Changes in nurse attitudes: management strategies for today's environment.

Since the initiation of prospective payment reimbursement policies, significant changes have occurred in health care organizations and in the attitudes of nurses who work within them. In turn, these changes have necessitated development of new management strategies whereby nursing executives provide their staff with a motivating, satisfying work environment. This article summarizes a 5-year national study of nurses'attitudes and describes some strategies that are now proving effective for managing today's nursing staff.