Okay, I feel what ya'll are saying. I am a CNS that just took a clinical manager role. It is my desire to improve bedside nursing care based on evidence based paractice. I have come to the organization as an outsider. That in it self has created a hugh barrier. Many of the practices I see could be improved upon. How can I make changes in practice that promote healthy work enviornments? Let me add the nurse manager is one of those with out a backbone, scruples or anything of the sort?