The unit has been through three managers in the last five years and has been described as having a toxic work environment. Staff turnover is 30% each year. The unit is a revolving door for new graduates. The level of trust among staff on the unit is very low. Jackie has many years of experience as an assistant nurse manager in a similar clinical setting, and she was well liked by staff. This is her first assignment in a nurse manager role. She is excited about the possibilities of improvements that she can make, but she is also anxious about her new responsibilities. 1