Transforming Care at the Bedside
Transforming Care at the Bedside:
Adhering to the Ethical Principles of Patient Autonomy, Beneficence, and Nonmaleficence
The Nursing Role
Abstract
This paper explores several published articles following the national program, Transforming care at the Bedside (TCAB), developed by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI); and how it supports the ethical principles of patient autonomy, beneficence, and nonmaleficence in patients, especially amongst the geriatric population. By describing and focusing on three main points of the TCAB, safe and reliable care, patient-centered care, and value-added care and their relative goals and high leverages; this will show how they benefit the nurse’s care at the bedside as well as improving involvement from the patients. This paper examines the use of the TCAB model with several sources supporting the information presented.
Transforming Care at the Bedside:
Adhering to the Ethical Principles of Patient Autonomy, Beneficence, and Nonmaleficence
The Nursing Role
As nurses, making decisions on an everyday basis requires the use of ethical principles. Adhering to the American Nurses Association (ANA) code of ethics is a part of our professional duty. It is for this reason, a nurse led initiative, Transforming Care at the Bedside (TCAB) came about to develop and improve patient care. The TCAB was developed by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI), to improve care and the experiences on medical surgical units for patients and their family members; as well as improving teamwork, nursing retention and satisfaction (Lavizzo-Mourey & Berwick, 2009). The philosophy of TCAB involves all healthcare team leaders, but gives the power to bedside nurses to develop ideas and solutions for change to benefit the patient in accordance to the ANA code of ethics by addressing the patient’s autonomy, beneficence, and
Adhering to the Ethical Principles of Patient Autonomy, Beneficence, and Nonmaleficence
The Nursing Role
Abstract
This paper explores several published articles following the national program, Transforming care at the Bedside (TCAB), developed by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI); and how it supports the ethical principles of patient autonomy, beneficence, and nonmaleficence in patients, especially amongst the geriatric population. By describing and focusing on three main points of the TCAB, safe and reliable care, patient-centered care, and value-added care and their relative goals and high leverages; this will show how they benefit the nurse’s care at the bedside as well as improving involvement from the patients. This paper examines the use of the TCAB model with several sources supporting the information presented.
Transforming Care at the Bedside:
Adhering to the Ethical Principles of Patient Autonomy, Beneficence, and Nonmaleficence
The Nursing Role
As nurses, making decisions on an everyday basis requires the use of ethical principles. Adhering to the American Nurses Association (ANA) code of ethics is a part of our professional duty. It is for this reason, a nurse led initiative, Transforming Care at the Bedside (TCAB) came about to develop and improve patient care. The TCAB was developed by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI), to improve care and the experiences on medical surgical units for patients and their family members; as well as improving teamwork, nursing retention and satisfaction (Lavizzo-Mourey & Berwick, 2009). The philosophy of TCAB involves all healthcare team leaders, but gives the power to bedside nurses to develop ideas and solutions for change to benefit the patient in accordance to the ANA code of ethics by addressing the patient’s autonomy, beneficence, and
References: American Nurses Association. (2011). ANA Code of Ethics. Retrieved from http://nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.aspx Arora, V., Johnson, M., Olson, J., Podrazik, P., Levine, S., Dubeau, C., Sachs, G.A., & Meltzer, D. (2007). Using Assessing Care of Vulnerable Elders Quality Indicators to Measure Quality of Hospital Care for Vulnerable Elders. Journal of the American Geriatrics Society, 55(11), 1705-1711. Lavizzo-Mourey, R., Berwick, D. (2009). Nurses Transforming Care. American Journal of Nursing, 109(11), 3 Lorenz, H., Greenhouse, P., Miller, R., Wisniewski, M., & Frank, S. (2008). Transforming care at the bedside: an ambulatory model for improving the patient experience. Journal of Nursing Administration, 38(4), 194-199. Popkin, B., Callahan, B., Scanlon, K., & White, M. (2007). Transforming care at the bedside: a doorway to empowerment. Nurse Leader, 5(4), 50-53. Rutherford, P., Moen, R., Taylor, J. (2009) TCAB: The ‘How’ and the ‘What’. American Journal of Nursing, 109(11), 5-17. Stefancyk, A. (2009). Placing the patient at the center of care: making changes in one of four focus areas. American Journal of Nursing, 109(5), 27-28 Stefancyk, A. (2009). Postponing Medication Administration. American Journal of Nursing, 109(4), 21-23. Stefancyk, A. (2009). Safe and reliable care: addressing one of the four focus areas of the TCAB initiative. American Journal of Nursing, 109(7), 70-71.