Friday, July 13, 2007: 8:00 AM-9:30 AM
Transforming Care at the Bedside: Evidence-based Practice in a Community Hospital
Learning Objective #1: Discuss theoretical perspectives related to the construct of quality care at the bedside.
Learning Objective #2: Identify clinical applications resulting in transformation of care at the bedside.
Hospitals throughout the United States are faced with unexpected deaths, fatal errors, patient dissatisfaction, nursing dissatisfaction and increasing nursing shortages. Hospitals also are faced with major financial and reimbursement issues. Research has shown that registered nurses spend only 30-40 % of their time at the bedside. In addition, 35-40% of unexpected deaths occur on medical/surgical units. These alarming statistics were the impetus for a nation-wide research initiative called Transforming Care at the Bedside (TCAB), funded by the Robert Wood Johnson Foundation and supported by the Institute for Health Care Improvement and Ascension Health, the largest not-for-profit Catholic health care system in the United States. Medical-surgical units chosen to implement TCAB had to involve bedside nurses, test a variety of ideas and strategies, and establish a culture of innovation that could be sustained after completion of this project. Outcomes are assessed through comparison of baseline and ongoing measures that include the following: work environment and culture; patient centeredness; number and types of innovations tested and sustained; and nursing variables that include, but are not limited to, nursing satisfaction, RN vacancy rate, staff satisfaction and adverse events (adverse drug events, patient falls, and pressure ulcers).
Organizer:Frances R. Anderson, PhD, RN
 Nurse-driven Interdisciplinary Collaboration among Patients, Families and Care Providers
Susan Fuchs, BSN, RN, Cheryl Orzel-Teris, MS, RN, Mary Ellen Gaudet, MS, RN, CPHQ
 The 3 West TCAB Story
Charlene C. Vandermark, RN
 The Seton 1 TCAB Story
Marilyn Jordan, BSN, RN
 The Seton 1 TCAB Story Continued
Sarah Creery, RN