Investigating the relationship between generational work attitudes and nursing practice in the special care units in the selected hospital in Bulacan.

High-acuity Special Care Units such as ICU, OR, HD, and ER in Bulacan rely on a four-generation nursing workforce with distinct professional attitudes and clinical styles. Understand how generational shifts impact workplace values, communication, and conflict management to enhance staff retention and patient care quality. Non-experimental, descriptive-correlational study examining generational attributes and clinical practice without variable manipulation. The scope of the study includes the study settings, sampling procedures, and ethical standards to ensure data integrity across SCUs. The SCU workforce is predominantly young and early-career, mostly Gen Z and Millennials. Nurses scored highest in technological adaptability, feedback orientation, interprofessional communication, technical competence, and patient safety/advocacy, though long-term organizational commitment remains moderate. A statistically significant, moderate positive correlation exists between generational work attitudes and overall nursing practice. However, regression analysis shows that age alone is not a strong predictor—attitudes are more strongly shaped by clinical experience and organizational culture. Ultimately, the positive correlation between work attitudes and nursing practice supports the proposed Generational Synergy Program to enhance retention, collaboration, and care quality in high-acuity settings.