Problems with collaboration and communication are the two biggest barriers to effective teamwork. As individual team members and the NP leader begin to work more closely together on shared vision and goals, inevitably, conflict will arise [21] . When poor collaboration exists a lack of trust among team members occurs. Trust is the key to successful collaboration and efficient communication [4] . A team member who does not trust other team members or the leader will have a lack of accountability [3] . Change in the workplace can also create difficulty with effective collaboration and successful communication. Even a small change can challenge a well working team. Conflicts between team members and the leader will not be resolved and will be disruptive to the group as well as to the entire teamwork process. When change exists conflict and resistance may continue to exist [2] . Patients may become aware of the constant conflict in the clinic and can begin to distrust the healthcare team as well. As a result of conflict, the entire healthcare process of the NMC may suffer [4] . A team with altered collaboration, communication, poor attitudes, and distrust is in need of an approach to rebuild these four key areas.