This website deposits the scholarly products created by Master of Nursing (MN) students for educational purposes only. The primary audience consists of current, past, and future students in the graduate programs in the School of Nursing & Health Studies at the University of Washington Bothell (UW Bothell):
and guests attending the Graduate Symposium.
This website is created and managed by Dr. Ko Niitsu, Capstone Professor for MN students in the Spring 2025 Quarter.
1. Mariaugh Ballenger-Warnes
2. Jessika Barajas
3. Sandra Chan
4. Camille Clarke
5. Annie Gholston
6. Jonathan Halldorson
7. Melissa Hamilton
8. Lisa Howard
9. Kelsey Hughes
10. Melanie Jorgenson
11. Liz Laverty
12. Jennifer Okimoto
13. Chelsea Potter
14. Medha Raval
15. Gretchen Rudersdorf
16. Rachel Rytter
17. Alex Speaks
18. Feliz Spearman-Altheimer
19. Michelle Stipe
20. Allyson Weymier
21. Anna Wilson
22. Christen Young
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Mabel Ezeonwu
Mariaugh Ballenger-Warnes' capstone project, "Understanding the Dynamics of Bloodborne Pathogen Exposures Reporting in Bedside Nurses at the University of Washington Medical Center ML," investigates the challenges and potential improvements in the reporting of bloodborne pathogen exposures (BBEs) among bedside nurses.
Employing a one-group pretest-posttest quasi-experimental design, thirty bedside nurses from a medical-surgical unit participated in an anonymous seven-item Likert-scale survey assessing their familiarity with BBE protocols. Following the pretest, a concise educational one-sheet featuring essential reporting details and a QR code linking directly to the reporting system (circumventing the extant 6 click reporting pathway) was displayed in the staff bathroom. One week passed before the posttest survey was administered.
Using statistical analysis of the pre- and post-intervention data, a paired t-test was used to compare means of the two groups to assess whether the intervention had a significant impact. Findings indicated modest improvements in nurses' self-reported knowledge and confidence, particularly in documentation processes and reporting timelines.
The study concludes that even minimal, targeted educational tools can positively influence nurses’ confidence in reporting.
Mariaugh Ballenger-Warnes, MN, RN(C), RN
Scholarly Committee
Scholarly Chair / Capstone Professor / Faculty Mentor: Dr. Ko Niitsu
Second Reader: Dr. Stoerm Anderson
Empowering Excellence is a unit-based pilot project to increase nurse engagement through shared governance at Swedish Medical Center’s Orthopedic Institute 5th floor (SOI5), aligning with Magnet designation goals. The project identified barriers such as time constraints, unclear governance structures, and limited perceived influence using surveys, a SWOT analysis, and staff feedback. To address these, the initiative implemented a flexible, staff-driven mentorship model, emphasized leadership development, and recommended integrating shared governance education into staff onboarding. Including onboarding helps new nurses understand governance structures early, increasing confidence and participation. Survey results showed strong interest in one-on-one mentorship and support for group-based models. Grounded in transformational leadership, Kanter’s structural empowerment, and Magnet principles, the project reinforces that shared governance improves nurse satisfaction, retention, and excellent patient outcomes. This pilot offers a scalable model for engaging nurses and strengthening professional governance hospital-wide.
Jessika Barajas, MN(C), RN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Stoerm Anderson
This capstone project focuses on the development and implementation of a Virtual Nursing Care Policy at Harborview Medical Center (HMC), designed to support two newly established hospital units and future expansions. As healthcare increasingly integrates technology to meet rising patient demands and workforce challenges, virtual nursing offers an innovative approach to optimize nursing workflows, enhance patient monitoring, and ensure safe, team-based care delivery.
The project followed a Participatory Action Research (PAR) framework, ensuring that bedside nurses, virtual nurses, IT specialists, and hospital administrators were actively involved throughout the process. Key phases included a comprehensive literature review, needs assessment, stakeholder engagement through focus groups and interviews, and iterative policy drafting. Qualitative data collected from approximately 10 key stakeholders informed the policy’s content, feasibility, and alignment with hospital operations.
