The MagnetTM hospital research and the organizational framework developed by Aiken, Sochalski, and Lake (1997) provide the means to better understand the link between the unit culture characteristics and adverse events. A nursing unit culture that supports and values nurse autonomy and the provision of adequate resources and effective communication among providers most likely constitutes an environment in which practice excellence is the norm. Effects of nursing interventions are mediated by such organizational characteristics at the unit level (Aiken & Fagin, 1997). The MagnetTM hospitals are an example of a positive culture that affects nurses and patient outcomes. The MagnetTM recognition is considered the gold standard for excellence in nursing (Wolf, 2006) and is sought by nurses, physicians, hospitals, and the public.