Transforming Care at the Bedside How-to Guide: Developing Front-Line Nursing Managers to Lead Innovation and Improvement

Institute for Healthcare Improvement (IHI)

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The "Vitality and Teamwork" theme in TCAB includes a transformative shift in the attitudes and engagement of nurses and other staff on TCAB units, and aims to recapture true “joy in work” as well as enhanced teamwork, engagement, and commitment amongst the multidisciplinary team. This How-to Guide describes innovative changes focused improving the ability of managers to support transformational change, including strategies for manager self-assessment and development, and a four-pronged strategy for developing transformational leadership skills. The report is available as a Word file, requiring Microsoft Word.

Transforming Care at the Bedside How-to Guide: Developing Front-Line Nursing Managers to Lead Innovation and Improvement

The "Vitality and Teamwork" theme in TCAB includes a transformative shift in the attitudes and engagement of nurses and other staff on TCAB units, and aims to recapture true “joy in work” as well as enhanced teamwork, engagement, and commitment amongst the multidisciplinary team. This How-to Guide describes innovative changes focused improving the ability of managers to support transformational change, including strategies for manager self-assessment and development, and a four-pronged strategy for developing transformational leadership skills.

Transforming Care at the Bedside How-to Guide: Engaging Front-Line Staff in Innovation and Quality Improvement

When IHI and RWJF began the journey to transform care at the bedside on medical-surgical units, the challenge was great. Front-line staff was exhausted and dispirited by the increasing workloads, inefficient work processes, and negative work environment. Nurses were leaving not only the unit, but the nursing profession. Yet, within the first year of TCAB, it became clear that by giving front-line staff the skills and permission to innovate and make improvements in their work, new energy and passion were building on the unit.

Transforming Care at the Bedside How-to Guide: Increasing Nurses' Time in Direct Patient Care

One of the most exciting combinations of changes that have been developed within TCAB is the ability to remove hassles and waste from processes on medical-surgical units so that nurses and other clinicians can spend more value-added time caring for patients.

Transforming Care at the Bedside How-to Guide: Optimizing Communication and Teamwork

This guide describes the innovative changes that hospitals tested and implemented to improve the work environment for their medical-surgical unit staff. These changes focus on strategic applications of improved communication techniques across multiple disciplines, including nurses, physicians, and other clinical and support staff. The report is available as a Word file, requiring Microsoft Word.

Transforming Care at the Bedside How-to Guide: Spreading Innovations to Improve Care on Medical and Surgical Units

The full power of Transforming Care at the Bedside to empower front-line staff and bring about high-leverage changes to improve care at the bedside is fully realized only when effective and proven practices are spread across an entire hospital or health system. The capacity of an organization to spread new practices is closely linked to its ability to sustain gains achieved through the implementation of these new practices.

Transforming Care at the Bedside How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure

One of the most promising changes that has been developed within TCAB is “creating an ideal transition home” for patients who are being discharged from medical and surgical units within hospitals. This How-to Guide builds upon relevant research and published literature, and integrates what TCAB hospitals have learned as they strive to dramatically improve the quality of care for patients discharged from the hospital to home or to another health care facility.
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