Associate Professor, Ingram School of Nursing, McGill University, Nurse Scientist, McGill University Health Centre (MUHC), Montreal, QC, Canada.
Worldviews Evid Based Nurs. 2014 Feb;11(1):16-25. doi: 10.1111/wvn.12015. Epub 2013 Jul 22.
Different initiatives have been implemented in healthcare organizations to improve efficiency, such as transforming care at the bedside (TCAB). However, there are important gaps in understanding the effect of TCAB on healthcare teams' work environments.
The specific aim of the study is to describe findings regarding the TCAB initiative effects on healthcare teams' work environments.
A pretest and posttest study design was used for this study. The TCAB initiative was implemented in fall 2010 in a university health center in Montreal, Canada. The sample consisted of healthcare workers from four different care units.
Statistically significant improvement was observed with the communicating specific information subscale from the measure of processes of care variable, and a significant difference was found between the support from colleagues variable, which was higher at baseline than postprogram. The differences for psychological demand, decisional latitude, and effort-reward were not significant.
TCAB is an intervention that allows healthcare teams to implement change to improve patients' and families' outcomes. Ongoing energy should focus on how to improve communication among all members of the team and ensure their support.
医疗机构已实施多项举措来提高效率，例如床边护理转型（TCAB）。然而，对于 TCAB 对医疗团队工作环境的影响，我们的理解仍存在重要的空白。
本研究的具体目的是描述 TCAB 举措对医疗团队工作环境的影响。
本研究采用了预测试和后测试的研究设计。TCAB 举措于 2010 年秋季在加拿大蒙特利尔的一所大学健康中心实施。样本包括来自四个不同护理单元的医护人员。
在护理过程变量的沟通特定信息子量表方面，观察到了统计学上的显著改善，并且在同事支持变量方面也发现了显著差异，该变量在基线时高于项目后。在心理需求、决策自由度和努力-回报方面的差异没有统计学意义。
TCAB 是一种干预措施，可使医疗团队实施变革以改善患者和家庭的结局。应持续关注如何改善团队所有成员之间的沟通，并确保他们得到支持。
