56 CRITICALCARENURSE Vol 28, No. 2, APRIL 2008 http://ccn.aacnjournals.org the work environment, implementation of improvement strategies, and confirmation of the success or failure of the strategies by clinical nurses at the front line. Professional organizations such as the American Association of Critical-Care Nurses (AACN), Joint Commission for Accreditation of Hospitals, Institute of Medic...