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Abstract:
Stressors of change affect staff, managers, and patient services. Destructive behavior, such as manipulation, further disrupts teamwork and flow of information within an organization, diverting energy that could be used positively for planning and problem resolution. Understanding manipulative behavior and corresponding interventions may assist the nurse manager in personal growth, anticipatory staff development, and proactive care in a changing environment. Manipulation does not promote efficient, efficacious care.