NURS FPX 4005 Assignment 4 Stakeholder Presentation

Name

Capella university

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

Prof. Name

Date

Stakeholder Presentation

Welcome and thank you for the opportunity to share this proposal focused on improving communication and reducing staff burnout in the Neonatal Intensive Care Unit (NICU) at Hackensack Meridian Health. This evidence-based, interdisciplinary plan aims to advance patient safety, support staff well-being, and optimize care coordination. Designed specifically for stakeholders such as nurses, neonatologists, administrative leaders, and staffing coordinators, the proposal requires your engagement to ensure successful implementation and sustained outcomes.

Presentation Overview

This presentation identifies significant communication and staffing challenges within the NICU, which negatively impact patient outcomes and team efficiency. Through a structured, team-based intervention, the proposed model offers evidence-based strategies and outlines actionable steps for implementation. Key areas addressed include resource management and outcome evaluation, aligning stakeholders toward a unified goal of enhancing neonatal care and fostering collaborative partnerships.

Organizational Issue

The NICU environment is highly demanding and necessitates streamlined communication and effective staffing. Present challenges include communication fragmentation, documentation inconsistencies, and imbalanced workloads—all of which contribute to delays, medical errors, and clinician burnout (Bell et al., 2023). A large proportion of NICU professionals experience elevated stress, with 47% reporting moral distress and 35% facing burnout, particularly nurses (Carletto et al., 2022). To address these issues, structured interprofessional collaboration is essential. Strategies such as standardized communication protocols, leadership support, and integrated technological tools enhance coordination while promoting psychological safety within the team (Bell et al., 2023).

Consequences of Not Addressing the Issue

Neglecting these systemic issues can lead to detrimental outcomes such as increased staff turnover, reduced morale, elevated operational costs, and compromised patient care. Research shows that 23% of NICU providers experience post-traumatic stress symptoms, and 28% suffer burnout—conditions exacerbated by moral distress, emotional exhaustion, and inadequate institutional support (Ravaldi et al., 2023). Family-centered care also suffers when parents perceive lapses in communication and emotional disconnection from staff (Guttmann et al., 2024). Without intervention, team dysfunction and care fragmentation will persist, affecting both providers and families.

Relevance of an Interdisciplinary Team Approach

An interdisciplinary model integrating nurses, neonatologists, case managers, and administrative staff offers a robust solution to mitigate burnout and communication failures. Collaboration built on mutual respect, clarity, and shared decision-making enhances patient care outcomes and workplace efficiency. Implementing structured interdisciplinary rounds using SBAR (Situation, Background, Assessment, Recommendation) communication helps ensure a shared understanding of patient needs. These initiatives promote timely decision-making, staff well-being, and high-quality neonatal outcomes. Such collaborative models have demonstrated decreased adverse events and improved job satisfaction in critical care environments (Sharma & Friede, 2023).

Interdisciplinary Plan Summary

The proposed intervention follows the PDSA (Plan-Do-Study-Act) cycle, which enables organizations to test and refine solutions in real-time clinical environments (Chen et al., 2020).

PDSA Phase	Description
Plan	Incorporate TeamSTEPPS to improve communication, leadership, and performance. Introduce SBAR for handoffs, conduct daily interdisciplinary meetings, and adopt EHR-based secure messaging for continuity during shift changes. Establish a psychologically safe environment to foster trust and open feedback.
Do	Implement a two-month pilot using TeamSTEPPS and SBAR. Launch daily team huddles and introduce secure messaging. Provide training in psychological safety practices.
Study	Collect data on communication delays and errors, staff burnout using MBI, and parental satisfaction. Measure handoff quality and team responsiveness. Analyze pre- and post-intervention metrics.
Act	Use collected data to refine practices. Address barriers with additional education and process changes. Institutionalize successful strategies across the NICU.

Supporting Evidence for the Plan

Each strategy is backed by research and professional guidelines. TeamSTEPPS, endorsed by AHRQ, improves team dynamics and reduces clinical errors (Aurele et al., 2023). SBAR handoffs are supported by The Joint Commission and have demonstrated marked improvements in communication quality (Ghosh et al., 2021). Psychological safety is another cornerstone of the model, addressing moral distress and burnout among NICU staff (Carletto et al., 2022; Ravaldi et al., 2023). Interdisciplinary huddles are linked with better planning and team cohesion (Aurele et al., 2023), while integrated EHR tools improve real-time collaboration and task tracking (Vos et al., 2020).

