A number of health care organizations are currently undergoing major organi
zational redesign. Despite these efforts. little is known about how these c
hanges are affecting the employees participating in the redesign process. I
n response to this. a study was undertaken to determine the perceived impac
t of organizational redesign on nursing staff at 2 acute care hospitals tha
t were undergoing major organizational change. Data were collected through
semi-structured focus group interviews conducted on all 3 shifts (days. eve
nings, and nights). Findings suggest the early redesign period is highly tu
rbulent and difficult for staff. Nurses expressed concern over changes in r
oles and responsibilities. disruption in work group relationships, loss of
resource availability. reduction in quality of care, and alterations in phy
sical and psychological state. Copyright (C) 2001 by W.B. Saunders Company.