title: Change: is there any more to be said?
authors.affiliation: University of Washington, Seattle, USA.
authors.forename: C A
authors.initials: CA
authors.lastname: Alvarez
mesh_terms: D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D009720:Nurse Clinicians / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education*; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009936:Organizational Innovation