Focuses on a period of major organizational change in a school of nursing from 1989 until the present. Describes internal and external pressures for change and explores the reasons for a need to shift from a collegial to a more mechanistic and bureaucratic culture. Outlines the method chosen to analyse the change process, which was focused interviewing with a stratified sample of teaching staff, to enable a retrospective evaluation of the change process and to learn whether the changes were successful or not. Pays particular attention to the relationship between leadership style, structure and culture, describes tensions arising from the policy changes and debates lessons for the future.
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