title: The white water of change. A survivor's guide.
abstract: Managing in an environment of fast, continuous change requires a special perspective and skill set. This article describes a systems framework for understanding the forces behind the turbulence and develops approaches to managing in a dynamically complex environment. Building on this background, five principles guide nurse managers to stay on top of change and thrive in turbulent times.
authors.affiliation: Center for Case Management, Inc., South Natick, Mossachusetts, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: Tonges
mesh_terms: D000223:Adaptation, Psychological; D004465:Economic Competition; D017598:Efficiency, Organizational; D006801:Humans; D009718:Nurse Administrators / Q000523:psychology*; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009936:Organizational Innovation; D011340:Problem Solving