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  1. Moore, Susan M. MS, RN-C
  2. Wise, Lowell DNSc, RN


The authors analyze the processes surrounding an initial failure and eventual success in implementing organizational change. The specific organizational change involves prevention and treatment of pressure ulcers. It provides insight as to how critical factors serve to bring about and sustain change in an organization. It also serves to illustrate deficiencies in traditional and popular change theories.