Change Management Program Research Articles

Strategic Training Executive Program 2.0: A Leadership and Change Management Program for Health Supply Chains in Low- and Middle-Income Countries.

People that Deliver's vision is "a world where health supply chain workforces are empowered and equipped to optimize health outcomes by improving access to health commodities." However, health supply chain management (HSCM) is not a recognized profession in many low- and middle-income countries (LMICs). HSCM professionalization efforts are essential if health outcomes are to be significantly improved in these countries; this means transforming supply chain management into a recognized profession of the highest integrity.The Strategic Training Executive Program (STEP) was created in 2016 to address prevailing leadership style gaps. Since then, STEP has undergone rigorous revisions to improve its applicability, scalability, and usefulness in LMICs. To date, STEP-in all its forms-has been delivered to 30 countries and contributed to building the supply chain capacities of more than 600 health supply chain professionals.This case study discusses the evolution journey of designing and sustaining the second generation of STEP (STEP 2.0). This journey is an innovative illustration of how diverse yet motivated organizations collaborated during a global lockdown and health emergency to reimagine a program recognized by all as essential for post-pandemic supply chain systems.

Promoting Traditional Enterprise Management Innovation Through Informatization

This study explores the benefits and challenges of traditional enterprises in China in adopting informatization. The findings reveal that traditional enterprises face a variety of challenges, including resistance to change, lack of digital skills, outdated IT infrastructure, and limited government funding. However, informatization has led to significant improvements in product and service quality, productivity, cost savings, and innovation for the respondent enterprises. Strategies to overcome these challenges include developing a change management program, establishing a dedicated committee for budget allocation, fostering a culture of collaboration and communication among stakeholders, conducting a thorough assessment of current systems, developing a talent management strategy, collaborating with industry associations and government agencies, building a network of regulatory experts, and developing a proactive approach to engagement with regulatory agencies. Leadership commitment and financial resources are critical to the success of informatization initiatives. Technological infrastructure is crucial for information security and reliability. Government policies have mixed views on their impact on digital transformation efforts. Recommendations include addressing resistance to change, developing digital skills, overcoming hierarchical structures, communicating benefits, investing in technology, improving technological infrastructure, enhancing cybersecurity measures, and advocating for supportive policies.

ASSESSING THE EFFECT OF ORGANISATIONAL CHANGE ON PERFORMANCE (SIERRA LEONE COMMERCIAL BANK) (SLCB)

This study aimed to evaluate the impact of organizational change on performance in the banking industry, specifically in Sierra Leone Commercial Bank (SLCB). The bank has been undergoing significant organizational changes due to the Covid-19 pandemic, competition, continuous value addition, and emphasis on customer satisfaction and profitability. The study found that the bank's current trends reflect a sense of urgency to revitalize its system to meet customer needs effectively. Employees are now expected to adapt their thinking and practices to meet the changing needs and expectations of customers, especially in the face of increased competition. The study aimed to understand employees' understandings of change management initiatives, their effectiveness, and their impact on the bank as a whole. Data was gathered from 50 randomly selected employees using questionnaires and interviews, and the data was processed using the Statistical Package for Social Sciences (SPSS). The findings revealed a significant positive relationship between organizational change and performance, with change having a positive relationship with employee performance, leading to improved organizational performance. The study also found that change management programs are effective. Employees' understandings of change and management are more apparent during times of change, helping them accept, facilitate, and support the change, making it lasting and improving employee and organizational performance.

Compliance to personal hygiene habits in response to COVID-19 pandemic.

This study aimed to evaluate the Jordanians' compliance rates in terms of personal hygiene habits in response to the coronavirus disease 2019 (COVID-19) pandemic. A descriptive cross-sectional design was utilized to collect data from 651 Jordanians via an electronic self-report questionnaire. Data was analyzed using Statistical Package for Social Sciences software Results: The overall compliance rate for personal hygiene habits among Jordanians was 79 percent (11.85/15, SD = 9). Personal hygiene practices differ significantly across age groups (F = 2, 89, p = .04), gender (t = 5.18, p = .003), marital status (F = 3.09, p = .029), and being a member of a healthcare specialty (t = -2.20, p = .028). Gender, educational level, occupation, and living place were statistically significant predictors for compliance with personal hygiene habits. Compliance rates increased drastically (82 percent) in response to the COVID-19 pandemic. Compliance with personal hygiene habits among Jordanians was encouraging in response to the COVID-19 pandemic. Still, there is a chance for more improvement to reach optimum levels of safe and healthy per-sonal hygiene habits. Healthcare authorities shall adopt change management programs and theories to target personal hygiene habits where opportunities for improvement are found.

