Abstract
This project addresses the redesign of a unit after merging a medical and oncology unit in a small community hospital where quality of patient care and outcomes are emphasized. The focus was to examine the effectiveness of staff-led initiatives to improve satisfaction and outcomes. The purpose of the project was to increase patient, physician, and staff satisfaction and to improve patient outcomes. This project involved empowering the staff to make the necessary changes to reach the outcomes. The project allowed nurses the opportunity to discuss issues regarding continuity of patient care, safe work environment, and improved patient outcomes. Serendipitous outcomes of the project have included unit staff nurses serving as ambassadors for the unit and hospital, a decrease in the change of shift report time, and a staff that desires empowerment. Throughout the project, the clinical nurse specialist functioned in all 3 spheres of influence (patient/client, nurses and nursing practice, and organization/system) to facilitate the commitment to change the environment. The clinical nurse specialist and staff desired to make a positive impact on patient outcomes.