This report analyzes a case study concerning the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital (EMU), where Barbara Norris, the new director, faces significant challenges including declining performance, high turnover, low morale, and poor communication among nurses. The report explores the context, issues, and impacts of these problems, such as reduced hospital revenue and increased patient dissatisfaction. Proposed solutions include hiring new staff, improving communication, fostering team collaboration, implementing a mentor program, holding business meetings, involving staff in decision-making, surveying staff, and trying team-based incentives. The report references relevant literature to support the proposed strategies for effective change management and organizational improvement within the healthcare setting, providing a comprehensive overview of the problems and potential resolutions.