Analysis of a 5-year, evidenced-based, rational blood utilisation project in a South African regional hospital.

Blood products are a lifesaving but limited resource, particularly in resource-limited settings. Evidence-based transfusion criteria tailored to local hospitals have shown great promise in reducing costs, minimising shortages, and ameliorating the morbidity and mortality associated with liberal blood product usage. We implemented the "Saving Blood, Saving Lives" project to: promote responsible blood product use and reduce blood product ordering inefficiencies and expenditure. A comprehensive change management programme, preceded by 3 months of clinical department consultation and training, was implemented. A new evidence-based protocol for blood product utilisation was developed, together with an accountability form. This form was used in monthly audit meetings to refine policies, identify new problems, improve communication, and to drive hospital staff accountability and training. The primary measure of the programme's success was the change in the number of red cell concentrate units ordered. Project implementation required minimal time and no additional budget or staff. Annual red cell concentrate usage reduced from 7211 units in year one to 4077 units in year 5 (p < 0.001). Similar reductions were seen in freeze-dried plasma and platelet usage, as well as administrative costs. Total project saving, adjusted to baseline admission numbers, amounted to over R46 million ($2.5 million). As a change management programme centred the "Saving Blood, Saving Lives" project, was able to significantly reduce blood product-related administration and expenditure by implementing evidence-based transfusion criteria. The programme is simple, replicable and cost effective, making it ideally suited for use in resource-constrained environments.

Antecedents to Change and Moderating Role of Organizational Culture

In the prevailing era of technology diffusion and globalization, firms worldwide are changing their work process, policies, and procedures for growth and sustainability. However, implementing change management is challenging for organizations as they receive resistance from the employees. Many factors promote resistance to change, including job security, uncertainty, and losing rewards and benefits. Bank employees believe in following conventional practices and often have negative attitudes toward organizational change. Given its importance, we identified the antecedents that positively or negatively affect attitudes toward change. The study focused on the leading banks in Karachi. Based on purposeful sampling, we collected a sample of 432 employees of local banks. The study found affective commitment insignificantly affects job satisfaction. Job stress negatively affects job satisfaction and attitudes towards change. Social influence promotes job satisfaction. Job satisfaction and social influence positively affect attitude towards change. And organizational culture insignificantly moderates affective commitment and job satisfaction. The study recommends that organizations implementing change management must share the change management programs with all the stakeholders. Additionally, organizations must find out why employees are against change management. Organizations may face little resistance from employees if they understand why employees are against change management.

Proficient use of Enterprise Content Management systems for access and use of records for decision-making

The paper critically reviews literature on Enterprise Content Management Systems (ECMS). The paper argues that previous studies do not address the complete implementation process of the ECMS. The focus of previous studies has been on the pre-deployment and the actual use of ECMS, leaving out the proficient use of the ECMS after deployment. This paper reviews 43 publications on factors that contribute to the proficient use of the ECMS to access and use records with the aim of determining the current state of knowledge on the subject. The paper reveals that continuous ECMS training; change management and awareness programmes; access to the system by all staff; a robust Information and Communication Technology (ICT) infrastructure for continuous accessibility of the system; integration with existing records producing systems; compliance with legislation, standards, and policies are enablers for the proficient use of ECMs. However, publications on access to the ECMS by all staff and compliance with legislation, standards, and policies, were scarce. Therefore, an agenda for future ECM research is suggested. In addition, the paper proposes a conceptual framework to guide organisations on success factors to consider before, during, and after deployment of an ECMS to facilitate access and use of records. The paper is significant in that it identifies gaps where further research is needed as well as applicable research approaches to be explored in future studies. In addition to contributing to electronic records management and ECM research, the proposed conceptual framework may be used for future studies and to guide ECM strategies.