The resulting policy clearly defines the roles and responsibilities of virtual and bedside nurses, outlines communication workflows, and includes an evaluation tool to assess nurse adoption, patient outcomes, and staff satisfaction. The capstone not only delivers a ready-to-implement policy but also provides a scalable model for future virtual care integration across HMC. By centering the lived experiences of nurses and fostering interdisciplinary collaboration, this project contributes to more efficient, connected, and patient-centered care.
Sandra Chan, BSN, RN
Scholarly Committee
Scholarly Chair / Capstone Professor / Faculty Mentor: Dr. Stoerm Anderson
Second Reader: Dr. Ko Niitsu
Nurses face increasing hardship and ever changing expectations in their modern roles. Looking for solutions to help ease the burden of learning the concept of play was unearthed as a technique for change. Working with her Faculty Mentor Dr. Storm Anderson for her capstone, they created an experiential roleplay activity for undergraduate students in UW Bothell’s BNURS 422 class. They worked to create a scenario and roles that helped students to experience the reality of working in leadership under the current financial and social pressures. 13 students took part in this optional 3 hour role play game.
Using a post-test only control group design results will be based on the final exam of the students that participated in comparison to the control group. The study will be repeated over summer quarter with more data to provide. This project works to investigate play as a learning method for adult learners to gain experience and insight into the workings of hospital administration.
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Robin Fleming
As the University of Washington Bothell (UWB) Master of Nursing (MN) program prepares for reaccreditation in 2026, it must align course work with the 2021 AACN Essentials, which emphasize competency-based education (CBE).This initiative is more than just a curriculum update—it’s a strategic overhaul designed to ensure graduates are prepared for the evolving demands of nursing practice.This project focused on revising the MN Research course and developing a new Nursing Informatics course to reflect best practices and meet accreditation standards. In addition to refining course structures, this process identified key strengths and gaps, ensuring alignment with competency-based education (CBE) principles.By integrating CBE principles into the curriculum, this effort supports UWB’s reaccreditation while strengthening student learning outcomes and preparing future nurses for the evolving healthcare landscape.
Annie Gholston, RN, BSN, CMSRN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Shari Dworkin
Amid rising prevalence and complexity of type 2 diabetes (T2D) in the United States, Jonathan Halldorson identifies a knowledge gap among primary care (PC) clinicians who deliver most diabetes care. His capstone project, Halldorson Diabetes Academy, addresses this gap through a novel, multimodal continuing education (CE) platform tailored for PC healthcare clinicians.
Drawing on adult learning theory, constructivism, and discovery learning frameworks, Halldorson conducted a qualitative educational needs assessment with primary care nurses and providers in Seattle. The assessment revealed diverse preferences for CE delivery, significant organizational barriers (e.g., limited time, staffing), and a desire for practical, role-specific content that also strengthens therapeutic communication and behavioral change skills.
In response, Halldorson launched an online CE platform using Kajabi, offering self-paced modules, recorded lectures, and a self-assessment tool for clinician competencies in T2D care. The project incorporates both asynchronous and planned expansion of in-person learning experiences, including simulation and improvisation-based workshops. Future plans include CE accreditation, expanding offerings, and possibly forming a nonprofit or LLC to scale reach and sustainability.
Using a comprehensive logic model and theory of change frameworks, Halldorson aligns his program goals with health equity and clinical excellence. The ultimate aim is to empower clinicians with current, relevant diabetes education that improves care delivery and patient outcomes for people with diabetes.
Jonathan Halldorson, MN, BSPH, RN, CDCES
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Andrea Stone
As nursing roles grow in complexity, competency assessments must evolve to remain relevant and effective. This project presents the development of a standardized, skills-based competency framework for newly hired nurses across five Swedish Hospital campuses. Grounded in the Donna Wright Competency Model and guided by Kotter’s 8-Step Change Model, the framework emphasizes flexible, real-world methods of evaluation aligned with adult learning principles, organizational goals, and patient safety outcomes. Replacing outdated checklist-based systems, the new approach supports meaningful skill validation through diverse methods such as return demonstration, case-based learning, and peer feedback. Developed through fieldwork and in collaboration with the Clinical Education and Practice team, the framework was refined using structured feedback from interested parties. Their input led to key adjustments in checklist structure, training strategies, and implementation plans to ensure usability and engagement. While implementation was not completed during the project period, the proposed framework shows strong potential to enhance onboarding, promote equity and inclusion, improve interdepartmental consistency, and support safe staffing decisions across the system.
