The Program Being Evaluated
Transforming Care at the Bedside (TCAB) is a multiphase program of the Robert Wood Johnson Foundation. For this initiative the Foundation has partnered with the Institute for Healthcare Improvement for all three phases and with the Association of Nurse Executives for phase three. The goal of this initiative is to empower front-line nurses and other staff to develop, test and implement changes that will dramatically improve care on hospital medical/surgical units. The fundamental tenet of TCAB is that improvements in the nurse work environment will positively affect the quality of patient care.
TCAB is currently in its third phase. Phase one began in three hospitals, phase two spread to 13 hospitals and it is now being implemented in 78 hospitals.
About the Evaluation
The evaluation is led by Jack Needleman, Ph.D., of the UCLA School of Public Health. This evaluation has two components to assess the different phases of the TCAB program.
Earlier evaluation work provided both outcome and process information on TCAB to inform the planning of the demonstration phase. Evaluators:
The current evaluation will examine similar themes along with the outcomes of the three learning and dissemination strategies developed within this authorization. The three strategies represent different interventions to spread the TCAB process, including an ongoing learning community for 10 of the TCAB II pilot hospitals and a Web-based resource center.
Summary of Methods
The evaluation team has developed a standardized measurement plan that will be implemented within each strategy, and will provide the Foundation with information about the ability to spread the TCAB process using differing levels of intensity.
Knowledge and Impact
In a report to RWJF, the evaluation team reported that