Within the MICU, the nurse leader created an environment that encouraged all ideas. The leader listened carefully to the articulated and unspoken messages shared by employees and creatively integrated these into elements of the unit’s work. Based on a fundamental belief that everyone in the unit wanted and could contribute to organizational goals, the nurse leader translated reflective listening into meaningful action by identifying and generat- ing opportunities for nurses to develop innovations to improve the delivery of healthcare services. The leader made it a central practice to credit staff mem- bers for successful improvements and innovations.