Encourage nurses who provide direct care to patients to see themselves as the most important channels for developing and implementing quality improvements that will affect the care of patients throughout the hospital.
True transformation on a medical/surgical unit begins and ends with the frontline staff, working in collaboration with a multidisciplinary team. It is also critical to have active participation from physicians who admit patients to the unit and leadership and support from senior management.
All team members should participate in early activities to generate ideas for transformation and be involved in testing for improvement in the four themes of TCAB: patient-centered care; care team vitality; reduction of waste; safety and reliability.
1. Identify a team that includes frontline professional nurses, nursing assistive personnel, unit clerical support, physicians and support personnel for the unit.
2. Begin engagement of frontline staff with registered nurses and other licensed and non-licensed nursing personnel.
3. Empower multidisciplinary teams in redesign work by conducting brainstorming or "snorkeling" activities to promote innovation and idea generation.
4. Identify frontline staff nurses with a passion for transformation who will help engage other nurses. Peer leaders are a critical element to the TCAB process.
5. Identify someone to help coach and mentor the TCAB team. Tap a project coordinator from outside the unit who is responsible for setting the agenda for weekly meetings.