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That is, people who feel their inputs, contributions and ideas are not needed as part of the implementation process are very likely to sit back and watch others do things. In effect, centering the change or implementation process round only few people is a major cause for the momentum to fizzle out. After all such a situation means that there will be only few people bringing their momentum together and so it will not be long when the apathy of others catches up with them.
Sustained momentum for the implementation of any change process can be likened to sustained motivation among the people involved with the change process. This is to mean that even when enough people are included as stakeholders of change these people need additional motivation that can be sustained if the sustainability of momentum for the change process can be guaranteed (Shapiro, 2010). In any organization, the types of motivation needed by employees or stakeholders of change could be either intrinsic or extrinsic (Denton, 1996). When these types of motivation are absent, the expected levels of momentum cannot be guaranteed.
It is important for the change or its implementation to be coiled around the collective culture of the organization. As the organizational culture defines the ideology, philosophies and ways of doing things, any change implemented with the culture can be assured to be permanent since the organizational culture is relatively permanent. It is therefore important that the implementation of change will not be done in a manner that is contrary or sidelines the organizational culture.
The effect of including few people in the change implementation has already been outlined above. For a typical organization, it is important for managers to know that people are the pivot that make the change run. When the implementation is done in a manner that is included in
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According to Keenan, Yakel, Tschannen and Mandeville (2008), “...the primary purpose of documentation and record[-]keeping systems is to facilitate information flow that supports continuity, quality, and safety of care” (para. 1). Apart from advancing health care delivery, it is also used to satisfy legal requirements; to aid accreditation; and as basis for financial billing, among others (Keenan, Yakel, Tschannen, & Mandeville, 2008).
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