... guided by critical management studies. Findings Participants recognized that many change initiatives reflected an ideological shift in healthcare that supported a culture of service, whilst sacrificing a culture of care. A culture of service prioritized cost-savings and efficiency, which saw nurses...

... in Britain when shifts in managerial culture resulted in changes in the core values of the group; the introduction of the National Health Service in 1948 and the introduction of the internal market within the NHS in the late 1980s. In both periods, nursing leaders sought to change the public image...

...Fred Luthans All aspects of the expanding service sector, including its growth, importance, status and role, are examined. Moments of truth, called here MOTs, are identified as crucial in the successful running of service companies, and a behavioral approach is suggested as an excellent method...