In order for any change cycle to succeed there are many important internal and external organisational factors which have to be considered. Communication to employees is one of those factors. This dissertation set out to focus on communications between management and staff in a recent change cycle in James Connolly Memorial Hospital. The change cycle being researched was that of the restructuring of the Eastern Health Board, into what is now known as the Eastern Regional Health Authority. This dissertation researched the effectiveness of that communication which dealt with informing staff of the new structure. Primary research involved circulating questionnaires and then carrying out follow-up interviews with those who completed the questionnaires. The respondents in the primary research are employees of the James Connolly Memorial Hospital. The dissertation makes some recommendations some of which were gained from theorists in the literature review and some of which were suggested by the respondents.