The anatomy of change

Hospitals face the critical need to examine managerial styles in practice and perception. One institution did so and saw the dramatic effect in improved attitudes and performance that occurred after the self-examination and a resultant commitment to institute the necessary changes. A realization of the process of change may encourage other administrators to look inward as the first step in increasing organizational effectiveness. This process also has its trauma and pitfalls, but the results are well worth the effort.