First Advisor

Patricia Cullen


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights

Document Type

Thesis - Open Access

Number of Pages

68 pages


Executive Summary

Daily Nurse-Instituted-Care-Interventions (NICI) Impact on Care Transitions Scores

Problem: The principal investigator’s organization consistently worked to improve multiple Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores without success. The question for the project was, “Will adult patients receiving Nurse-Instituted-Care-Interventions (NICI) for transition to discharge needs, when compared to the previous three-month baseline, lead to increased HCAHPS Care Transition scores in the Telemetry Unit.?”

Purpose: Improve HCAHPS Care Transition scores on the adult telemetry unit.

Goal (s): Increase in the (HCAHPS) Care Transition’s scores from below the 15th percentile, to the 50th percentile, increase quality and safety of patient care, and improve the patients’ perception of their care from suboptimal to that of quality.

Objectives: To communicate the project’s mission and vision to nursing staff and provide an understanding of expectations and proposed outcomes. Define program expectations for staff to validate that adult patients receiving (NICI) for transition to discharge needs are prepared to leave the hospital and manage their self-care needs in their previous environment.

Plan: To validate the organizational need for the Nurse-Instituted-Care-Intervention (NICI), developed program interventions, educated telemetry staff on research-based processes, moved evidence-based practice to the bedside, collected data, and completed process evaluation.

Outcomes and Results: Statistical analysis supported that the project intervention aimed at improvement of Care Transition scores was successful. The Paired Samples Statistics pre mean of 2.21 compared to post intervention mean of 3.47 supports a positive change in the mean score of 57%. The Paired Samples Test Sig. (2-tailed) or p=.000 validated that the change in mean was not due to random errors and that it is statistically significant.

Date of Award

Spring 2020

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

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