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

Gina L. Purdue

Department Affiliation

Baccalaureate and Graduate Nursing

Second Advisor

Shannon Shumaker

Department Affiliation

Baccalaureate and Graduate Nursing


Communication among nursing staff is crucial to the outcome of patient care. Poor handoff and communication among professionals can have a negative impact on the safety of patients. The systemic nature of the problem with miscommunication among healthcare clinicians supports the necessity of standardization of communication among nursing as a handoff of care.

Change of shift report, or nurse-to-nurse report ensures the transfer of critical information to promote patient safety and best practices. Transferring and communicating pertinent information from one shift to the next is one factor in providing continuity of care. Bedside Shift Report (BSR) is an opportunity to reduce errors and ensure communication among nurses. Many benefits for BSR include relationship building among staff, visualization of the patient, increased patient satisfaction, and patient safety. Benefits of BSR include, changing current culture of nurse-to-nurse handoff to the patient’s bedside requires nursing leaders to utilize transformational leadership throughout the process. Evidence supports a practice change in nurse-to-nurse handoff using simulation in the hospital environment. This DNP project established BSR competency through simulation training. Registered nursing staff demonstrated nurse-to-nurse handoff communication through simulation competency training after didactic education. Outcomes measures included, improving nursing communication shown by "communication with nurses" scores through HCAHPS scores. A post simulation evaluation tool was completed by each participant evaluating the experience. Ultimately, the DNP project promotes simulation for education on nurse to nurse handoff competency.

IRB Approval Number (if applicable)