Description/Overview: This symposium will present the nature of the work and the lessons learned in an International Consortium of over 240 rural, community and university settings who are collectively leading transformation work to create and sustain healthy, healing work cultures. The focus will be on the delineation of the fundamental elements that have been identified as essential to be present in order to achieve healthy cultures that support the best places to give and receive care. These elements are based on a professional practice framework and include clarity on shared purpose, dialogue, partnership and polarity management skills, clarity on scope of practice, evidence-based competency, interdisciplinary integrated competency, healthy relationship infrastructures, point-of-care tools and resources and a professional exchange report or handoff processes. Each element will be correlated to the delivery of professional nursing practice including the assessment of the patient's story, developing an individualized plan of care and assuring the education of patients and families. The introduction of the skill of polarity management and the common polarities that must be managed by those who lead will be delineated for each of the fundamental elements. The importance of a healing culture will be correlated to the clinical outcomes experienced by those carrying out the work.

Learner Objective #1: Delineate the fundamental elements essential to create and sustain a healthy healing work culture.

Learner Objective #2: Delineate the role of the leader in implementing each of the fundamental elements essential to create the best places to give and receive care.