title: Preparing for the challenges of the millennium.
abstract: This paper describes a retrospective view of the challenges the two authors were faced with as Nurse managers when the haemodialysis unit was expanded from ten dialysis stations to thirty-one within a period of three years. This expansion involved changes to the environment and management strategies. There were four issues identified that helped to face these challenges and they are described in depth. The authors claim the skill of communication within the team and the proactive approach to change was the key to their success.
authors.affiliation: St. Mary's Hospital, London, United Kingdom.
authors.forename: M
authors.initials: M
authors.lastname: Polpitiye
authors.forename: V
authors.initials: V
authors.lastname: Fairchild
mesh_terms: D005544:Forecasting; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration*; D006742:Hospital Bed Capacity; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D007676:Kidney Failure, Chronic / Q000628:therapy*; D020380:Needs Assessment / Q000458:organization & administration; D009718:Nurse Administrators / Q000458:organization & administration* / Q000523:psychology; D009936:Organizational Innovation; D010934:Planning Techniques; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012189:Retrospective Studies