title: When paradigms shift.
abstract: Paradigms are models that define boundaries and expected behavior. The health care paradigm is changing, and this shift from the old to the new model presents a real challenge to each manager who is trying to maintain a productive, cohesive staff.
authors.forename: P A
authors.initials: PA
authors.lastname: Muller-Smith
mesh_terms: D003695:Delivery of Health Care / Q000639:trends*; D006801:Humans; D016294:Models, Nursing; D010687:Philosophy, Nursing; D014481:United States