title: The times they are a'changing.
authors.forename: J P
authors.initials: JP
authors.lastname: Bellack
authors.forename: L
authors.initials: L
authors.lastname: Fowler
mesh_terms: D004651:Employment / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D009729:Nursing / Q000458:organization & administration*; D009936:Organizational Innovation; D013022:South Carolina