title: Getting to X.
abstract: Just as there exist many forces driving the need for change on many fronts in health care, there are corresponding forces, some equally strong, that resist the change. The article presents a model for nurse executives to help them understand the predominant forces of change. The article also emphasizes the importance of organizational politics in the change process.
authors.forename: M D
authors.initials: MD
authors.lastname: Skinner
mesh_terms: D006801:Humans; D016294:Models, Nursing; D009718:Nurse Administrators; D009738:Nursing Service, Hospital / Q000458:organization & administration / Q000639:trends*; D009936:Organizational Innovation