Case studies

Case study #1 - Mobilizing motivated staff, volunteers and physicians to go ‘green’

Mobilizing motivated staff, volunteers and physicians to go ‘green’

A group of volunteers, staff and physicians from St. Joseph’s Healthcare Hamilton, an acute care facility in Hamilton, Ontario, Canada engaged in a social movement to address environmental issues, such as carbon emissions (Herechuk et al., 2010). The change agents formed a team of grassroots activists called the Environmental Vision and Action and were intrinsically motivated as environmental stewards to ensure changes were made that aligned with environmental determinants of health. Through the support of the hospital’s senior leadership team, the hospital went ‘green’ with environmentally driven organizational changes, including the creation of a model for environmental excellence (depicted above). For more details, see  Achieving environmental excellence through a multidisciplinary grassroots movement - ScienceDirect 

Case study #2 - RNAO Best Practice Champions as exemplars of intrinsic motivation for excellence 

RNAO Best Practice Champions as exemplars of intrinsic motivation for excellence

In Barcelona, Spain, Vall d’Hebron Barcelona Hospital Campus, a Best Practice Spotlight Organization®(BPSO®) Nursing care | Vall d'Hebron Barcelona Hospital Campus (, nurses and other staff became Registered Nurses’ Association of Ontario (RNAO) Best Practice Champions in a variety of clinical areas, including breastfeeding, ostomy, and wound care. A ceremony was held for the nursing best practice champions to recognize their leadership and commitment to using evidence-based guidelines to achieve excellence in clinical practice. Their intrinsic motivation is exemplified by their dedication to providing best practices and optimizing their patient’s health and wellbeing. For more information, watch the powerful video BPSO Program: Excellence in Cares of Infirmary - YouTube