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Stakeholder Identification and Engagement Strategies to Secure Support



· Nursing managers

· Team leader

· Floor nurses

· Patients

· Family members


Engagement Strategies to Secure Support:

· Engage and collaborate with the nursing team openly and regularly convey the approach to enhance patient quality of care and safety.

· Incorporate an interactive service on the significance of bedside report implementation, address problems, propose a new handoff tool, and practice the new bedside reporting with each other.


I believe that these strategies will be effective in the engagement of the staff in the plan because they will be involved in implementing these new strategies. They will also be educated on the importance of bedside reporting and how it will affect their patients. The staff will have a chance to address issues and work together to find ways to resolve them.


SWOT Analysis



· Small unit size

· Managers have given their full backing.

· Cost-effective

· Patients and families informed of the plan of care

· Patient visualization and safe handoff



· Out-of-work scheduled training

· Longer reports, late clocking out

· Interrupt patient’s rest

· Sensitive information will be shared that the patient/family might not know yet



· Better patient/family satisfaction

· Decrease in sentinel events

· Improve passing important information


· It offers the chance for the patient/family to discuss the treatment plan

· Better nurse-to-patient relationship


· Overtime

· Lack of compliance from staff

· Negative feedbacks

· Language barriers


Financial Implications of the Capstone Project



· Providing in-service training will be costly for the organization as they will pay nurses to attend training and maybe overtime hours.

· Implementing improved hands-off will help decrease expenses for the organization as safety events will reduce.

· Inadequate handoffs are frequently the first point at which safety fails. Poor handoffs were responsible for approximately 80% of adverse outcomes in decade-long research. Communication breakdowns account for about 30% of all malpractice suits. In five years, inadequate handoffs have resulted in 1,744 fatalities and $1.7 billion in malpractice expenses ( Patient Safety Movement Foundation, 2022).


External Influencing Factors

The Joint Commission

· The Joint Commission set a National Patient Safety Goal for handoff communication. The organization’s handoff communication mechanism allows for conversation between the provider and recipient of patient data. It should be noted that this information may include the health diagnosis, care, treatment, drugs, and services, as well as any recent or projected changes to any of these factors (The Joint Commission, 2017).


The Joint Commission and the World Health Organization have ordered the establishment of a uniform handoff. These activities have created and executed several standardized handoff tools and checklists, including Situation Background Assessment Recommendation (SBAR), Illness severity Patient summary Action list Situation awareness and contingency planning Synthesis by receiver (I-PASS) (Galatzan & Carrington, 2018).


Evidenced-Based Practice

· The Quality and Safety Education for Nurses initiative also outlines safety competencies for handoffs, including the abilities and knowledge necessary to avoid unsafe working, employ standardized procedures to support safety, and leverage national patient resources to promote safety (Rhudy et al., 2022).



Outcome statement for the capstone project



95% of nurses in the medical-surgical/oncology unit will participate in bedside reports to improve patient safety and engage patients/families with continuity of care by the end of October


No modifications were needed for this outcome statement.


Evaluation plan for the capstone outcome


Evaluation will occur when clinical managers do leadership rounding; patients and families will be asked if nurses did bedside reports at the beginning of the shift.


The unit clerk will monitor the evaluation of safety events like falls, CLASBI, and CAUTI during the eight weeks as part of the Key Performance Indicators or KPI metric.


The goal will be met when 95% of the nurses participate in bedside reports with a long-term goal of reduction of safety incidents by 80%.


No modifications were needed for this outcome statement.


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