Principles & Elements of a Healthful Practice/Work Environment

1. Collaborative Practice Culture
   Respectful collegial communication & behavior Team orientation
   Presence of trust
   Respect for diversity
2. Communication Rich Culture Clear and respectful

   Open & trusting

3. A Culture of Accountability
   Role expectations are clearly defined

   Everyone is accountable

4. The Presence of Adequate Numbers of Qualified Nurses
   Ability to provide quality care to meet client/patient’s needs Work/home life balance
5. The Presence of Expert, Competent, Credible, Visible Leadership Serve as an advocate for nursing practice
   Support shared decision-making
   Allocate resources to support nursing
6. Shared Decision-Making at All Levels
   Nurses participate in system, organizational, and process decisions Formal structure exists to support shared decision-making
   Nurses have control over their practice
7. The Encouragement of Professional Practice & Continued Growth/Development Continuing education/certification is supported/encouraged
   Participation in professional association encouraged
   An information rich environment is supported
8. Recognition of the Value of Nursing’s Contribution Reward and pay for performance

   Career mobility and expansion

9. Recognition by Nurses for Their Meaningful Contribution to Practice

These nine elements will be fostered and promoted, as best fits, into the work of individual member organizations of the Alliance. ~2004~