Managing Change in Healthcare - Essay Example

Some of the most favored approaches that have been preferred are cycle-time reduction, process engineering, and total quality management (TQM), with which companies have tried to flatten the organizational structure [3]. However, structural change programs on its own are likely to fail as they do not account for the human element, which actually forms the structure. Change management must work towards removing fear, cynicism, and defensiveness from the minds of the people. In the healthcare sector of US, the practice of midwifery was almost eliminated by concerted effort of university educated physicians [11].

The changes in perceptions about the profession of midwifery and its reinstatement into the healthcare industry, started in 1939, with the Frontier Nursing Service and has since then passed through various changes and reconstruction [11]. To enhance the performance of an organization it is important to improve the performance of the individuals and groups that comprise that organization. When organizations set new goals, they must also take care to see that the employees are made aware of these new goals well in advance or better still the company can set the new goals after consulting the employees.

The employees must be backed by timely and adequate infrastructure to attain the goals; proper feedbacks and timely interventions must be integrated into the system. The Midwives Alliance of North America (MANA) was formed in 1982 and the struggle and persistent effort of the initial women of the midwifery profession has enabled it to get a legitimate status in 33 states of the country [11]. Managing Change - The Impact of Relevant Theory on the Change Process Aims Technological development has ushered in changes across organizations and our personal world.

In the midst of these changes to better and sophisticated machines, it is important to remember that people form the basis of organizations. Technology makes structured and repetitive work easy while people use their intelligence to think, create, and solve. The major change today is the transformation of the work force from an information worker to an information user or what can be better described as a knowledge worker. Peter Drucker in his 'The New Society of Organization' has said, that the world economy is transforming to a knowledge society, where knowledge is the primary resource for the economy and for the individuals.

In such an economy, according to Drucker, the competitive advantage comes not from the research and development of technology but from the skill and expertise of the knowledge workers, who form the organization [2]. The legitimacy of midwifery as a practice was established by the vision and persistence of the traditional midwifery experts, who encouraged self regulation in the next generation. Their efforts paid off and by the 1980's the standards of practice and certification began to be established in one state after another.

The Midwives Alliance of North America (MANA) was formed in 1982, to help the movement gain support and legitimacy [11]. Issues Affecting Change and Personal BehaviorHealthcare organizations are different from other organizations, as they involve something beyond business. According to