Hi Shawqi

I commend you on your project. While I have never done this sort of thing there are a number of projects or tools I am aware of that you could use. What might be the focus of improvment? Are you interested in reducing adverse events? Or staff engagement? or a general culture change

Firstly NSWHealth is running a program called essentials of care. This program focusses on improving the culture of a ward prior to implementing a practice change to improve care. http://www.health.nsw.gov.au/nursing/projects/eoc.asp

there are a range of documents at the website

Secondly there is the AACN healthy work environments tools http://www.aacn.org/wd/hwe/content/hwehome.pcms?menu=hwe

If you are looking to improve the safety culture http://intensivecare.hsnet.nsw.gov.au/quality-a-safety-research#safetyculture

this link will take you to ICCMUs work on safety culture.

good luck

Thank you Kaye for your informative information. My focus on the factors that contribute HWE. I think the standard of AACN might help......

Prior to conducting an action research is to establish facts on the research problem, formulate questions that will determine the status of the unit and identify its problems and factors associated with it. This is important because the findings will be your basis for conducting an action research that will improve and sustain the healthy working environment of CCU... goodluck

Hi Sunga

Thank you for your excellent suggestion. This is also exactly what one of my colleague said. I will discus it with my research group to take their views....

We have done a lot of work on healthy work environments in Ontario , Canada. Visit the website for the Registered Nurse's Association of Ontario. Www.rnao.org and lookup the Best Practice Guidelines. The BPG's are being used by many organizations around the world and are free to use and download. They are even available in several languages. Good luck with your work

Thank you Claudine for your informative information. I was able to have good resouces from Canada about this subject.

Dr. Karen Drenkard published articles on this topic in relation to her professional practice with Magnet hospitals.

The book Relationship Based Care, Transforming Nursing, would be of value. Creative HealthCare is a consulting business that also has some great on-line ideas.

I worked as a staff paediatrician / registrar in acute and intensive paediatrics since 1983 and enjoyed what I did. I had mastered clinical acumen so that I could do my job and get time to sleep. I retrained and moved too work as a GP and joined as a salaried doctor working in a "Pilot GMS Nurse-led Practice" established by the NHS to help reduce cost, waiting time and create a new breed of "Independent Nurse Practitioners".

This was a major mistake because I have identified numerous mistakes that could be treated as "Negligence". As a doctor, it is my duty to raise concern because delay in diagnosis and offering the right treatment early results in serious complications and death.

Now the papers are publishing articles and reports that state "37,000" people died in UK last year, WHY? because the person who will examine (not trained to examine as doctors), diagnose and prescribe treatment based on protocol.

I will start loading clinical notes, articles and letters to show the world how this quackery has made NHS as the worst healthcare system in the developed nations.

Please Read This Article First To Understand The Legal Aspect

http://www.bioscilibrary.com/resource/EndocrineNurseCourse/ent04/ent04_wil.htm

Do you know it is very important to know how to use a stethoscope? Please check this out and see the images published in Google search. I found one nurse/doctor actually placing the ear pieces correctly in the ears.

No wonder serious mistakes or wrong diagnosis are made be nurses who are not trained by doctors in medical schools