5.3. External organizational environment
The participants generally believed that the level of centralization in the nursing and midwifery schools could be a
restrictive factor in adopting management models. A few perspectives are presented below:
“…Changes occur in educational organizations. As our educational system is centralized,
changes depend on the decisions of higher managerial levels and if an educational organization
intends to adopt innovative changes, it is restricted by the centralized system…”
(Low managerial level, 2 years of managerial experience)