AACN Clinical Scene Investigator (CSI) Academy is a unit-based program using implementation science to leverage direct care nurses’ expertise and build additional skills, preparing and supporting them as clinician leaders who effect positive changes that improve patient, nurse and hospital outcomes.

CSI Academy utilized its proven nurse innovation program to support teams of direct care nurses to lead innovative change projects to improve the health of the work environment in their units.

Leveraging its decade-plus history, AACN CSI Academy launched seven regional cohorts where 64 teams focused a nurse-led project to improve on one or two Healthy Work Environment (HWE) standards.



The initial cohorts launched in Fall 2023 in Los Angeles, and were soon joined by regional cohorts at hospitals in Ohio, Oregon, Delaware, Texas and Washington through Spring 2024. By Fall 2024, the program included 64 teams of two to four nurses each.

Benefits of Implementing HWEs With AACN CSI Academy

  • Nurses participating in AACN CSI Academy’s HWE initiative learn new skills, gain leadership experience and grow professionally.
  • They develop a deeper understanding of AACN HWE standards and their impact on nurse and unit outcomes.
  • Nurses learn to design, develop, plan and implement an innovative project.
  • They develop effective communication, collaboration and innovation skills.
  • They also use outcome measurement findings to evaluate goals.
  • The initiative has positive effects on nurse satisfaction, nurse turnover, the work environment and patient outcomes.


Nurses and Teams
  • Increased job satisfaction
  • Improved engagement
  • Decreased burnout
  • Increased feelings of empowerment
  • Providing high-quality care
  • Opportunity for leadership advancement
Patients
  • Improved quality of care
  • Lower hospital-acquired conditions and never events
  • Increased safety
  • Decreased length of stay and readmissions
Hospitals
  • Improved quality outcomes
  • Higher reimbursement rates
  • Improved nurse and patient satisfaction
  • Lower staff turnover
  • Improved retention and recruitment

AACN CSI Academy - Healthy Work Environments Project Innovation Library

CSI Academy teams shared their project summaries and presentations with AACN after the conclusion of their 12-month projects. Summaries and presentations for each cohort will be added as they complete their projects.

Participant Testimonials

Bring AACN CSI Academy and HWE to Your Hospital

Is your organization looking for ways to improve the work environment for your nurses? AACN CSI Academy’s flexible structure and consultative approach are designed to meet the unique needs of individual hospitals and health systems.

CSI faculty lead and guide nurse teams to discuss their unit’s needs and how the HWE program can help achieve organizational objectives and provide an optimal workplace for nurses.


Empowering Nurses at the Bedside: Learn More About AACN CSI Academy

For over a decade, AACN CSI Academy has used implementation science in nursing units to leverage the expertise of direct care nurses and allow them to build additional skills. CSI Academy prepares and supports nurses as clinician leaders who effect positive changes that improve patient care and hospital outcomes.

By providing the knowledge, skills and tools to lead innovation, AACN CSI Academy enables nurses to take a hands-on approach to unit-based initiatives that measurably improve patient, staffing and fiscal outcomes. These powerful results clearly show the return on investment of empowering nurses at the bedside.