Trust is an important element in developing healthy team relationships. Kolorouits (2004) has noted that effective delegation is based on both trust and an understanding of professional practice. When RNs state that they are reluctant to delegate care when they do not know their team member's skill level, they are likely saying that they avoid delegation because they don't trust their other team members. Trust, a critical factor in relationships, is based on knowledge of one another's capabilities and confidence in these abilities. Caregiver consistency, which builds trust, is achieved by staffing schedules and methods of patient assignment which directly impact how work is delegated. The staffing schedule and patient assignment methods that promote consistency among caregivers and between caregivers and their patients become the foundation for enhancing the quality of work relationships (Koloroutis, 2004) as described below.