All hospital staff, including the nursing team
Patients and their families
External trainees and students
The Nursing Department of Chung Shan Medical University Hospital, led by Vice Superintendent Li Chiu-Hsiang, adopts Transformational Leadership as its core strategy across four dimensions: human resource management, nursing quality management, information and innovation, and positive workplace construction. 67.3% of head nurses hold master's degrees or above; nurse-to-patient ratio ≦7.9 (all shifts). The nursing vice superintendent serves as chairperson of Taichung City Nurses Association and received the 2018 Outstanding Nursing Professional Contribution Award. Through flexible human resource management, nursing staff satisfaction improved from 89.5% (2015) to 93.5% (2017); 2018 overall practice environment satisfaction reached 95.2%. CAUTI rate (1.39‰) outperformed Taiwan medical center average (4.2‰), developed countries (1.4‰), and the US (1.81‰). 163 nursing innovations and 15 patents in 5 years; TTQS Silver Award; HQIC Smart Medical Certification.
Transformational Leadership: Led directly by the Vice Superintendent, implementing flexible human resource management strategies (integrating competency and leadership flexibility) to enhance organizational resilience and adaptability.
Professionalization of Nursing Leadership: 74.6% of nurse managers hold a master’s degree or higher and actively engage in academic research and clinical leadership to strengthen decision-making quality.
Optimal Workforce Deployment: Maintains a nurse-to-patient ratio ≤ 8.2, with greater workforce stability compared to peer institutions, ensuring balanced workload and high-quality patient care.
Well-Established Talent Development System: Achieved TTQS Silver Award certification and implemented hospital-wide, establishing a continuous and progressive staff training and development framework.
Smart Nursing Achievements: Recipient of the 2025 NHQA National Healthcare Quality Award for Smart Healthcare, leveraging AI-driven nursing applications to enhance efficiency in nursing documentation and multilingual patient education.
Innovation and Research Capacity: Achieved 50 nursing innovation projects and secured 3 patents over the past three years, demonstrating strong capabilities in clinical translation and innovation.
191 nursing satisfaction questionnaires collected
External medical personnel trained: 15 persons (2023–2025)
External trainee overall satisfaction: 100%
Assisted various institutions in organizing 31 symposium sessions (2023–2025)
Quality circles completed: 7 (2025)
Nursing staff satisfaction: 92.79% → 93.01% (2024–2025)
2018 overall practice environment satisfaction: 95.2% (safe practice environment avg 4.62)
2018 job satisfaction: all 14 items ≥4.2; overall satisfaction 80.4%
Nurse-patient ratio: ≦8.2 all shifts (sustained 2024–2025)
CAUTI rate: Medical Intensive Care Unit (MICU) 2.13‰ (vs. Taiwan medical center 2.77‰). Surgical Intensive Care Unit (SICU) 1.95‰ (vs. Taiwan medical center 2.61‰)
Medication Error Rate: 0.01%, outperforming peers with continuous improvement
CAUTI: CAUTI rate: Medical Intensive Care Unit (MICU) 2.13‰ .Surgical Intensive Care Unit (SICU) 1.95‰ (vs. Taiwan medical center2.61‰)
Medication Error Rate: 0.01%, outperforming peers with continuous improvement
Patient safety culture survey: all dimensions above medical center average 'Work-life balance' highest at 70.78%
Nursing Innovation Improvement: Utilizing the innovative product—“Tumbler,” a health education robot—to enhance the implementation of patient fall prevention education.
Nursing job satisfaction: all 14 items ≥4.2/5
Overall practice environment satisfaction: 95.2%
Head nurse-staff interaction: 4.4/5
Smart ward system inpatient service satisfaction: average 90.1%
A total of 517 conference papers and poster presentations were delivered between 2021 and 2025
15 SCI papers (2023–2025)
8 evidence-based nursing clinical application publications (2023–2025)
Transformational leadership model effectively improves satisfaction and reduces turnover
CAUTI rate superior to international benchmarks, ensuring patient safety
TTQS Silver Award model extended to all hospital departments
Smart nursing care improves inpatient service satisfaction
External training and seminars elevate nursing quality at partner hospitals