Demeaning, depriving, and isolating the academic subject: A case study of the degradation of professional autonomy

This article explores the dismantling of professional autonomy during a change management programme at a business school in the United Kingdom. The change programme proposed the disinvestment from research in Critical Management Studies (CMS) and Political Economy and resulted in compulsory redundancies. The study reconstructs the managerial processing of this ‘case for change’ with a particular focus on the mechanisms behind the dismantling of professional autonomy. Specifically, three mechanisms of degradation are highlighted: first, a managerial attitude of censorship and anti-intellectualism that serves to demean academic scholarship, second, the regulation of time, space and information that deprives academics of the means to defend themselves and, finally, the isolation of professionals and the creation of docile academic subjects. By focussing on the micro-physics of power and understanding the mundane processes through which it takes effect and circulates, the ways in which it routinely undermines the autonomy of those it wants out, the article offers further avenues to discuss ways to resist the dismantling of professional autonomy in the managerial university.

Challenges and successes in implementing an integrated electronic patient record (HIVE) at the Manchester University National Health Service Foundation Trust, England: 1000+ legacy systems, 10 hospitals, one electronic patient record.

The Manchester University National Health Service (NHS) Foundation Trust (MFT) is one of the largest NHS Trusts in England. Historically, the Trust has had very mixed clinical record keeping, including over 1000 individual information systems. None of these health information technology systems had the full functionality of an integrated electronic patient record (EPR). MFT evolved to its current size and complexity with a vision to improve patient care in Greater Manchester by adopting a Trust-wide EPR. The EPR "Go Live" occurred in September 2022. To describe the process of EPR integration as it reflected and impacted upon MFT's health information management (HIM) teams. MFT worked through a 2-year readiness program of work. This included technical readiness, software development and migration planning. Migration of data from the approximately 1000 systems was a major undertaking, during which access to the clinical history and ongoing operational reporting needed to be maintained. Pre-implementation requirements were outlined, a change management program was implemented, and the overall implementation was managed to tight timelines. "Go Live" was achieved for the EPIC EPR product (HIVE) within MFT. Legacy systems are still in the process of being decommissioned and staff are transacting within HIVE. Significant changes in processes and reporting continue to be made, despite some challenges. The Trust delivered the single largest EPIC European "Go live." Lessons learnt continue to be identified. The impact of what the EPR means for the HIM function is described.

The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study.

Sustainable implementation of telemonitoring in health care is challenging, especially if one aims to scale up telemonitoring initiatives nationwide. The National collaborative eHealth program in the Netherlands is supporting the nationwide upscaling of telemonitoring in 3 clinical domains by implementing telemonitoring in all Dutch university medical centers (UMCs). The chosen telemonitoring concepts are (1) telemonitoring solutions in the domain of cardiology, (2) telemonitoring solutions providing care from a distance in obstetrics, and (3) telemonitoring solutions monitoring vital functions in hospital wards. The aim of this study is to evaluate the upscaling of telemonitoring in Dutch university hospitals in order to gain a better knowledge of the process, methods, and outcomes of nationwide upscaling strategies. Our hypothesis is that by the completion of the Citrien program's scale-up, telemonitoring will be operational in all UMCs but not normalized in routine care. A before-and-after study will be conducted to assess upscaling. The theoretical frameworks used are the framework for nonadoption, abandonment, scale-up, spread, and sustainability; the Normalization Process Theory; and a project management tool Project Canvas. The primary outcome of the study is the degree of normalization to which health care providers at UMCs consider telemonitoring a part of their routine practice, measured using the Normalization MeAsurement Development tool (NoMAD). Our secondary outcome is the uptake of telemonitoring at the Dutch UMCs, using management data from UMCs' business intelligence systems query. Data will be collected between May 2020 and December 2022. Results were retrieved in June 2023. UMCs' business intelligence systems are queried for data for the secondary outcome measures. There is a risk that the UMCs will not be able to provide this management information. The laws and regulations governing telemonitoring in the Netherlands are changing, with the Electronic Data Exchange in Health Care Act (Wet elektronische gegevensuitwisseling in de zorg) and the European Health Data Space Act expected to positively influence implementation and upscaling. The Citrien program is a nationally coordinated change management program that is scaling up telemonitoring across contexts and settings. This study will produce original data on the uptake and upscaling of telemonitoring at Dutch UMCs. Future initiatives to implement eHealth in the health care sector may be guided by the wide range of success factors, obstacles, and experiences collected through this program. The network itself may be of great value impacting future acceleration of eHealth initiatives. DERR1-10.2196/45201.

