The purpose of this paper is to discuss the DNP project, which focused on improving communication skills for associate degree nursing students. The background and significance of this problem was identified, a systematic review of the literature was completed, and TeamSTEPPS, based on the body of evidence, was implemented in a clinical immersion setting. The project objectives were to implement communication techniques, using TeamSTEPPS, as recommended from the body of evidence. The anticipated outcomes were that nursing students would have increased confidence in asking questions in the clinical setting, reduced fear of communicating, and improved patient safety. A review of the literature supported the use of TeamSTEPPS for nursing students to improve communication skills (AHRQ, 2018). Failures of communication, including miscommunication during hand-offs, contribute to two of every three of the most serious events reported to The Joint Commission (TJC) sentinel events (Starmer et al., 2014). These findings led to the focus of this author's clinical question: Do xi nursing students lack the ability to confidently communicate and ask questions for safe patient care? The project design was a clinical immersion of TeamSTEPPS for fourth-semester nursing students for one clinical semester with pre-and post-survey. Results included student reports of feeling decreased fear in asking questions in the clinical setting after the TeamSTEPPS communication clinical immersion project. Sustainability, limitations, and conclusions were reviewed, and a recommendation was offered to include TeamSTEPPS in the pre-licensure nursing curriculums. DNP impact and encapsulation of experience summary were offered.

Date of publication

Spring 5-4-2021

Document Type

DNP Scholarly Project



Persistent identifier


Committee members

Dr. Kathleen Helgesen


Doctor of Nursing Practice

Included in

Other Nursing Commons