title: The effect of transforming care at the bedside initiative on healthcare teams' work environments.
abstract: BACKGROUND
  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.
  
  
  OBJECTIVE
  The specific aim of the study is to describe findings regarding the TCAB initiative effects on healthcare teams' work environments.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Associate Professor, Ingram School of Nursing, McGill University, Nurse Scientist, McGill University Health Centre (MUHC), Montreal, QC, Canada.
authors.forename: Mélanie
authors.initials: M
authors.lastname: Lavoie-Tremblay
authors.forename: Patricia
authors.initials: P
authors.lastname: O'Conner
authors.forename: Anastasia
authors.initials: A
authors.lastname: Harripaul
authors.forename: Alain
authors.initials: A
authors.lastname: Biron
authors.forename: Judith
authors.initials: J
authors.lastname: Ritchie
authors.forename: Genevieve L
authors.initials: GL
authors.lastname: Lavigne
authors.forename: Sophie
authors.initials: S
authors.lastname: Baillargeon
authors.forename: Justin
authors.initials: J
authors.lastname: Ringer
authors.forename: Brenda
authors.initials: B
authors.lastname: Macgibbon
authors.forename: Sharon
authors.initials: S
authors.lastname: Taylor-Ducharme
authors.forename: Jacynthe
authors.initials: J
authors.lastname: Sourdif
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D000328:Adult; D055318:Evidence-Based Nursing / Q000458:organization & administration; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D009742:Nursing Theory; D009746:Nursing, Team / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D015397:Program Evaluation; D012931:Social Environment; D012944:Social Support; D017132:Workplace / Q000458:organization & administration
keywords: care delivery system; health policy; program evaluation; quantitative methodology; social environment; social support; support networks; work environment; working conditions