Current mainstream books and publicity about management and administration in health care are concerned with the takeover of health care by managed-care organizations. Many provide lots of quick and externally focused answers. Many of them are economically driven, to the exclusion of humans, values, ethics, and the human spirit of all those who pass through systems as deliverers and receivers of care. On the other hand, there is a new generation of works that address new forms of administration and leadership-works that inspire and evoke foundational changes in health care and forms of organizational leadership and management. This work by Dr. Jan Nyberg is guided by a lifelong career of administration and management that is informed by deeper human dimensions of caring, and more lasting approaches to change than quick-fix, economic takeovers.

Jan Nyberg, an experienced nursing administrator, scholar, and educator, knows another way-from the inside out rather than the outside in. She brings forth her wisdom and knowledge, experiences, and insights so that others may now grasp another way to transform systems for delivery of human caring and healing. This work informs, instructs, and inspires; it invites nurse leaders and other health administrators to reach for what might be, rather than succumbing to what already is.