There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.

Michael Fullan and other notable experts present a cohesive model of tri-level reform—school, district, and state educators collaborating to build and strengthen capacity for change.

In an era of increased global competition, of business takeovers, downsizing, restructuring, and even outright failure, intelligent organizational change is the most difficult challenge facing American business. The authors present a comprehensive overview which will be essential for managers.

Change happens. Either intentionally or unintentionally, we find ourselves entangled with change on a daily basis. Depending on the day and our mood, our ability to successfully "rock" change or "roll" with the punches can come and go faster than a one-hit wonder. True rock stars understand that change is a journey. They then find the will to grind it out in the face of adversity to achieve the kind of lasting change they seek. Rock 'n' Roll with It offers a unique approach to creating and accepting powerful and lasting change in your life. Presented through the lens of our beloved Rock 'N' Roll, this book will help you create and perform a personal "set list" designed to keep you engaged while developing the characteristics needed to become a true Rock Star of Change. Thought-provoking interviews with legendary change makers will inspire you to put on your leather pants and shake what your Mama gave you. Brant Menswar and Jim Trick, both real-life rock stars and passionate change agents, skillfully guide your journey through change soundly explaining how change works and equipping you with specific strategies to accomplishing the kind of transformational change that leads to the type of life you really want...one that bears fruit and enriches those around you.

"The ′challenge of change′ is everyone′s favorite phrase these days. And for good reason. Never has the need been greater in education for reform that results in both individual and societal benefits." —From the Introduction A cohesive, multi-level approach for sustainable educational reform! With practical insights and critical analysis, this completely revised edition of The Challenge of School Change sheds new light on the widely discussed topic of school change and analyzes the concept of tri-level reform—school, district, and state/national levels working together to build and strengthen capacity to achieve meaningful change. Editor Michael Fullan and fellow contributors explore the theories as well as leadership and implementation strategies behind educational reform and address the concerns that have led to the current school change movement. Designed for principals, superintendents, and school board members, this collection Features notable experts, including Richard Elmore, Andy Hargreaves, Elizabeth City, Pedro A. Noguera, Carmel Crévola, Jim Knight, and Ken Leithwood Provides practical implementation examples for tri-level reform Looks at the essential role that hope and emotion play in the change process Confronting a complex issue with clarity and thoughtfulness, this collection shows educators that successful change efforts are possible in any school environment!

This book is a compilation and update of a group of provocative papers presented at the Radcliffe College invitational conference, "Perspectives on the Patterns of an Era: Family, Work, and Education." A scholarly event saluting Radcliffe's centenary, the conference examined a range of indicators of social change, particularly as they relate to women in America in the last two decades. The program was interdisciplinary, bringing together scholars from economics, history, psychology, sociol ogy, and psychiatry. Each conference participant was asked to explore, theoretically and empirically, the lessons of our social history and, as much as possible, to separate myth from reality with regard to recent changes in patterns of family life, work, and education. Particular emphasis was given to the examination of the rapid changes-or what have been assumed to be the rapid changes-of the last two decades. In addition, participants ana lyzed the perceived and actual costs and benefits associated with chang ing lifestyles, for women and men as individuals and for society as a whole. Finally, they considered the implications of their findings for the future and identified areas for further research.

The Challenge of Change examines how military institutions attempted to meet the demands of the new strategic, political, and technological realities of the turbulent era between the First and Second World Wars. The contributors chose France, Germany, Great Britain, the Soviet Union, and the United States as focus countries because their military institutions endeavored to develop both the material capacity and the conceptual framework for the conduct of modern industrialized warfare on a continental scale. Also included are an introduction describing the intellectual and practical challenges facing the military reformer in peacetime and a concluding essay by Dennis Showalter drawing together the issues examined in the preceding studies and setting these themes in an interpretive, historiographical context. The Challenge of Change has been designed to meet the needs of historians, military professionals, and defense analysts.