Transforming Care at the Bedside (TCAB): enhancing direct care and value-added care.

Aim: The purpose of this study was to examine the effectiveness of a Transforming Care at the Bedside initiative from a unit perspective.

Background: Improving patient outcomes and nurses' work environments are the goals of Transforming Care at the Bedside. Transforming Care at the Bedside creates programs of change originating at the point of care and directly promoting engagement of nurses to transform work processes and quality of care on medical-surgical units.

"Change can be good": unit perspectives on transforming care at the bedside.

Background: How do nurses commit to effecting change, the kind of change that will transform both care received and the caregiver? This was the mission of Transforming Care at the Bedside, the 2003 initiative sponsored by the Robert Wood Johnson Foundation and the Institute of Healthcare Improvement. OBSERVATIONS AND OBJECTIVES: This analysis reflects processes and context of unit change through Transforming Care at the Bedside. Organizational leadership includes engagement in change.