title: Supporting excellence in turbulent times.
abstract: Re-engineering offers an organization the opportunity to identify and strengthen critical system values and enhance employee commitment despite needed downsizing and major role changes. Anticipated distress during turbulent transitions can be decreased by managers paying close attention to employees' realistic concerns and offering opportunities for discussion about unaltered values as well as concretizing operational guideposts during the "in between" phase. Leaders must develop significant new skills to help staff develop competencies related to change management. Chief among the needed capabilities are direct communication techniques, enhanced self knowledge and desired team role behaviors. The expanded span of accountability for managers offers opportunities for staff empowerment through their needed participation in peer reviews, as well as the concomitant changes in position descriptions, role expectations, and financial rewards.
authors.affiliation: Perioperative Services, Wyoming Medical Center, Casper, USA.
authors.forename: D
authors.initials: D
authors.lastname: Weaver
authors.forename: B A
authors.initials: BA
authors.lastname: Ringhouse
mesh_terms: D002983:Clinical Competence; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D006754:Hospital Restructuring / Q000592:standards*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education* / Q000458:organization & administration*; D009745:Nursing, Supervisory; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010558:Personnel Loyalty; D015397:Program Evaluation