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Leadership for ethical policy and practice (LEPP): participatory action project
Janet Storch1, Patricia Rodney, Colleen Varcoe
1University of Victoria School of Nursing, Victoria, BC. return of 1990s healthcare reform
Nursing Leadership (Toronto, Ont.)
|January 9, 2010
Summary
Healthcare providers in Canada face ethical challenges, causing moral distress. This study used participatory action research to improve the ethical climate in nursing workplaces, involving leaders and direct care nurses for lasting change.
Area of Science:
- Healthcare ethics
- Nursing workplace environments
- Participatory action research
Background:
- Canadian healthcare providers experience ethical challenges, leading to moral distress.
- Limited research addresses improving the ethical climate in nurses' workplaces.
- Ethical practice is hindered by the fast-paced, changing healthcare environment.
Purpose of the Study:
- To explore improvements in the ethical climate within healthcare delivery.
- To investigate the use of participatory action research for sustained enhancements in service delivery.
- To develop actionable strategies for improving the quality of the healthcare work environment.
Main Methods:
- A three-year participatory action research study was conducted.
- Strategies were co-developed by direct care nurses and Chief Nursing Officers (CNOs) or equivalents.
- Action plans were tested across various healthcare settings in British Columbia.
Main Results:
- Participatory action research facilitated the development of actionable strategies.
- Involvement of nurse leaders throughout all project phases was crucial for success.
- Strategies were designed for adaptability as templates in other healthcare settings.
Conclusions:
- Collaborative, participatory action research involving nurses and leaders can improve healthcare's ethical climate.
- Nurse leaders' integral involvement is key to successful, lasting workplace changes.
- The developed strategies offer a model for enhancing ethical practice and work environments in healthcare.
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