One- Off Change May Not Be Possible

Multiple Choice

One- off change may not be possible. How did change occur in hospitals, according the Denis et al's research summarised in the textbook?

A) A number of initiatives had to be carried out at the same time.
B) One initiative had to be completed before another could be started.
C) One initiative made limited progress, stalled, and then another made further advances.
D) A maximum of three initiatives made limited progress, were then postponed and re- started some months later.