title: Understanding and managing change in health care organizations.
abstract: Change impacts affected people and often causes difficulties. Health care organizations, locally and nationally, have undergone tremendous change to deliver quality services in a more effective and efficient manner in a competitive environment, with varying degrees of success. This article presents Robbins's categories of change and relates them to current changes in health care organizations. It discusses areas to consider to develop adaptable plans and to assist affected employees to better deal with these changes throughout the transition.
authors.affiliation: Executive Health Program, Kuakini Medical Center, Honolulu, Hawaii, USA.
authors.forename: K
authors.initials: K
authors.lastname: Nagaike
mesh_terms: D000223:Adaptation, Psychological; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D009718:Nurse Administrators; D015279:Organizational Culture; D009936:Organizational Innovation; D010564:Personnel, Hospital / Q000193:education / Q000523:psychology*; D011209:Power, Psychological; D012944:Social Support