an increased risk of preventable medical errors (Wallace et al., 2023). Previous interventions lacked sustainability and did not involve multidisciplinary engagement, making them ineffective over time.

A structured and collaborative model is essential. Leveraging SBAR for standardizing communication and TeamSTEPPS for strengthening team coordination provides a cohesive response. These tools offer a consistent framework to convey clinical information clearly, supporting both safety and workflow efficiency.

Risks of Inaction

Ignoring communication lapses can have serious repercussions. These include inaccurate medication delivery, delayed care, and increased readmission rates—all of which elevate operational costs and legal exposure (Chien et al., 2022). Continued miscommunication not only undermines patient trust but can also damage MGH’s reputation and compliance with healthcare standards.

Role of an Interdisciplinary Strategy

Collaborative team involvement is key to resolving handoff inefficiencies. Engagement from nurses, physicians, and allied professionals fosters shared responsibility. SBAR ensures clarity, while TeamSTEPPS enhances mutual respect and collaboration (Hamm et al., 2021). These tools reinforce standardization, reduce ambiguity, and create a framework for dependable care continuity (Rehm et al., 2021).

2. Interdisciplinary Plan and Execution

Implementation Through the PDSA Cycle

The interdisciplinary handoff communication improvement initiative will be guided by the Plan-Do-Study-Act (PDSA) cycle (McGovern, 2022):

PDSA Phase	Activities
Plan	Identify communication gaps; develop SBAR/TeamSTEPPS training; conduct surveys to understand current deficiencies.
Do	Pilot training in select units; use simulation and EHR-integrated SBAR templates. Monitor compliance and incident data.
Study	Analyze feedback and data to assess communication effectiveness and safety outcomes.
Act	Scale implementation hospital-wide; provide refresher training and continuous evaluation.

Team Roles and Responsibilities

Team Member	Responsibility
Nurse Educator	Conducts bi-weekly SBAR/TeamSTEPPS training during rollout.
Unit Manager	Ensures SBAR integration into shift routines; resolves workflow issues.
Nurses	Use SBAR in all handoffs; participate in peer reviews and feedback.
QI Team	Tracks handoff data, evaluates outcomes, and presents monthly reports.
Hospital Leadership	Allocates resources, offers strategic support, and oversees long-term adherence (Toumi et al., 2024).

Resource Management and Allocation

The plan’s implementation depends on prudent use of MGH’s resources. Human resources include a project coordinator, nurse educators, and trained staff with protected learning time. Financial resources—estimated at \$15,000–\$20,000 annually—will support training development, EHR modifications, and monitoring tools (Kuriyan et al., 2020). Technological resources are already in place through the hospital’s existing EHR and internal communication systems. Sustainability is reinforced through quarterly reviews and iterative feedback loops.

Resource Type	Details
Human	Nurse educators, project coordinators, staff training time.
Financial	Training materials, external consultants, compliance tracking software.
Technological	EHR system enhancements for SBAR; simulation tools.

3. Evaluation of Outcomes and Long-Term Impact

Success Metrics and Monitoring

The outcome of this plan will be measured using a combination of qualitative and quantitative indicators. These include:

Metric	Indicator of Success
Reduced Communication Errors	Lower incidence of miscommunication-related events, tracked via EHR reports.
Improved Emergency Response	Faster response times due to clear handoff protocols.
Positive Staff Feedback	Survey results showing improved satisfaction with SBAR and TeamSTEPPS (Kuriyan et al., 2020).
Enhanced Patient Outcomes	Decrease in readmission rates and higher patient satisfaction scores (Rehm et al., 2021).

The QI team will compile these results into regular progress reports and use findings to guide ongoing refinements. Monitoring tools and staff feedback will ensure the strategy remains adaptive and aligned with real-time clinical needs.

Strategic Conclusion

This interdisciplinary initiative at MGH presents a transformative strategy to address nursing handoff inefficiencies. Through the adoption of SBAR and TeamSTEPPS, supported by well-defined roles, resource allocation, and continuous evaluation, MGH is positioned to reduce miscommunication errors and improve overall patient care. The plan is not only cost-effective but also instrumental in cultivating a culture of safety and accountability.

References

Chien, L. J., Slade, D., Dahm, M. R., Brady, B., Roberts, E., Goncharov, L., Taylor, J., Eggins, S., & Thornton, A. (2022). Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. Journal of Advanced Nursing, 78(5), 1413–1430. https://doi.org/10.1111/jan.15110

Hamm, B., Pozuelo, L., & Brendel, R. (2021). General hospital agitation management under the lens of leadership theory and health care team best practices using TeamSTEPPS. Journal of the Academy of Consultation-Liaison Psychiatry, 63(3), 213–224. https://doi.org/10.1016/j.jaclp.2021.10.007

Kuriyan, A., Kinkler, G., Cidav, Z., Kang-Yi, C., Eiraldi, R., Salas, E., & Wolk, C. B. (2020). TeamSTEPPS to improve collaboration in school mental health: Protocol for a mixed-method hybrid effectiveness-implementation study. JMIR Research Protocols, 10(2). https://doi.org/10.2196/26567

Capella 4005 Assessment 4

McGovern, V. L. (2022). Quality improvement initiative through staff development: Using education to increase preoperative handoff communication. University of New Hampshire Scholars’ Repository. https://scholars.unh.edu/thesis/1605/

Rehm, C., Zoller, R., Schenk, A., Müller, N., Nerschbach, N., Zenker, S., & Schindler, E. (2021). Evaluation of a paper-based checklist versus an electronic handover tool based on the Situation Background Assessment Recommendation (SBAR) concept in patients after surgery for congenital heart disease. Journal of Clinical Medicine, 10(24), 5724. https://doi.org/10.3390/jcm10245724

Toumi, D., Dhouib, W., Zouari, I., Ghadhab, I., Gara, M., & Zoukar, O. (2024). The SBAR tool for communication and patient safety in gynaecology and obstetrics: A Tunisian pilot study. BioMed Central Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05210-x

Wallace, L. A., Schuder, K. K., Loeslie, V., Hanson, A. C., Ongubo, C., Chiarelly, E., Schalla, G., Meek, K. H., & Springer, D. (2023). Improving communication in the medical intensive care unit through standardization of handoff format: A quality improvement project. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 7(4), 301–308. https://doi.org/10.1016/j.mayocpiqo.2023.05.006

Capella 4005 Assessment 4