世界快速變化，由工業社會變成ｅ化的資訊社會，醫療產業也遭受空前的壓力，醫院紛紛以策略聯盟、民營化、外包等方式進行改革以順應時代之巨變，如果變革已是唯一的選擇，那麼如何做好變革管理就顯得特別重要。本文旨在提供讀者有關組織變革與組織再造相關的概念及研究，期能有助讀者對這些概念有更明確的認識，並能以積極創新的心態勇於面對護理的再造。

　　　　　Recently the economic and technological environment has undergone enormous changes. In response to rapid external forces, healthcare organizations have sought to increase efficiency and effectiveness through strategic alliances, privatization, and outsourcing. Since change is inevitable, it is important to manage it well. An attempt is made to provide knowledge of organizational change and restructuring that will help the nursing professional face the reshaping of nursing with creativity and courage.