Vitality and Teamwork

Stefancyk, Amanda L. MSN, MBA, RN, CNML

AJN, American Journal of Nursing: August 2009 - Volume 109 - Issue 8 - pp 70-71
doi: 10.1097/01.NAJ.0000358507.31582.31
Transforming Care at the Bedside

This is the 12th and final article in a series from Massachusetts General Hospital in Boston describing one general medical unit's experiences with Transforming Care at the Bedside (TCAB). An initiative begun by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement, TCAB was developed as a way to improve care on medical–surgical units, patients' and family members' experience of care, and teamwork among care team members and to increase nurse satisfaction and retention. The TCAB philosophy engages all care leaders, but empowers bedside nurses to generate ideas and solutions for change. Mass General is one of 68 hospitals participating in a two-year TCAB initiative led by the American Organization of Nurse Executives and funded with a grant from the RWJF. For more information on TCAB, go to

This is the last in AJN's series on the groundbreaking TCAB initiative, which not only improves patient care, but also keeps nurses excited about bedside nursing.

Amanda Stefancyk is nursing director of White 10, a general medical unit at Massachusetts General Hospital in Boston. She also coordinates Transforming Care at the Bedside: She would like to acknowledge Jeanette Ives EricksonMS, RN, FAAN(chief nurse and senior vice president for patient care services), Theresa Gallivan MS, RN (associate chief nurse), and Barbara Blakeney MS, RN (innovations specialist), for their support of the TCAB initiative, and the staff ofWhite 10 for their innovative work.

© 2009 Lippincott Williams & Wilkins, Inc.