The Relationship Between the Volume and Type of Transforming Care at the Bedside Innovations and Changes in Nurse Vitality

Published In: The Journal of Nursing Administration, v. 38, no. 9, Sep. 2008, p. 386-394

Posted on RAND.org on January 01, 2008

by Valda V. Upenieks, Jack Needleman, Lynn Soban, Marjorie L. Pearson, Patricia H. Parkerton, Tracy Yee

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Through an initiative called Transforming Care at the Bedside (TCAB), the Robert Wood Johnson Foundation and the Institute for Healthcare Improvement have created an innovative bottom-up framework for redesigning the work environment on medical-surgical units. The specific purpose of this study, conducted by the University of California Los Angeles/RAND evaluation team, was to examine the number of innovations tested and the association of the volume of tests made and changes in a summary measurement of self-reported vitality at the 13 participating hospitals. The findings of this evaluation yielded several important implications for nurse leaders.

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