Nurse leaders in NICUs need to make improving crucial conversations one of their top priorities. AACN points out that sustainable change in challenging interpersonal communication will take the combined commitment of nurses and of medical and business leaders of health care organizations. No matter how good a strategy is, execution is the key to success. Empowering health care team members to use the two-challenge rule, CUS, or both will foster patient safety. A by-product of that success will be greater work environment satisfaction for health care team members.