Step I: Establishing contact and mutual commitments
This step was aimed to identify stakeholders or HCWs affected by this issue and leaders to establish communication with these key persons.
Objective: To establish the relationship with hospital administrators and HCWs in the study setting and ask for permission to conduct this research and to establish commitment from the stakeholders.
Activities:
1. At the beginning of October, 2009, the researcher contacted the hospital
administrators of Maharaj Nakorn Chiang Mai Hospital to obtain their permission and cooperation in conducting research. After receiving permission, the researcher met with all the stakeholders including the nurse supervisors of medical nursing division, head nurses of the settings, and the head of the medical department. The researcher contacted medical nursing supervisors to inform them of the objectives and the risks/benefits of the study, to ask for their permission and assistance, and especially to establish commitment from the stakeholders. After that, the researcher explained the research process to the three head nurses and HCWs in three MICUs.