Implementation, Evaluation, and Conclusion

Implementation and Resource Management

Hackensack Meridian Health will adjust staff schedules to incorporate 15-minute daily huddles. This initiative requires minimal financial investment but offers high value in improving collaboration (Brickson et al., 2024). Staff training will focus on EPIC functionalities such as built-in messaging and scheduling tools. Educational modules on TeamSTEPPS and SBAR will prepare staff for structured collaboration. Leadership will monitor engagement and address role clarity to avoid financial inefficiencies due to turnover (Fu et al., 2023).

Resource	Strategy
Human Resources	Add full-time or floating nurses to reduce reliance on agency staff.
Technology	Leverage EPIC’s secure communication tools.
Cost Estimate	$10,000–$15,000 for training and tool integration.
Scheduling	Daily huddles embedded into existing shift structures.

Evaluation

The project’s success will be evaluated using evidence-based, quantifiable metrics:

Outcome Goal	Evaluation Tool	Target
Handoff Accuracy	Communication Audits (Ghosh et al., 2021)	≥95%
Burnout Reduction	Maslach Burnout Inventory (MBI)	≤20%
Moral Distress	Moral Distress Scale-Revised	≤20%
Parental Satisfaction	Quality of Communication (QOC) Scale (Guttmann et al., 2024)	≥80%

These measures will validate whether the interdisciplinary approach effectively improves communication, reduces burnout, and enhances family experiences in the NICU.

Conclusion

This proposal presents a comprehensive and sustainable solution to the issues of fragmented communication and staff burnout in the NICU. By combining evidence-based strategies such as TeamSTEPPS, SBAR, EHR integration, and daily team huddles, the plan supports improvements in care delivery, psychological safety, and operational stability. Stakeholder support is essential to drive forward a culture of collaboration and excellence in neonatal care. Thank you for your attention and commitment to improving outcomes in our NICU. I welcome any questions you may have.

References

Aurele, K. M., Branche, T., Adams, A., Feister, J., Boyle, K., & Scala, M. (2023). Recommendations for creating a collaborative NICU environment to support teamwork and trainee education. Journal of Perinatology, 43(12), 1520–1525. https://doi.org/10.1038/s41372-023-01756-8 Bell, E. A., Rufrano, G. A., Traylor, A., Ohning, B. L., & Salas, E. (2023). Enhancing team success in the neonatal intensive care unit: Challenges and opportunities for fluid teams. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1284606

NURS FPX 4005 Assignment 4 Stakeholder Presentation

Brickson, C., Keniston, A., Knees, M., & Burden, M. (2024). Characterizing electronic messaging use among hospitalists and its association with patient volumes. Journal of Hospital Medicine, 19(12), 1131–1137. https://doi.org/10.1002/jhm.13462 Carletto, S., Ariotti, M. C., Garelli, G., Di Noto, L., Berchialla, P., Malandrone, F., … & Coscia, A. (2022). Moral distress and burnout in neonatal intensive care unit healthcare providers: A cross-sectional study in Italy. International Journal of Environmental Research and Public Health, 19(14), 8526. https://doi.org/10.3390/ijerph19148526 Chen, Y., VanderLaan, P. A., & Heher, Y. K. (2020). Using the model for improvement and plan-do-study-act to effect SMART change and advance quality. Cancer Cytopathology, 129(1), 9–14. https://doi.org/10.1002/cncy.22319 Fu, M., Song, W., Yu, G., Yu, Y., & Yang, Q. (2023). Risk factors for length of NICU stay of newborns: A systematic review. Frontiers in Pediatrics, 11. https://doi.org/10.3389/fped.2023.1121406 Ghosh, S., Ramamoorthy, L., & Pottakat, B. (2021). Impact of structured clinical handover protocol on communication and patient satisfaction. Journal of Patient Experience, 8(1), 1–6. https://doi.org/10.1177/2374373521997733

NURS FPX 4005 Assignment 4 Stakeholder Presentation

Guttmann, K. F., Raviv, G. N., Fortney, C. A., Ramirez, M., & Smith, C. B. (2024). Parent perspectives on communication quality in the Neonatal Intensive Care Unit. Advances in Neonatal Care, 24(4). https://doi.org/10.1097/anc.0000000000001178 Ravaldi, C., Mosconi, L., Mannetti, L., Checconi, M., Bonaiuti, R., Ricca, V., … & Vannacci, A. (2023). Post-traumatic stress symptoms and burnout in healthcare professionals working in neonatal intensive care units: Results from the STRONG study. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1050236 Sharma, S., & Friede, R. (2023, April 10). Multidisciplinary rounds in the ICU. NIH.gov. https://www.ncbi.nlm.nih.gov/books/NBK507776/ Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 1–11. https://doi.org/10.1186/s12913-020-05542-6