In response to societal, organization, and leadership changes, an inno
vative nursing structure was implemented and evaluated. An administrat
ive support team was developed to provide specialized internal consult
ation and support to a flattened and decentralized nursing division. T
he four administrative support team roles provided an organization per
spective that ensured constancy of purpose throughout the division. Th
is structural innovation proved to be congruent with nursing shared go
vernance and total quality management initiatives occurring in the org
anization. Evaluation studies indicated that the model has effectively
supported 5 years of continuing organizational change.