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22).
The study occurred at two tertiary hospitals in the Midwest. They selected nine midlevel nurse managers for the study. Between 9 and 12 months after completion of PDR the subjects were interviewed for 60-90 minutes each regarding their perceptions of the effect of redesign on their roles and responsibilities. In addition, they were asked about their challenges as an administrator. Feelings reported by the nurses managers included frustration and inadequacy. They mentioned numerous role behavior changes. The primary role behavior changes mentioned were "the need to measure and manage outcomes; the need to better understand the financial situation of the organization and the external factors that influence it; the need for high-level team-building skills; and the ability to manage rapid and dramatic change" (Ingersoll, 1999, p...
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