title: Managing through four decades: a personal reflection.
abstract: Achieving quality, compassion and effectiveness in the delivery of health services depends upon managing resources and directing change. Four decades of experience in nursing suggests that managing is the core of all practice areas, clinical or administrative.
authors.affiliation: Institutefor Nursing Healthcare Leadership, Boston, Massachusetts, USA.
authors.forename: J C
authors.initials: JC
authors.lastname: Clifford
mesh_terms: D001900:Boston; D006739:Hospital Administration; D006801:Humans; D009718:Nurse Administrators; D009936:Organizational Innovation