
1. Quality of Nursing Leadership: Knowledgeable, strong nurse leaders willing to take risks, a strong sense of advocacy and support on behalf of nursing.
2. Organizational Structure: Nursing departments are decentralized, with unit-based decision-making and strong nurse representation in committees throughout the organization. The nursing leader serves at the executive level of the organization.
3. Management Style: Managers involve staff at all levels of the organization. The nurse leaders communicate with staff. Feedback is encouraged and valued.
4. Personnel Policies and Programs: Salaries and benefits are competitive. Creative and flexible staffing, with staff involvement. Opportunities for promotion, both in clinical and administrative areas.
5. Professional Models of Care: Nurses have responsibility, accountability and authority in the provision of patient care. Nurses are accountable for their own practice and are coordinators of patient care.
6. Quality of Care: Nurses believe that they are giving high-quality care to their patients and that their organization sees high-quality care as a priority.
7. Quality Improvement: Staff nurses participate in the quality improvement process-see it as educational-and believe that it helps improve patient care within the organization.
8. Consultation and Resources: Knowledgeable experts, particularly advanced practice nurses, are available and utilized. Peer support is available and utilized.
9. Autonomy: Nurses are allowed and expected to work autonomously, consistent with professional standards, as members of the multidisciplinary team.
10. Community and Hospital: Hospitals maintain a strong community presence that includes a variety of long-term outreach programs.
11. Nurses as Teachers: Nurses are permitted and expected to incorporate teaching in all aspects of practice. Nurses feel teaching gives a great deal of professional satisfaction.
12. Image of Nursing: Nurses are seen as essential to the hospital's delivery of patient care by nursing and other members of the health care team.
13. Interdisciplinary Relationships: Nurses, physicians, pharmacists, therapists and other members of the health care disciplines treat each other with mutual respect and have positive relationships.
14. Professional Development: Organizations emphasize orientation, inservice education, continuing education, formal education and career development. Personal and professional growth and development are values.