Date of Award

January 2025

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Elizabeth Molle

Abstract

Healthcare organizations strive for nursing excellence, evident through prestigious awards like Magnet® Recognition and the Beacon Award of Excellence®. Nurse leaders play a crucial role in fostering a culture of excellence, but many face challenges due to confidence levels. PANEL educates nurse leaders on the connections between nurse satisfaction, patient satisfaction, and nurse quality measures (NQMs). By applying PANEL principles and transformational leadership, healthcare systems can positively impact nurse satisfaction, patient satisfaction, and NQMs. The aims of this project were: to develop a nursing excellence program for nurse leaders within a community-based healthcare system with the goal of connecting the three key excellence metrics, implement and evaluate the program, and to make recommendations for sustainability and scalability. This DNP project examined nursing leaders’ self-efficacy and the impact of PANEL on nurse satisfaction, patient satisfaction, and NQMs. While the intervention significantly improved self-efficacy (t (6) = -22.16, p <.001), Chi square analyses showed no significant effects on nurse satisfaction (p = .855), patient satisfaction (p = .798) or NQMs (p = .218). These results indicated the need for further investigation into the factors influencing nurse satisfaction, patient satisfaction, as well as NQMs. Future research should explore whether a longer implementation period, additional organizational support, or integration with other system-wide initiatives could yield more substantial outcomes. Considerations for sustainability and scalability should focus on embedding leadership training into the organization’s culture to drive long-term improvements in nursing excellence.

Comments

This is an Open Access Thesis.

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