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University of San Francisco

Improving Hand Off Communication to Enhance Patient Outcomes and Staff Satisfaction

Abstract

dc:description.abstract

<p>Abstract</p> <p>The specific aim statement is: Improving hand off communication to enhance patient outcomes and staff satisfaction 50% by August 6. Staff had 100% participation. Reduction in unnecessary appointments occurred and a structured standardized hand off form with situation, background, assessment, and recommendation (SBAR) was implemented at the start date. The clinic has 2 exam rooms, 1 lab, a reception area, and two small offices. The majority of the clients are Hispanic females ages 15-25. The non-profit clinic provides free medical services to the community. Evaluation methods yielded quantitative and qualitative results through chart audits and direct observations.</p> <p>In-services, one-to-one demonstrations, and answer and question sessions were implemented. After four weeks using the form, changes were made resulting in positive outcomes. Ongoing observations, guidance, encouragement, and debriefings continued. Some staff struggled with the changes, but joined the team. Lewin’s change theory was used as a guidance tool with unfreezing, moving, and refreezing. Lewin’s change theory allowed for the understanding of nurses behavior during the change process. There were several sources used that supported these improvements. Effective communication is a necessary tool in minimizing client harm and maximizing quality of care. The CNL will continue to guide and develop this project.</p>

Degree

thesis:*
Name thesis:degree_name
Master of Science in Nursing (MSN)
Level thesis:degree_level
Project/Capstone - Global access
Year dc:date.available
2015

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Weinstock, Karin
Contributors dc:contributor
  • Professor Enna Trevathan
  • Professor Capella

Subjects

dc:subject × 7

Identifiers

dc:identifier.*
Repository record dc:identifier
https://repository.usfca.edu/capstone/155
OAI identifier oai:identifier
oai:repository.usfca.edu:capstone-1160

Chain of custody

source
Harvested from
University of San Francisco
Base URL
repository.usfca.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Weinstock, Karin. Improving Hand Off Communication to Enhance Patient Outcomes and Staff Satisfaction. Project/Capstone - Global access thesis, 2015. https://repository.usfca.edu/capstone/155