Date of Completion

Summer 2026

Document Type

DNP Scholarly Project

Academic Department

School of Nursing

Degree Type

Doctoral

Degree Name

Doctor of Nursing Practice

First Advisor

Dr Lydia Forsythe

Second Advisor

Dr. Katie Hooven

Abstract

Effective communication among healthcare practitioners is essential for patient safety, care coordination, and quality outcomes in outpatient psychiatric settings. This Doctor of Nursing Practice (DNP) quality improvement project aimed to improve interdisciplinary communication and reduce communication-related patient complaints through implementing the Situation, Background, Assessment, and Recommendation (SBAR) framework at Med Cure Clinic, an outpatient psychiatric facility in Houston, Texas. Guided by the Institute for Healthcare Improvement’s Model for Improvement and the OhioHealth Change Management Model, the 12-week project incorporated staff education, standardized SBAR documentation, electronic health record prompts, communication audits, stakeholder engagement, and Plan–Do–Study–Act (PDSA) cycles. The project evaluated outcomes using pre- and post-implementation data on patient complaints, communication satisfaction, documentation adherence, staff knowledge, organizational readiness, and patient wait times. Findings demonstrates a reduction in communication-related complaints from 28% to 8%, an increase in patient communication satisfaction from 75% to 88%, and final SBAR documentation adherence of 92%. Staff knowledge improved from 65% to 97%, while organizational readiness increased from 64% to 94%. Patient wait times remained within the predetermined acceptable range. These findings suggest that structured SBAR communication, supported by staff education, leadership engagement, and continuous monitoring, can strengthen communication consistency and care coordination in outpatient psychiatry. Continued audits and organizational reinforcement may support sustainability.

Rights

Copyright, all rights reserved

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.