Melissa Hamilton, RN, BSN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Mo West
Experienced RNs transitioning to faculty roles must develop pedagogical competency, adapting to new educational principles and professional identities. This capstone studied “How nurses can be best prepared to be nurse faculty.” The methodology includes a literature review, my fieldwork at the Seattle Colleges which focused on faculty roles, and two survey; one for nurse faculty and one assessing student feedback on teaching effectiveness. Findings highlight mentorship programs and structured initiatives to aid clinicians in their transition to academia. A strategic plan emphasizing mentorship, pedagogical training, and role adaptation ensures skill development, confidence, and long-term faculty retention amid rising demand for nurse educators.
Lisa Howard, BSN, RN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Andrea Stone
The underrepresentation of Black, Indigenous, and People of Color (BIPOC) in cancer research remains a pressing issue that contributes to health disparities and undermines the generalizability of research findings for these populations. Historically, a lack of trust in the healthcare system has been identified as a primary barrier to participation among BIPOC communities. However, recent studies indicate that many minority patients are eager to participate in research. Instead, factors such as provider bias, insufficient information, and limited access to clinical trial opportunities play a more significant role in underrepresentation. To address these issues and promote equitable participation, it is essential to implement ongoing education for both current and future healthcare professionals. Training focused on implicit bias and the importance of inclusivity in healthcare research can foster a more equitable environment, ultimately helping to reduce cancer disparities and improve health outcomes for BIPOC populations.
Kelsey Hughes, BSN, RN, OCN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Shari Dworkin
This capstone project addressed persistent communication breakdowns between Emergency Department (ED) and inpatient (IP) nurses at Swedish Cherry Hill Medical Center by standardizing the RN-to-RN patient handoff process. Guided by LEAN methodology and a Participatory Action Research (PAR) framework, the project engaged frontline nurses in identifying barriers within the existing handoff structure, particularly the manual note-entry documentation process. Data collection included 15 semi-structured interviews, a retrospective chart audit of 50 patient records, and pre- and post-intervention Likert-scale surveys assessing communication effectiveness, compliance, and nurse satisfaction.
The intervention centered on the implementation of Epic’s underutilized “Inpatient Handoff Report,” a dynamic, auto-populating tool designed to ensure timely, accurate, and relevant information transfer. Post-implementation survey results demonstrated statistically significant improvements across all three measured domains (p < .001), with qualitative feedback indicating enhanced clarity, interdepartmental trust, and workflow efficiency.
The project reinforces evidence that standardized, real-time handoff tools improve communication, reduce errors, increase nursing satisfaction, and build trust between care teams. Sustainable implementation will require continued leadership support, reinforcement of standard work, and active engagement of frontline nurses. Expansion of this tool across additional units holds promise for broader cultural transformation and improved patient outcomes.
Melanie Jorgenson, MN(C), RN, LSSGB
Scholarly Committee
Scholarly Chair / Capstone Professor / Faculty Mentor: Dr. Ko Niitsu
Second Reader: Dr. Stoerm Anderson
Education occurs throughout a nurse’s career despite completing school or not being actively involved with patient care. Instructors must adapt to the student’s needs and the various internal and external factors that affect learning. This project focuses on how to best approach education creation and implementation regardless of setting and if teaching methods are applicable universally to nursing education. Similar education methods were used in an outpatient pediatric clinic and undergraduate nursing course. Post-surveys showed the majority of learners found the presentations helpful and felt they applied to nursing practice.
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Mabel Ezeonwu
Workplace incivility within nursing significantly impacts staff well-being, retention, and patient care quality. Seattle Children’s Hospital (SCH) identified incivility particularly towards new hires, as a critical concern, with charge nurses frequently cited as sources of disruptive behavior. In response, SCH implemented the Own Your Impact (OYI) incivility training program, targeting charge nurses to enhance their ability to recognize, address, and mitigate incivility in the workplace.
This capstone project aimed to evaluate the effectiveness of OYI training from the charge nurses' perspective, identify barriers to addressing incivility, and propose strategies for sustainable improvement by holding space for these nurses to speak up. Guided by the American Association of Critical-Care Nurses (AACN) Healthy Work Environment (HWE) standards, the study employed qualitative methods, conducting nine focus groups involving 147 charge and relief charge nurses across inpatient and outpatient units at SCH. This presentation highlights the findings from these focus groups and next steps to address workplace incivility.
