I have had the pleasure to work with Jerry McIntosh for the last 4 years on an initiative to create a healthy work environment on most of our clinical departments at Good Samaritan Regional Medical Center in Corvallis, Oregon. When we started this process the work environments on these units could be quite negative and caustic at times. There were staff who were leaving the units because they felt disenfranchised by some of their fellow employees. After going through this process the turnover rate has dropped dramatically, and staff are leaving the unit to try another area of patient care and not because they are trying to get away from something