Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



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Baccalaureate and Graduate Nursing

First Advisor

Mary Clements

Department Affiliation

Baccalaureate and Graduate Nursing

Second Advisor

Catherine Lynn Velotta

Department Affiliation

Baccalaureate and Graduate Nursing

Third Advisor

Mary DeLetter

Department Affiliation

Baccalaureate and Graduate Nursing


Nurse managers face many challenges in today's healthcare environment including how to retain staff. The purpose of this capstone was to give tools to nurse managers on specific units to develop techniques for shaping a positive culture making a difference for the nursing staff, patients, families and others on the nursing units. Culture-shaping tools were taught to five nurse managers after completion of a pre-assessment survey by bedside nurses to determine if the behaviors of the nurse managers could impact the nurse satisfaction and improve retention. Nursing staff were queried for effectiveness in nurse satisfaction after the nurse managers had 30 days to practice the use of culture shaping tools. The setting for the capstone was a 217-bed community hospital with the following units chosen to participate: Emergency Department, Pain Center, Telemetry Unit, Medical Surgical Unit and Intensive Care Unit. Data were collected from a convenience sample of RNs using a pre- and post-Revised Human Resources Survey (RHRS). All RNs under the supervision of the participating nurse managers (n=144) were invited to complete the pre- and post- RHRS to evaluate the effectiveness of the tools taught to the nurse managers. RHRS surveys were completed by 26 nurses pre-education and 19 nurses post-education. Although each item's mean score increased after nurse managers implemented culture shaping tools, independent t-tests indicated that the changes were not significant. However, eta squared calculations indicated a small magnitude of effect for each item. Nurse managers can create a positive culture on their nursing units by practicing culture-shaping behaviors.