Spyridonidis & Currie (2016), British Journal of Management

The Translational Role of Hybrid Nurse Middle Managers in Implementing Clinical Guidelines: Effect of, and upon, Professional and Managerial Hierarchies

In two hospitals, nurse middle managers first got clinical guidelines working, but in one, where they coped less well with pressure to meet regulations and save money, the change faded as old hierarchies reasserted themselves.

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What the research saysHow long should a change settle before the next one?What the research saysWhy do changes stall after launch?

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