Jennifer Okimoto, BSN, RN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Jamie Shirley
Washington faces a growing demand for qualified nurses, but many nursing programs can’t expand due to a lack of clinical placement opportunities. Non-traditional (non-hospital) clinical placements can help increase clinical education capacity while offering diverse, competency-building experiences for students. This project examined current placement practices in Washington and explored strategies to expand utilization of non-traditional clinical sites. Through a review of literature, stakeholder meetings, and a statewide healthcare facility survey, key barriers were identified: staff shortages and burnout, lack of preceptor support, inconsistent/poor onboarding and placement processes, and resource limitations.
Based on these findings and additional stakeholder consultation, a policy brief was developed outlining the following recommendations: standardize placement and onboarding procedures, create a centralized system to map and coordinate with non-traditional sites, and increase funding to support preceptor and healthcare site participation through training programs, financial incentives, and infrastructure enhancements. These strategies aim to strengthen the clinical education pipeline and ultimately increase the supply of competent nurses in Washington. By expanding access to non-traditional placements, Washington can better prepare nursing students while addressing the state’s urgent nursing shortage.
Chelsea Potter, MN(C), RN, OCN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Andrea Stone
Although there is overwhelming evidence that vaccines are the best way to protect from viral communicable diseases, pediatric immunization rates have not returned to peak levels noted before the COVID-19 pandemic. Washington State public health officials marked the first pediatric death from pertussis in a decade this year. A family medicine clinic motivated to improve childhood vaccination rates partnered with the MN program to hopefully improve rates. Medha Raval’s capstone project identified a knowledge gap for reasons parents and guardians refuse vaccines during a pediatric visit.
Using a participatory action framework to obtain input from stakeholders, a standardized live document for charting was developed to document reasons vaccines were declined. Content validation was conducted using critique from three content experts and improvement based on feedback added to the template using a data logic model.
The template was introduced via an inservice. A streamlined approach to documenting why pediatric vaccines are refused will provide important information to ultimately improve pediatric vaccination rates.
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Shari Dworkin
The nursing shortage in the United States calls for improved strategies to promote the nursing profession, particularly though middle and high school counselors who often lack adequate and up to date resources. There is not adequate follow through after nursing promotion programs or when students indicate an interest in nursing. The core deliverables of this capstone project—a mentorship program outline paring nursing students with secondary school student mentees, and a resource website for school counselors can support the efforts to promoting a successful and diverse nursing profession. The project emphasizes the importance of early exposure and mentorship to sustain interest in nursing and provides the tools for school counselors to support prospective nurses throughout their education and career journey to becoming a nurse.
Gretchen Rudersdorf, BSN, RN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Chris Wade
Mergers within healthcare systems have become increasingly common over the past three decades, often driven by goals such as improving efficiency, achieving financial stability, and standardizing care. In the Puget Sound region, one notable example is the 2012 affiliation between Providence Health & Services and Swedish Health Services. While such organizational changes can offer strategic benefits, they can also lead to a phenomenon known as change burnout, particularly among nurses. This form of burnout can negatively affect staff morale, hinder the success of policy improvement initiatives, and reduce nurse satisfaction and engagement.
Advances in technology over the years, combined with changes to electronic charting and the merging of systems, can cause staff members to be reluctant to engage in process improvements. This dynamic was evident at Swedish Medical Center’s Cherry Hill campus, where repeated organizational changes undermined morale and staff engagement. This project examines the existing literature and field observations to investigate the pace and frequency of these events.
Rachel Rytter, BSN, RN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Stefanie Iverson Cabral
This capstone project by Alex Speaks explored the integration of high-fidelity simulation (HFS) into Harborview Medical Center’s Critical Care Orientation (CCO) program to address declining self-confidence among newly hired ICU nurses. Reduced instructional hours in the CCO had resulted in reported deficiencies in confidence and readiness among novice nurses, with implications for patient safety, staff retention, and clinical decision-making. Grounded in Kolb’s Experiential Learning Theory and guided by the INACSL Standards of Best Practice, the project included detailed planning: simulation scenario development, facilitator training, and evaluation through the NASC-CDM tool. Despite this, the project was not implemented due to logistical challenges, including administrative resistance, limited simulation lab availability, and a lack of ICU-specific equipment.
