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Findings can be helpful to NMs who are faced with addressing disruptive nurse-to-nurse relationships as they endeavor to create and sustain healthy work environments.

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The Department of Veterans Affairs (VA) is committed to providing cost-effective, quality care to veterans. Given an aging veteran population and common, multiple co-morbid illnesses, the needs of the typical patient cared for within the VA system are complex. Thus, caregivers meeting these needs require additional nursing education. To ensure the staff will have the skills necessary to care for patients experiencing more complex illnesses, the Battle Creek VA Medical Center (VAMC) designed a program giving experienced nursing assistants the opportunity to enroll in a nursing program leading to practical nurse licensure. The Nursing Assistant to Licensed Practical Nurse Program has been established by developing a collaborative agreement with an affiliating educational institution, defining the selection criteria, helping to prepare funding requests, developing a mentoring program, coordinating with Human Resources and Fiscal Services, and outlining the service obligation. After the first year of this program, the VAMC and the academic institution consider it a successful collaborative effort.