title: Leadership for ethical policy and practice (LEPP): participatory action project.
abstract: Within Canada's fast-paced, ever-changing healthcare environment, providers are experiencing difficulty practising according to their professional ethical standards, leading many to experience moral or ethical distress. Limited attention has been paid to improvements in the ethical climate in healthcare settings in research focusing on nurses' workplaces. In this three-year study, we focused on how the ethical climate in healthcare delivery can be improved and how the use of participatory action research methods can lead to continued enhancements and lasting changes in services delivery. Together, we developed strategies for taking action, aimed at improving the quality of the work environment. This action involved both nurses in direct care and those in key leadership positions (CNOs or their equivalents). Through the active participation of those for whom the research-based change was intended, these strategies were tested in various sites across British Columbia and can be used as templates or designs for use in other settings. A key component of the success of the projects and action plans that were created was the integral involvement of nurse leaders through all phases.
authors.affiliation: University of Victoria School of Nursing, Victoria, BC. return of 1990s healthcare reform
authors.forename: Janet
authors.initials: J
authors.lastname: Storch
authors.forename: Patricia
authors.initials: P
authors.lastname: Rodney
authors.forename: Colleen
authors.initials: C
authors.lastname: Varcoe
authors.forename: Bernadette
authors.initials: B
authors.lastname: Pauly
authors.forename: Rosalie
authors.initials: R
authors.lastname: Starzomski
authors.forename: Lynne
authors.initials: L
authors.lastname: Stevenson
authors.forename: Lynette
authors.initials: L
authors.lastname: Best
authors.forename: Heather
authors.initials: H
authors.lastname: Mass
authors.forename: Thomas Reilly
authors.initials: TR
authors.lastname: Fulton
authors.forename: Barbara
authors.initials: B
authors.lastname: Mildon
authors.forename: Fiona
authors.initials: F
authors.lastname: Bees
authors.forename: Anne
authors.initials: A
authors.lastname: Chisholm
authors.forename: Sandra
authors.initials: S
authors.lastname: MacDonald-Rencz
authors.forename: Amy Sanchez
authors.initials: AS
authors.lastname: McCutcheon
authors.forename: Judith
authors.initials: J
authors.lastname: Shamian
authors.forename: Charlotte
authors.initials: C
authors.lastname: Thompson
authors.forename: Kara Schick
authors.initials: KS
authors.lastname: Makaroff
authors.forename: Lorelei
authors.initials: L
authors.lastname: Newton
mesh_terms: D001291:Attitude of Health Personnel; D002170:Canada; D004989:Ethics; D004993:Ethics, Nursing; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D009718:Nurse Administrators; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000523:psychology*