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  1. Upenieks, Valda V. PhD, MPH, RN
  2. Needleman, Jack PhD
  3. Soban, Lynn PhD, MPH, RN
  4. Pearson, Marjorie L. PhD, MSHS
  5. Parkerton, Pat PhD, MPH
  6. Yee, Tracy MPH


Through an initiative called Transforming Care at the Bedside (TCAB), the Robert Wood Johnson Foundation and the Institute for Healthcare Improvement have created an innovative bottom-up framework for redesigning the work environment on medical-surgical units. The specific purpose of this study, conducted by the University of California Los Angeles/RAND evaluation team, was to examine the number of innovations tested and the association of the volume of tests made and changes in a summary measurement of self-reported vitality at the 13 participating hospitals. The findings of this evaluation yielded several important implications for nurse leaders.