NURS FPX 4905 Assessment 5 - Capella BSN .pdf

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1. NURS FPX 4905 Assessment 5: Capstone Project
Summary and Dissemination Plan
Student Name
Capella University
NHS-FPX 4905
Professor Name
Submission Date







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2. Introduction
Completing a capstone project represents the culmination of a nursing student’s academic
preparation and the transition of classroom knowledge into practical solutions for complex
healthcare issues. The focus of this project was nurse fatigue and its influence on patient safety
outcomes. Fatigue remains one of the most pressing workforce challenges in healthcare, as it
contributes to medical errors, decreased productivity, and heightened risks for both providers and
patients. This paper summarizes the project, outlines the implementation and evaluation
processes, and details a dissemination plan to ensure findings reach appropriate audiences to
promote sustainable change in practice.
Project Summary
The project targeted nurse fatigue as a significant determinant of patient safety, identifying
prolonged shifts, insufficient staffing, emotional stress, and lack of recovery time as primary
contributors. Evidence demonstrated that fatigue undermines cognitive function, weakens
decision-making, and is directly linked to higher incidences of medical errors and staff attrition.
To address these concerns, a three-part intervention was designed:
1. Workforce Scheduling Improvements – Revising scheduling structures to reduce
excessive consecutive shifts and promote adequate rest between work hours.
2. Health and Resilience Initiatives – Implementing programs focused on stress reduction,
physical activity, mindfulness training, and access to mental health resources.
3. Digital Support Systems – Employing wearable devices and mobile applications to track
sleep, monitor fatigue risk, and encourage healthier work-life balance.
The intervention aimed to create a culture of safety where organizational priorities align with
nurse well-being, ultimately supporting quality outcomes and patient satisfaction.
Implementation and Evaluation
A phased rollout strategy was recommended, beginning with a small-scale pilot in a single
hospital unit to assess feasibility and build staff buy-in.
Evaluation methods included:
• Quantitative Data: Monitoring rates of preventable medical errors, absenteeism, and
retention statistics pre- and post-intervention.
• Qualitative Data: Conducting structured surveys and focus groups with nurses to
capture perceptions of fatigue, resilience, and job satisfaction.

3. • Benchmarking: Comparing outcomes against national patient safety and workforce
performance indicators from organizations such as the Agency for Healthcare Research
and Quality (AHRQ).
This evaluation framework ensured measurable outcomes while allowing for adjustments to
maximize effectiveness before broader system-wide adoption.
Dissemination Strategy
A strong dissemination plan is essential to extend the project’s impact beyond the pilot unit. The
strategy includes multiple levels of communication:
• Internal Dissemination: Sharing findings with hospital executives, unit managers, and
quality committees through formal presentations and written reports. Summaries will also
be distributed via hospital newsletters and unit meetings to engage frontline staff.
• Professional Dissemination: Submitting abstracts to national nursing conferences,
including the American Organization for Nursing Leadership (AONL) and the ANA
Quality and Innovation Conference. Publication of results in peer-reviewed journals such
as Journal of Nursing Management or Journal of Nursing Administration is also planned.
• Digital Dissemination: Posting highlights on professional platforms like LinkedIn and
ResearchGate to reach policymakers, researchers, and interprofessional colleagues.
This approach ensures that the project influences practice at both organizational and professional
levels.
Stakeholder Engagement
The success of the dissemination plan depends on early and continuous engagement with
stakeholders. Key stakeholders identified include:
• Nursing Staff: The primary group affected by the intervention. Their feedback and
participation will guide adjustments and validate outcomes.
• Hospital Leadership: Responsible for supporting policy reforms, allocating resources,
and ensuring scalability of the intervention.
• Patients and Families: Beneficiaries of improved safety outcomes, indirectly
influencing institutional reputation and satisfaction metrics.
• Professional Organizations: Groups capable of advocating for system-wide adoption of
fatigue management strategies.
Active involvement, open communication, and alignment with organizational goals are vital to
sustaining stakeholder support.
Anticipated Outcomes
If implemented and disseminated effectively, the project is expected to yield the following
outcomes:

4. • Improved nurse health, morale, and resilience.
• Reduced fatigue-related medical errors and adverse patient events.
• Enhanced patient trust and satisfaction with care delivery.
• Lower turnover rates and associated costs for healthcare organizations.
• Broader recognition of nurse wellness as a critical factor in healthcare safety and quality.
Ultimately, the intervention has the potential to shift organizational culture toward one that
prioritizes workforce well-being as a foundation for safe patient care.
Conclusion
Nurse fatigue represents a persistent challenge in healthcare that directly compromises patient
safety and workforce sustainability. This capstone project addressed the issue through a
multifaceted intervention and developed a structured dissemination plan to maximize impact. By
sharing outcomes with organizational leaders, professional audiences, and broader nursing
networks, the project contributes to evidence-based practice, advances the nursing profession,
and promotes long-term improvements in healthcare systems. Nurses, empowered with
knowledge and resources, are positioned to drive the transformation toward a healthier, safer,
and more resilient work environment.
References
Agency for Healthcare Research and Quality. (2021). Patient safety and quality improvement.
https://www.ahrq.gov/patient-safety
Caruso, C. C. (2019). Negative impacts of shift work and long work hours. Rehabilitation
Nursing, 44(1), 30–34. https://doi.org/10.1097/rnj.0000000000000186
Letvak, S. A., Ruhm, C. J., & Gupta, S. N. (2019). Nurses’ presenteeism and its effects on self-
reported quality of care and costs. American Journal of Nursing, 119(2), 24–32.
https://doi.org/10.1097/01.NAJ.0000552645.06866.22
Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2020). The longer the shifts for hospital nurses,
the higher the levels of burnout and patient dissatisfaction. Health Affairs, 39(11), 1976–1984.
https://doi.org/10.1377/hlthaff.2020.00739

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