Though outcome data were not collected, the project revealed critical institutional and cultural barriers to simulation-based education. It underscored the need for nurse educators to assume leadership roles in advocating for educational innovation, infrastructure investment, and protected training time. The experience highlighted the importance of cross-departmental collaboration and psychological safety in fostering sustainable change. Additional fieldwork in undergraduate nursing education further strengthened the author’s expertise in curriculum development, learner evaluation, and instructional technology. Ultimately, the project demonstrates that simulation is more than a teaching tool, it is a strategic initiative requiring organizational commitment and educator leadership to enhance nurse confidence and improve patient outcomes.
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Stoerm Anderson
Second Reader / Faculty Mentor: Dr. Mo West
Simulation-based education is a powerful tool in nursing, yet it often induces anxiety and uncertainty for both learners and faculty—especially in virtual environments. My capstone project focuses on developing a faculty guide for prebriefing and debriefing in virtual simulation. Grounded in Bloom’s Taxonomy, competency-based education principles outlined in AACN Essentials, and debriefing theory, this guide is designed to support psychological safety, reduce learner stress, and promote meaningful, competency-aligned reflection. It equips faculty with structured, evidence-based strategies to foster impactful learning experiences, ensuring that virtual simulation remains a safe and effective educational modality.
Feliz Spearman-Altheimer, BSN, RN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Nora Kenworthy
Developed to support experienced nurses at Harborview Medical Center, Experience & Explore: A Shadowing Program for Nurses offers compensated opportunities to observe clinical and non-clinical roles outside of one’s typical work area. By fostering cross-departmental learning and professional growth, the program encourages exploration, collaboration, and connection across the organization. Early implementation included outreach, scheduling tools, and an evaluation plan. While participation is still growing, the program has launched successfully with strong leadership support and encouraging initial feedback, laying the foundation for long-term impact.
Michelle Stipe, BSN, RN, CMSRN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Chris Wade
Leadership doesn’t begin with a title; it begins with support. Yet many Assistant Nurse Managers (ANMs) enter their roles lacking structured guidance, clear expectations, or meaningful recognition. Without adequate preparation, new leaders face greater challenges in role adjustment, which can contribute to burnout and turnover. This capstone project set out to address that gap. Using a quality improvement framework and informed by Herzberg’s Motivation-Hygiene Theory, the project explored how intentional, structured orientation can promote successful transitions into leadership. Drawing on literature, stakeholder insights, and feedback from practicing ANMs, the result was a scalable orientation framework designed to build clarity, connection, and early confidence. More than a one-time intervention, this framework lays the foundation for long-term leadership development at Harborview Medical Center. It offers a practical approach to strengthening retention, building leadership capacity, and creating a culture where new leaders are not only prepared to lead, but positioned to thrive.
Allyson Weymier, BSN, RN, CMSRN
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Mo West
Standardized protocols for the insertion and management of central venous access devices (CVADs) are well established; however, no standardized process exists for the removal of these devices. The Daily Vascular Access Device Assessment (DVADA) tool was developed to foster interdisciplinary collaboration during team rounds, bringing vascular access best practices to the bedside. This evidence-based tool can facilitate informed decision-making about vascular access removal without compromising patient care or safety.
Anna M Wilson, MN(C), RN, VA-BC, CCRN-K
Scholarly Committee
Scholarly Chair / Capstone Professor: Dr. Ko Niitsu
Second Reader / Faculty Mentor: Dr. Chris Wade
Process improvement is a major key to success, because there is always room for improvement. HealthPoint, a non-profit network of community health centers, that depends on process improvement to deliver quality care, and receive funding. The ultimate objective of this project is to conduct detailed observations of the patient check in-process at the HealthPoint Bothell Medical Clinic, in order to analyze the data collected to find areas that need improvement and create an appropriate process improvement plan. Since one of the major barriers for community health clinics is financial funding, the focus of the process improvement plan would be to utilize their existing resources and tools. By updating procedures to review and revise patient check-in paperwork, utilizing the Transformation and Process Improvement Office (TPIO) team and Lean Management system to eliminate waste and streamline their patient check-in process.