Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Purpose and Scope


  • This Best Practice Guideline (BPG) focuses on nursing teams and processes that foster healthy work environments.
  • The focus for the development of this guideline was collaborative practice among nursing teams with the view that this may be a first stage in a multi-staged process that could eventually result in interprofessional guidelines.
  • A healthy work environment for nurses is a practice setting that maximizes the health and well being of nurses, quality patient outcomes and organizational performance.
  • Effective nursing teamwork is essential to the work in health care organizations.


The BPG was developed to assist nurses, nursing leaders, other health professionals and senior management teams to enhance positive outcomes for patients/clients, nurses, and the organization.

This BPG identifies:

  • Best practices that effectively address collaborative practice/teamwork; and
  • The organization culture, values, relationships and the structures and processes required for developing and sustaining effective nursing teamwork.