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Initiative aimed at retaining nurses, improving patient care



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Nov 10, 2009 06:54 AM

Initiative aimed at retaining nurses, improving patient care

by lee1

Heartbeats: Initiative aimed at retaining nurses, improving patient care
November 10, 2009

http://www.mycentraljersey.com/artic...911100305/1040

With an ongoing nursing shortage, a major transformation in the nursing work environment is needed so health-care facilities can continue to provide safe, effective quality care to patients.

Very few areas in nation are as saturated by hospitals and other health-care outfits as Central Jersey, so this need is especially important here.
To help address this issue, the New Jersey Hospital Association's Institute for Quality and Patient Safety, in partnership with the Robert Wood Johnson Foundation, has launched a major three-year initiative, "Transforming Care at the Bedside," that will train and support nurses so they can spend more time with their patients while increasing job satisfaction.
"We need to increase the amount of time nurses spend providing direct patient care and investigate ways to keep our more experienced nurses in the workforce longer while helping them to maintain their enthusiasm and passion caring for others," said Aline Holmes, director of the Institute for Quality and Patient Safety. "This project is the transforming innovation for improving the work environment in which professional nurses practice."
To help nurses achieve these goals, the initiative will:

Provide education and training in performance improvement for front-line staff nurses, which will give them the tools they need to implement improvements on their units and identify and test changes in their work environment.

Empower staff nurses to make the changes needed to increase the amount of time spent on direct care on their unit.

Provide education and training for nurse managers to help them facilitate their staff's work and provide the leadership necessary to make changes.
The Robert Wood Johnson Foundation has given $732,000 to this project, and some of those funds will go toward a Monday, Nov. 16, to Wednesday, Nov. 18, learning session, which will be attended by 47 of the Garden State's hospitals.
"We also will develop a toolkit and educational resources for hospitals so they can spread these changes throughout their organization," Holmes said. "We plan to measure the effectiveness of TCAB by monitoring nursing retention and turnover rates, patient safety and by surveying staff, managers and chief nurse executives."
(2 of 3)
More information is available by visiting www.ihi.org.


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8 Comments
No. 1
Old Nov 10, 2009, 11:47 PM

Default Re: Initiative aimed at retaining nurses, improving patient care
Finally someone gets it!
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No. 2
from NRSKarenRN
Old Nov 11, 2009, 04:02 AM
Updated Nov 11, 2009 at 04:26 AM by NRSKarenRN

Default Re: Initiative aimed at retaining nurses, improving patient care
The Transforming Care at the Bedside (TCAB) Toolkit - RWJF
Explore promising practices and lessons learned from Transforming Care at the Bedside to improve the quality of care provided by nurses at the bedside.

Its goal is to engage front-line hospital nurses and leaders at all levels of the organization to:
  • improve the quality and safety of patient care on medical and surgical units
  • increase the vitality and retention of nurses
  • engage and improve the patient's and family members' experience of care
  • improve the effectiveness of the entire care team.
TCAB is not a traditional quality improvement program. One primary characteristic that sets it apart is its focus on engaging front-line staff and unit managers. Ideas for transforming the way care is delivered on medical/surgical units come not from the executive suite or a quality improvement department, but from the nurses and other care team members who spend the most time with patients and their families. These teams identify where change is needed, suggest and test potential solutions and decide whether those innovations should be implemented.

Transforming Care at the Bedside Video


Chapter 2: Innovations That Work
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No. 3
from pennyaline
Old Nov 11, 2009, 11:10 AM

Default Re: Initiative aimed at retaining nurses, improving patient care
Originally Posted by NRSKarenRN View Post
The Transforming Care at the Bedside (TCAB) Toolkit - RWJF
Explore promising practices and lessons learned from Transforming Care at the Bedside to improve the quality of care provided by nurses at the bedside.

