title: Navigating the barrier reef: QEE to successful restructuring.
abstract: This article chronicles the barriers encountered as a multidisciplinary department undertook management restructuring. Barriers that are addressed include lack of a sense of urgency; confusion and fear regarding the changing roles of both staff and managers; insufficient development of coaching skills; and lack of alignment of performance appraisals, outcomes, and rewards. Insights gained and strategies to deal with these barriers are discussed.
authors.affiliation: Center for Health Issues, Drake University, Des Moines, IA, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: Hansen
authors.forename: J
authors.initials: J
authors.lastname: Jutting
mesh_terms: D001291:Attitude of Health Personnel; D007722:Health Knowledge, Attitudes, Practice; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration*; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D011787:Quality of Health Care