The document discusses the organizational culture of a private hospital from the perspective of the chief nurse. It describes the culture as being defined by shared values, psychology, attitudes, beliefs and behaviors of staff, administrators and nursing leaders. The chief nurse's role is to shape, influence and direct tasks and services. The culture developed through stated and unstated values and expectations for member behavior. Nurse leaders are involved in organizational development through programs to enhance staff knowledge, skills and attitudes. Middle managers act as active change agents to create positive impacts. The chief nurse takes responsibility as a culture gatekeeper to exemplify vision and values through accessibility and being a role model.