Its goal is to engage front-line hospital nurses and leaders at all levels of the organization to:
  • improve the quality and safety of patient care on medical and surgical units
  • increase the vitality and retention of nurses
  • engage and improve the patient's and family members' experience of care
  • improve the effectiveness of the entire care team.
TCAB is not a traditional quality improvement program. One primary characteristic that sets it apart is its focus on engaging front-line staff and unit managers. Ideas for transforming the way care is delivered on medical/surgical units come not from the executive suite or a quality improvement department, but from the nurses and other care team members who spend the most time with patients and their families. These teams identify where change is needed, suggest and test potential solutions and decide whether those innovations should be implemented.

Transforming Care at the Bedside Video


Chapter 2: Innovations That Work

Pardon my skepticism, but I'll wait and see what (if anything) comes from this before getting my hopes up. Until then, it's just more of the same in a new wrapper.
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No. 4
Old Nov 12, 2009, 08:20 AM

Default Re: Initiative aimed at retaining nurses, improving patient care
Originally Posted by pennyaline View Post
Pardon my skepticism, but I'll wait and see what (if anything) comes from this before getting my hopes up. Until then, it's just more of the same in a new wrapper.

Part of the problem is that we wait and see. Why not make it happen? We each OWN our nursing practice. Wait and see? No more! Let us shape our own destiny. We can no longer afford to let others determine what our future will be. If we do, we will only have more of the same. Let the battle cry be, not "wait and see", but "let it be!"
Thank you, I will now step down from my soapbox.
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No. 5
from lee1
Old Nov 12, 2009, 06:05 PM

Default Re: Initiative aimed at retaining nurses, improving patient care
I know one way that would improve nursing care at my hospital. Actually it would improve PATIENT care. The techs currently draw all of the bloodwork for the patients including blood cultures. This takes up a great deal of time, is a patient dissatisfier as not all the techs are good at it. I don't know why they can't go back to phlebotomy teams where those techs had much more expertise as that is what they did all day. Now, for 30 patients, maybe you only have 2 techs for the whole floor who are also doing vital signs, glucoscans, bedpan, bedbaths, feedings, etc. The nurses of course help as much as they can, but are also overwhelmed with computer documentation, etc. etc. Hunting down the docs to report lab results, get orders in an appropriate timeframe, deal with residents, privates, etc. etc. Do lengthy admissions/discharges, etc. etc Take patient on telemetry for field trips, the list could go on and on. In a high acuity hospital where the nurses have even 5-6 patients, those patients can need a great deal of care. Plus the push for shorter length of stay has some units with very large turnovers every 12 hours.
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No. 6
from meluhn
Old Nov 12, 2009, 06:14 PM

Default Re: Initiative aimed at retaining nurses, improving patient care
Originally Posted by pennyaline View Post
Pardon my skepticism, but I'll wait and see what (if anything) comes from this before getting my hopes up. Until then, it's just more of the same in a new wrapper.

I agree, it sounds like a load of crap. It makes it sound like there is a problem with nurses, like we are doing something wrong, and that is why we are so unhappy. Instead of trying to educate the nurse to be a better nurse, why not spend that money on hiring more techs and start mandating reasonable nurse to patient ratios. That would free us up to take care of pts the way we are supposed to and will take care of the retention problem. Im sorry but I find this initiative offensive. Just more stupid crap from the powers that be that are just so out of touch with the reality that we face everyday.
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No. 7
from meluhn
Old Nov 12, 2009, 06:17 PM

Default Re: Initiative aimed at retaining nurses, improving patient care
Originally Posted by country mom View Post
Part of the problem is that we wait and see. Why not make it happen? We each OWN our nursing practice. Wait and see? No more! Let us shape our own destiny. We can no longer afford to let others determine what our future will be. If we do, we will only have more of the same. Let the battle cry be, not "wait and see", but "let it be!"
Thank you, I will now step down from my soapbox.
I am open for suggestions.
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No. 8
Old Nov 17, 2009, 11:18 AM

Default Re: Initiative aimed at retaining nurses, improving patient care
Originally Posted by meluhn View Post
I am open for suggestions.
What I got out of reading the piece from the original post is that the program aims to take nurses' suggestions seriously and implement them. Sounds like a fine idea to me. Seems to me healthcare would be a lot better off and patient's alot safer and well cared-for if the decision-makers would actually take the suggestions of staff nurses seriously.
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