Malaysian Public Sector Accounting Standards (MPSAS) Implementation in State Governments of Malaysia: Status and Challenges

Purpose: This paper aims to share the experience of state governments in Malaysia in implementing the Malaysian Public Sector Accounting Standards (MPSAS). Methodology/Approach: A mixed methods study involving questionnaire survey and interview was employed. The study covers all 13 state governments of Malaysia. A total of 147 accounting and finance staff responded to the questionnaires and 12 interview sessions were held in 12 states involving the state treasurers. Findings: Similar challenges observed in other countries in implementing IPSAS prevailed in the 13 state governments, which are (i) resources related to lack of competent accounting and finance staff, and lack of IT facilities and IT support; (ii) accounting and reporting issues related to difficulties in assets, liabilities, revenue and expenses recognitions and measurement; and (iii) top management commitment in ensuring successful change management programmes. However, many of those challenges have been tackled except for the application of MPSAS, where trained staff is still lacking. Research Limitations/Implications: This paper explores the implementation of accrual accounting via the computerised accounting system used by the state governments in Malaysia. The system caters to both MPSAS accrual accounting and cash accounting reports. Production of MPSAS accrual accounting reports has not been made mandatory. Thus, the discussion in this paper is limited to respondents’ experience with the computerised MPSAS-based accrual accounting system used to produce cash accounting reports. Practical implications: Findings from this paper provide insights for state governments to plan for effective implementation of MPSAS. Originality/value: This paper discovers the real issues faced by the state governments of Malaysia in implementing MPSAS. Keywords: Accrual accounting, IPSAS, MPSAS, public sector, developing countries.

Malaysian Public Sector Accounting Standards (MPSAS) Implementation in State Governments of Malaysia: Status and Challenges

Purpose: This paper aims to share the experience of state governments in Malaysia in implementing the Malaysian Public Sector Accounting Standards (MPSAS). Methodology/Approach: A mixed methods study involving questionnaire survey and interview was employed. The study covers all 13 state governments of Malaysia. A total of 147 accounting and finance staff responded to the questionnaires and 12 interview sessions were held in 12 states involving the state treasurers. Findings: Similar challenges observed in other countries in implementing IPSAS prevailed in the 13 state governments, which are (i) resources related to lack of competent accounting and finance staff, and lack of IT facilities and IT support; (ii) accounting and reporting issues related to difficulties in assets, liabilities, revenue and expenses recognitions and measurement; and (iii) top management commitment in ensuring successful change management programmes. However, many of those challenges have been tackled except for the application of MPSAS, where trained staff is still lacking. Research Limitations/Implications: This paper explores the implementation of accrual accounting via the computerised accounting system used by the state governments in Malaysia. The system caters to both MPSAS accrual accounting and cash accounting reports. Production of MPSAS accrual accounting reports has not been made mandatory. Thus, the discussion in this paper is limited to respondents’ experience with the computerised MPSAS-based accrual accounting system used to produce cash accounting reports. Practical implications: Findings from this paper provide insights for state governments to plan for effective implementation of MPSAS. Originality/value: This paper discovers the real issues faced by the state governments of Malaysia in implementing MPSAS. Keywords: Accrual accounting, IPSAS, MPSAS, public sector, developing countries.

