Authors (including presenting author) :
Chan, YL(1), Ng, HL(1)
Affiliation :
(1)Accident and Emergency Department, Alice Ho Miu Ling Nethersole Hospital
Keyword 1: :
Staff engagement
Keyword 2: :
Frontline-led
Keyword 4: :
Video production
Keyword 5: :
Shared governance
Introduction :
Staff engagement and happiness remain Hospital Authority strategic imperatives. Young nurses require meaningful engagement strategies to strengthen belonging and retention intent. Guided by the Magnet Model's Shared Governance framework, emphasizing frontline autonomy and peer leadership, frontline staff at AHNH A&E self-initiated a video production project with HKFSD to redistribute narrative authority to nursing staff. Documented as a qualitative study, this initiative captured departmental culture, history, and peer stories to forge intergenerational connection and cultivate organizational appreciation culture.
Objectives :
(1)enhance young staff's sense of belonging and understanding of A&E culture; (2)foster appreciation culture recognizing staff contributions and shared commitment;(3)support staff morale and retention among junior nurses;(4)explore factors influencing staff engagement.
Methodology :
All A&E staff were invited to a frontline-led, self-initiated video production project. Guided by Shared Governance principles and SMART goal-setting, nursing staff conducted bottom-up brainstorming sessions functioning as a de facto unit council. A core production group of 16 nurses (30% of all staff) collaborated with HKFSD to co-create a 14-minute mini-film and yearbook-style segments documenting A&E history, COVID-era memories, educational milestones, daily operations and disaster management. This qualitative study collected written reflections and thematic feedback from engaged staff, identifying emerging themes. Departmental attrition data were reviewed as contextual workforce stability indicators.
Result & Outcome :
Overall nursing participation was 85% (45/53), including 100% of nurses with < 10 years' experience; 75% of all A&E staff, including nursing, medical, clerical, and support personnel. Qualitative findings revealed emergent themes of "Shared Identity" and "Pride." Staff reported the project as a meaningful opportunity to "tell our story" fostering deeper understanding of A&E values, history, and inter-professional teamwork. Participants reported increased departmental pride, stronger identification, greater colleague appreciation, and enhanced junior-senior relationships. Workforce stabilization coincided with project implementation: attrition among < 10-year nurses reached 0%, and new-hire attrition (< 1 year) declined from 20% to 0%. A frontline-led, Shared Governance video project is generationally aligned strategy strengthening belonging, appreciation culture and supporting workforce stability in A&E settings. This approach offers other units a replicable model for enhancing staff engagement.
