Resources

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

Institute for Healthcare Improvement (in collaboration with the Robert Wood Johnson Foundation)
Cambridge, Massachusetts, USA

How to cite this document:

Rutherford P, Bartley A, Miller D, et al. Transforming Care at the Bedside How-to Guide: Increasing Nurses’ Time in Direct Patient Care. Cambridge, MA: Institute for Healthcare Improvement; 2008. Available at www.IHI.org.

Launched in 2003, Transforming Care at the Bedside (TCAB) is a national program of the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI).

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. This How-to Guide builds on relevant research and published literature and integrates what staff in TCAB hospitals have learned as they strive to significantly increase nursing time in direct patient care, which contributes to patient safety, better outcomes for patients, and greater staff satisfaction with the work environment to support their professional practice.

This How-to Guide is divided into four sections:

Section One describes the importance of increasing nurses’ time in direct patient care and the ways in which TCAB has adopted strategies from lean management and the Toyota Production System to remove waste from key processes on medical and surgical units.
Section Two outlines how to get started and two methodologies for measuring nurses’ time in direct patient care.
Section Three highlights key TCAB strategies to increase nurses’ time in direct patient care, including specific changes that have been tested and implemented on a variety of medical-surgical units and can be adapted to any unit or hospital setting.
Section Four presents three case studies of hospitals that have implemented many of the changes proposed in this guide.

Documents

TCAB How-to Guide: Nurse Time in Direct Patient Care

Paper Time Study Worksheet
Paper Time Study Worksheet
Transforming Care at the Bedside How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure
One of the most promising changes developed as part of the Transforming Care at the Bedside initiative is “creating an ideal transition home” for patients who are being discharged from medical and surgical units within hospitals.
Transforming Care at the Bedside How-to Guide: Developing Front-Line Nursing Managers to Lead Innovation and Improvement
This How-to Guide describes the innovative changes that hospitals tested and implemented to develop the talent and competencies of their front-line nurse managers on the TCAB units, and features two case studies that illustrate implementation.
Transforming Care at the Bedside How-to Guide: Engaging Front-Line Staff in Innovation and Quality Improvement
This How-to Guide describes three improvement strategies for building improvement capability and engaging front-line staff in innovation on medical and surgical units; specifies practical changes that can be tested; and provides tips, tools, resources, and case studies of hospitals that have implemented many of the changes.
Transforming Care at the Bedside How-to Guide: Optimizing Communication and Teamwork
This How-to Guide describes innovative changes that hospitals tested and implemented to improve the work environment for their medical-surgical unit staff, including strategic applications of improved communication techniques across multiple disciplines, and two case studies demonstrating implementation of these changes.
Transforming Care at the Bedside How-to Guide: Reducing Patient Injuries from Falls
This How-to Guide highlights four promising changes designed to reduce patient injury from falls on medical-surgical units; specifies practical step-by-step changes that can be tested; and provides tips, tools, resources, and case studies of hospitals that have implemented many of the changes.
Transforming Care at the Bedside How-to Guide: Spreading Innovations to Improve Care on Medical and Surgical Units
By describing the experience of hospitals within a larger conceptual framework for spread, this guide captures lessons learned to date about effective strategies for spreading Transforming Care at the Bedside practices, which may allow other organizations to spread effective and proven practices more easily.

Average Content Rating

(0 user)

Please login to rate or comment on this content.

User Comments

Tools

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

Documents