ARTICLESHealthy Work Environments A Validation of the LiteratureHeath, Janie MS, APRN, BC-ANP, ACNP; Johanson, Wanda MN, RN; Blake, Nancy MN, RN, CCRN, CNAAAuthor Information Authors’ affiliations: Assistant Professor (Ms Heath), George-town University, School of Nursing and Health Studies, Washington, DC; Chief Executive Officer (Ms Johanson), American Association of Critical-Care Nurses, Aliso Viejo, Calif; Director (Ms Blake), Patient Care Services and Critical Care Services, Childrens Hospital–Los Angeles, Calif. Corresponding author: Ms Heath, Box 571107, 3700 Reservoir Rd NW, Washington, DC 20007 ([email protected]). JONA: The Journal of Nursing Administration: November 2004 - Volume 34 - Issue 11 - p 524-530 Buy Abstract Nursing leaders are under intense pressure to ensure that safety and quality exist at every point of service. Landmark reports set forth many calls to action to transform systems and processes of care to improve healthcare delivery. Evidence indicates that healthy work environments (HWEs) are at the heart of the solutions to significantly affect patient outcomes and professional nursing practice. Findings from an HWEs literature review and focus groups indicate that nursing leaders must prioritize efforts to improve the culture in the work environment. Three elements emerged to help nursing leaders set the tone and standard of practice for HWEs: (1) effective communication, (2) collaborative relationships, and (3) promoting decision making among nurses. © 2004 Lippincott Williams & Wilkins, Inc.