“…Work processes and relationships as well as most patient and nurse outcomes are group level phenomena (Leveck & Jones, 1996;Verran, Gerber, & Milton, 1995). Peer and interdisciplinary relationships, patient and nurse satisfaction, decreased patient mortality and incidence of adverse events are products of group interactions (Amos, Hu, & Herrick, 2005;Firth-Cozens, 2001;Horak, Guarino, Knight, & Kweder, 1991). To improve the work environment, perceptions, attributes, and characteristics of productive, satisfying unit work environments must be assessed at the group level.…”