Malaysian Public Sector Accounting Standards (MPSAS) Implementation in State Governments of Malaysia: Status and Challenges

Purpose: This paper aims to share the experience of state governments in Malaysia in implementing the Malaysian Public Sector Accounting Standards (MPSAS). Methodology/Approach: A mixed methods study involving questionnaire survey and interview was employed. The study covers all 13 state governments of Malaysia. A total of 147 accounting and finance staff responded to the questionnaires and 12 interview sessions were held in 12 states involving the state treasurers. Findings: Similar challenges observed in other countries in implementing IPSAS prevailed in the 13 state governments, which are (i) resources related to lack of competent accounting and finance staff, and lack of IT facilities and IT support; (ii) accounting and reporting issues related to difficulties in assets, liabilities, revenue and expenses recognitions and measurement; and (iii) top management commitment in ensuring successful change management programmes. However, many of those challenges have been tackled except for the application of MPSAS, where trained staff is still lacking. Research Limitations/Implications: This paper explores the implementation of accrual accounting via the computerised accounting system used by the state governments in Malaysia. The system caters to both MPSAS accrual accounting and cash accounting reports. Production of MPSAS accrual accounting reports has not been made mandatory. Thus, the discussion in this paper is limited to respondents’ experience with the computerised MPSAS-based accrual accounting system used to produce cash accounting reports. Practical implications: Findings from this paper provide insights for state governments to plan for effective implementation of MPSAS. Originality/value: This paper discovers the real issues faced by the state governments of Malaysia in implementing MPSAS. Keywords: Accrual accounting, IPSAS, MPSAS, public sector, developing countries.

Interprofessional survey on medication reconciliation activities in the US Department of Veterans’ Affairs: development and validation of an Implementation Readiness Questionnaire

BackgroundMedication reconciliation (MR) can detect medication history discrepancies at interfaces-in-care and help avoid downstream adverse drug events. However, organisations have struggled to implement high-quality MR programmes. The literature has identified...

Readiness-Based Implementation of Electronic Health Records: A Survey of Jordanian Nurses.

Electronic health record (EHR) implementation is expanding worldwide to achieve the benefits of that technology, but it is reported in the literature as a "disruptive" change to the work environment in which all health-care workers need to be ready for the change, to enhance adoption and harvest the benefits. Jordan has rolled out a national EHR system. This study explored EHR implementation readiness, levels of realizing the benefits of EHR, and adoption among Jordanian nurses, using a self-report questionnaire at nine governmental hospitals in Jordan. A total of 462 registered nurses participated in the study. Results showed that nurses have moderate levels of readiness for EHR implementation, but higher levels of EHR benefits realization and adoption. All health-care workers' readiness for EHR implementation must be assessed regularly before, during, and after EHR implementation. Readiness-based roll-out can be used as a strategy in implementing EHR systems. Introducing a large-scale change management program is recommended to assess readiness, guide roll-out plans, enhance EHR implementation readiness, improve benefits realization, and increase EHR adoption levels, to help move health-care systems into the digital era.

European consensus on patient contact shielding

Patient contact shielding has been in use for many years in radiology departments in order to reduce the effects and risks of ionising radiation on certain organs. New technologies in projection imaging and CT scanning such as digital receptors and automatic exposure control (AEC) systems have reduced doses and improved image consistency. These changes and a greater understanding of both the benefits and the risks from the use of shielding have led to a review of shielding use in radiology. A number of professional bodies have already issued guidance in this regard. This paper represents the current consensus view of the main bodies involved in radiation safety and imaging in Europe: European Federation of Organisations for Medical Physics, European Federation of Radiographer Societies, European Society of Radiology, European Society of Paediatric Radiology, EuroSafe Imaging, European Radiation Dosimetry Group (EURADOS), and European Academy of DentoMaxilloFacial Radiology (EADMFR). It is based on the expert recommendations of the Gonad and Patient Shielding (GAPS) Group formed with the purpose of developing consensus in this area. The recommendations are intended to be clear and easy to use. They are intended as guidance, and they are developed using a multidisciplinary team approach. It is recognised that regulations, custom and practice vary widely on the use of patient shielding in Europe and it is hoped that these recommendations will inform a change management program that will benefit patients and staff.

