Leadership for ethical policy and practice (LEPP): participatory action project.
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.
Storch
Janet
J
University of Victoria School of Nursing, Victoria, BC. return of 1990s healthcare reform
Rodney
Patricia
P
Varcoe
Colleen
C
Pauly
Bernadette
B
Starzomski
Rosalie
R
Stevenson
Lynne
L
Best
Lynette
L
Mass
Heather
H
Fulton
Thomas Reilly
TR
Mildon
Barbara
B
Bees
Fiona
F
Chisholm
Anne
A
MacDonald-Rencz
Sandra
S
McCutcheon
Amy Sanchez
AS
Shamian
Judith
J
Thompson
Charlotte
C
Makaroff
Kara Schick
KS
Newton
Lorelei
L
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*