Enhancing Patient Experience Through the Commit-to-Sit Initiative: A Quality Improvement Study

The Commit-to-Sit initiative, where the nurses will sit with patients during bedside shift report (BSR), has been proposed as a strategy to improve patient engagement, communication, and satisfaction. This quality improvement study evaluates the effectiveness of the Commit-to-Sit initiative in improving patient experience, as measured by Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, on a neurological unit.

The initiative was implemented in our Neuroscience unit in May 2024, and HCAHPS scores were collected quarterly.

Neuroscience unit demonstrated a notable increase in the "Rate the Hospital 0-10" score, rising from the 9 th percentile rank in Q1 2024 to the 77 th percentile rank in Q3 2025; "Communication with Nursing" also demonstrated notable increase from 58 th percentile rank in Q1 2024 to 99 th in Q3 2025. The percentile ranks for "Nurses listen carefully to you" and "Nurse treat with courtesy and respect" remained consistently above an 87 th percentile rank for over a 5-quarter timeframe.

Integration of Commit-to-Sit during BSR and reinforcement through midday huddle report-outs and leadership rounds was associated with higher HCAHPS percentile rank scores. Patient feedback captured through Press Ganey and leadership rounds indicated that patients felt more engaged, heard, and involved in their care.