Generating evidence for care improvement has characterized my program of research spanning 20 years. Six domains are highlighted to advance the science and practice of critical care nurses in today’s complex health care systems. Employee well-being and taking care of our teams are key priorities for successful leaders. Understanding that patient and staff outcomes are inextricably linked makes it even clearer that care environments need to be healing and holistic for staff and patients. The healthy work environment framework provided by the American Association of Critical-Care Nurses empowers staff and optimizes the experience for patients, their families, and care teams. Appropriate staffing, guided by contemporary acuity measurement, recognizes the cognitive workload and complexity of nursing. Committing to a culture of certification and ensuring staffing models with appropriately educated and experienced nursing staff will continue to be important. During the past decade, we...

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