Roberto is the nurse manager on a medical-surgical floor. He recently received the monthly report on nursing overtime and noticed overtime costs have been rising. He walks to the nursing station to discuss the issue with the staff. He notices several incoming nurses waiting to receive change-of-shift report. When he inquires about the situation, the incoming shift nurse states the shift report delay occurs when they wait to receive report from four different nurses. The outgoing shift nurse states the problem occurs when healthcare providers want to complete hospital rounds during shift change. Another nurse attributes the problem to disruptions from other staff, such as when the dietary delivers morning trays during change of shift or the emergency department transfers a patient during change of shift. Roberto realizes there are multiple reasons for the delay in shift report. He quickly appreciates everyone’s viewpoint and realizes the solution involves many different hospital departments. Resolving the problem requires an interprofessional team approach. Another hospital unit resolved their overtime costs by implementing a quality improvement project designed to streamline the change-of-shift report. Before he can recruit team members to help implement a quality improvement project, he has questions needing answers. For example:

1.

How does he identify the scope of the project and who should participate on the project team?

2.

How will he organize the project steps?

3.

How can he ensure the project is completed on time?