This is the 11th in a series of articles from Massachusetts General Hospital describing one general medical unit's experiences with Transforming Care at the Bedside (TCAB). An initiative begun by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement, TCAB was developed to improve care on medical-surgical units, patients' and family members' experience of care, and teamwork among care team members and to increase nurse satisfaction and retention. The TCAB philosophy empowers bedside nurses to generate ideas and solutions for change. Mass General is one of 68 hospitals participating in a two-year TCAB initiative led by the American Organization of Nurse Executives and funded with a grant from the RWJF. For more information on TCAB, go to www.rwjf.org/pr/product.jsp?id=31512.
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The Effects of the Transforming Care at the Bedside Program on Perceived Team Effectiveness and Patient Outcomes.
Health Care Manag (Frederick)
July 2017
Author Affiliations: Ingram School of Nursing, McGill University and McGill University Health Centre (MUHC) (Dr Lavoie-Tremblay); Patient Engagement and the McGill Nursing Collaborative, MUHC, and Ingram School of Nursing, McGill University (Ms O'Connor); Quality, Patient Safety, and Performance, MUHC and Ingram School of Nursing, McGill University (Dr Biron), and Ingram School of Nursing, McGill University (Dr Lavigne and Ms Fréchette) and TCAB and CSI, MUHC (Ms Briand), Montreal, Quebec, Canada.
The objective of the study was to document the impact of Transforming Care at the Bedside (TCAB) program on health care team's effectiveness, patient safety, and patient experience. A pretest and posttest (team effectiveness) and a time-series study design (patient experience and safety) were used. The intervention (the TCAB program) was implemented in 8 units in a multihospital academic health science center in Montreal, Quebec, Canada.
View Article and Find Full Text PDFEngaging Frontline Staff in Performance Improvement: The American Organization of Nurse Executives Implementation of Transforming Care at the Bedside Collaborative.
Jt Comm J Qual Patient Saf
February 2016
Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, USA.
Background: Process improvement stresses the importance of engaging frontline staff in implementing new processes and methods. Yet questions remain on how to incorporate these activities into the workday of hospital staff or how to create and maintain its commitment. In a 15-month American Organization of Nurse Executives collaborative involving frontline medical/surgical staff from 67 hospitals, Transforming Care at the Bedside (TCAB) was evaluated to assess whether participating units successfully implemented recommended change processes, engaged staff, implemented innovations, and generated support from hospital leadership and staff.
View Article and Find Full Text PDFThe effect of transforming care at the bedside initiative on healthcare teams' work environments.
Worldviews Evid Based Nurs
February 2014
Associate Professor, Ingram School of Nursing, McGill University, Nurse Scientist, McGill University Health Centre (MUHC), Montreal, QC, Canada.
Background: Different initiatives have been implemented in healthcare organizations to improve efficiency, such as transforming care at the bedside (TCAB). However, there are important gaps in understanding the effect of TCAB on healthcare teams' work environments.
Aim: The specific aim of the study is to describe findings regarding the TCAB initiative effects on healthcare teams' work environments.
Transforming Care at the Bedside (TCAB): enhancing direct care and value-added care.
J Nurs Manag
May 2013
USA College of Nursing, Mobile, AL 36688-0002, USA.
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.
Do lean practices lead to more time at the bedside?
J Healthc Qual
January 2014
Core Measures Coordinator, MedWest-Haywood, West Health System, Western North Carolina, USA.
The aim of this review is to evaluate the application of value-added processes in healthcare, with an emphasis on their effects on bedside nursing. Literature relevant to Lean methodology and inpatient care was reviewed, excluding all research related to other service lines (i.e.
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