Here's the proposition: Give hospital nurses a say over how they care for patients, and they are likely to deliver safer, more effective care and to feel more satisfied in their jobs. After all, nurses are the health care professionals who spend the most time with their patients, so who better to ask for ideas about how to improve patient care? At Seton Northwest Hospital in Austin, Texas, they're putting that proposition to the test.
Since beginning Transforming Care at the Bedside (TCAB) in 2003, nurses and other staff at Seton have tested and implemented innovations to reduce the risk of patient falls; facilitate better communication among nurses, physicians, patients and families; and support patients in setting and meeting daily goals. Seton has also enjoyed an increase in staff retention since implementing TCAB, with voluntary turnover on the TCAB unit cut in half after the program's first year.
Seton is one of 10 hospitals nationwide currently participating in Transforming Care at the Bedside (TCAB), an initiative of the Robert Wood Johnson Foundation and the Institute for Healthcare Improvement designed to improve the quality and safety of patient care and increase retention of experienced nurses. TCAB empowers nurses—guided by the insights of patients and their families—to make needed changes in medical/surgical units. At Seton, nurses have embraced the challenge.
Learn more. Watch and listen as three Seton staff members explain how TCAB has changed their lives—and the lives of their patients—for the better.