Management restructuring: the process of change.

This article provides simple, direct "how to" process steps for nursing leaders and managers who sense the need to move toward a flattened, decentralized model as a nursing organizational structure, but are not certain how to get there. The process of organizational restructuring is fraught with difficulty, but for health care to be responsive to patients and staff, nurse leaders must take on the challenge. Principles and process steps that lead to a restructuring plan are outlined, as well as pitfalls to avoid.