Abstract
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe 1 medical center's use of Kotter's work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity. Nurse satisfaction, retention, and other human resource quality data that showed positive results are compared before and after the change.