title: Effective change.
authors.affiliation: University of Greenwich.
authors.forename: B
authors.initials: B
authors.lastname: Ootim
mesh_terms: D017598:Efficiency, Organizational; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009936:Organizational Innovation