European consensus on patient contact shielding

Patient contact shielding has been in use for many years in radiology departments in order to reduce the effects and risks of ionising radiation on certain organs. New technologies in projection imaging and CT scanning such as digital receptors and automatic exposure control (AEC) systems have reduced doses and improved image consistency. These changes and a greater understanding of both the benefits and the risks from the use of shielding have led to a review of shielding use in radiology. A number of professional bodies have already issued guidance in this regard. This paper represents the current consensus view of the main bodies involved in radiation safety and imaging in Europe: European Federation of Organisations for Medical Physics, European Federation of Radiographer Societies, European Society of Radiology, European Society of Paediatric Radiology, EuroSafe Imaging, European Radiation Dosimetry Group (EURADOS), and European Academy of DentoMaxilloFacial Radiology (EADMFR). It is based on the expert recommendations of the Gonad and Patient Shielding (GAPS) Group formed with the purpose of developing consensus in this area. The recommendations are intended to be clear and easy to use. They are intended as guidance, and they are developed using a multidisciplinary team approach. It is recognised that regulations, custom and practice vary widely on the use of patient shielding in Europe and it is hoped that these recommendations will inform a change management program that will benefit patients and staff.

Issues and Challenges in Implementing International Public Sector Accounting Standards (IPSAS)

Purpose: This paper aims to identify the prerequisites as well as the issues and challenges in implementing the accrual basis International Public Sector Accounting Standards (IPSAS). Methodology/Approach: Using the archival approach, this paper presents a review of past studies and published information on the issues and challenges faced by various developing countries in adopting IPSAS. Findings: The challenges faced by countries in adopting IPSAS can be classified into three categories: (1) Resources which include a lack of competent accounting and finance staff, and a lack of IT facilities and IT support; (2) Accounting and reporting issues related to difficulties in the recognition and measurement of assets, liabilities, revenue and expenses; and (3) Top management commitment in ensuring successful change management programme. Research Limitations/Implications: This paper outlines the results of the preliminary phase, i.e., a review of previous studies, before a study to examine the issues and challenges in the adoption of accrual accounting and the Malaysian Public Sector Accounting Standards (MPSAS) in state governments in Malaysia is undertaken. Thus, the discussion in this paper is limited to the issues and challenges in adopting IPSAS. Practical Implications: This study shall provide guidelines for Malaysian state governments in promoting successful implementation of MPSAS. Originality/Value: This paper provides the basis for the next phase of the study on state governments which includes questionnaire surveys and interviews. Keywords: Accrual accounting, IPSAS, MPSAS, public sector, developing countries

The Charismatic Organization: Vision 2000 and Corporate Change in a State-Owned Organization

British Telecom’s 1984 partial privatization set in motion the privatization and deregulation of many international state-owned telecommunications carriers. Most previous research on the privatization and deregulation of state-owned telecommunications carriers has focused on the economic outcomes. However, this was also a time of changes in managerial practice and thinking influenced by organizational theory. This article presents an analysis of the use of the prescriptions of Rosabeth Kanter in the attempted reform of the organizational culture of Australia’s largest business in the 1980s: the government-owned telecommunications monopoly Telecom Australia (now Telstra). It details the attempt to transform Telecom under the incipient threat of the introduction of competition to the telecommunications market and demonstrates how the country’s largest change management program, Vision 2000, represented an alternative approach to telecommunications reform.

Write Now! Managing Change and Increasing Research in an Academic Library

New and innovative technologies have expanded librarian roles and expertise to include virtual learning, chat reference, online research guides, maker spaces, virtual reality, and more. Change is a consistent part of working in any library, and effectively managing change often has a learning curve for library administrators. Change Management theory is popular amongst business leaders, but could these theories work in libraries as well?&#x0D; &#x0D; In 2017, Library Administration at Marriott Library designed a Change Management program based on the theories of Todd Jick, a nationally-recognized expert in organizational change management. Their goal was to increase the overall amount of scholarly research publications and creative products librarian faculty completed each year. &#x0D; &#x0D; The authors conducted a multi-year research project, hypothesizing that by implementing Jick’s framework, librarian faculty would create more scholarly work. Data was collected from faculty’s self-reported research profiles, survey feedback from research retreats and workshops, and web traffic from staff intranet pages. An analysis of the results indicated a steady increase in research and scholarly output, and an overall positive response to the research change program.