As technology and organizations continue to increase in complexity, a willingness to implement change management strategies for Internet technology (IT) change initiatives is necessary in a healthcare setting. This multiple case study explored change management strategies that 3 hospital administrators at 3 different hospitals in the southeast region of the United States used to guide organizational IT change activities to avoid waste and increase profits. The conceptual framework for this study was Lewin's organizational change model and Kanter's theory of structural empowerment. Data were collected using semistructured interviews and a review of hospital documentation from the 3 hospitals. The data analysis process was completed by transcribing the interview recordings and coding the data using a codebook and data-management software. Themes that emerged from data analysis included strategies to increase digitization in all areas, improve communication with IT personnel, provide ongoing training, and encourage the gradual adoption of technology. The implications of this study for positive social change include the potential to provide hospital managers with successful strategies related to the use of IT in hospitals to facilitate improved patient care and community well-being.

Complex foodborne threats to public health and safe food supplies are increasing with each passing day, serving as a great challenge to food corporations today. This thesis, selecting the Mengniu Dairy milk scandal as the subject of the study, is aimed to examine how newspapers reported and evaluated Mengniu milk crisis and crisis management in the 2008 Chinese milk scandal and to provide suggestions to Mengniu Dairy's crisis management, as well as the Chinese food industry in general. It is a significant step towards exploring the crisis management strategy of a food company in a non-Western setting under a circumstance in which crisis responsibility is ambiguous. To accomplish this, a content analysis of 253 articles ranged from September 11, 2008, to September 10, 2009, on 10 Chinese newspapers' Web sites was conducted. The results of the coding supported an argument that apology and product recall were not good enough for the milk crisis and identified the significant role of the Chinese government in food crisis management. Two suggestions are offered by the study. First, building a good external relationship and cooperating with the local government. Second, being proactive and addressing public safety during the pre-crisis stage. Further, recommendations for further study are enclosed.

Abstract Peter Drucker (1999), a management master, points out that in the organizations of the 21st century, the most valuable assets of an organization are knowledge workers and the productivity of knowledge workers. Koch (1998) points out that exerting ¡§80/20 Principle¡¨ to find out core customers, investing resource and service on those rare mass-customers who can create most profits, and cultivating the relationship of long-term strategies are the effective ways to increase profits instead of continuously looking for new customers. Telecom industry plays a very important role in the development of Taiwan economy. It is really a crucial issue for this case corporation to focus on how to keep mass-customers in the competitive environment. The cost strengths of customer loyalty come from the factors of men and the outcomes of the long-term mutual interaction between customers and employees. The input of outstanding human resource is the main indicator deciding whether an enterprise possesses competitive strengths or not. The employees serving enterprise customers are the front-line representatives of this case corporation approaching enterprise customers. Outwardly, these employees represent their company, and it goes without saying that the quality and work performance of the employees are very important to the enterprise. The subject of the research is the present knowledge workers serving in the department of enterprise customers in this case corporation. Through the theories and concepts of literature review, the research uses individual attributes and knowledge workers¡¦ management strategies as the independent variables and core competencies as the intermediary variables to explore the relationship among individual attributes, knowledge workers¡¦ management strategies, core competencies and work performance. Among the totally mailed 603 questionnaires, there are 412 effective and available, and the effective return rate of questionnaires is 68.33%. After factor analysis, credibility analysis, variance analysis, correlation analysis and multi-regression analysis, here is the result of the research: 1. There is a positive significance among the research variables of the knowledge workers¡¦ management strategies, the degree of the possession of core competencies and work performance. 2. There is a positive significance between the knowledge workers¡¦ management strategies and the degree of the possession of core competencies: for example, ¡§team encouragement¡¨ has the positive effect on ¡§interpersonal competency,¡¨ ¡§attitude competency,¡¨ and ¡§profession competency,¡¨ and ¡§company learning commitment¡¨ has the effect on ¡§profession competency.¡¨ 3. There is a positive significance between the degree of the possession of core competencies and work performance: for example, ¡§interpersonal competency¡¨ and ¡§profession competency¡¨ significantly have the positive effect on ¡§task performance,¡¨ and ¡§interpersonal competency,¡¨ ¡§attitude competency¡¨ and ¡§profession competency¡¨ all significantly have the positive effect on ¡§contextual performance.¡¨ 4. There is a positive significance between the knowledge workers¡¦ management strategies and work performance: for example, ¡§knowledge leadership¡¨ and ¡§company learning commitment¡¨ significantly have the positive effect on ¡§task performance,¡¨ and ¡§knowledge leadership¡¨ and ¡§team encouragement¡¨ significantly have the positive effect on ¡§contextual performance.¡¨ 5. The knowledge workers¡¦ management strategies have an influence on work performance through the intermediary variables, core competencies: for example, ¡§company learning commitment¡¨ indirectly influences ¡§task performance¡¨ through the intermediary variables ¡§profession competency¡¨ and ¡§team encouragement¡¨ indirectly influence ¡§contextual performance¡¨ through the intermediary variables ¡§interpersonal competency,¡¨ ¡§attitude competency¡¨ and ¡§profession competency.¡¨

Service Requirements and Strategy of Broadband Cable Networks

The objectives of this research were investigate the lived experiences of school-going learners who are HIV-positive; and develop ecosystemic management strategies to help learners who are HIV-positive. The literature research investigation revealed that HIV/AIDS is not just a health problem but also attacks the education system itself. Demand for education is dropping and changing, many educators are ill and dying, and the trauma of loss associated with HIV/AIDS is entrenched in South African classrooms. The HIV/AIDS pandemic has a traumatic impact on all educators and learners. The work of educators both those who are HIV positive and those who have developed full-blown AIDS will be compromised by periods of illness. The pandemic thrives on sexual violence, male domination and child abuse in South Africa. It is the ecosystemic paradigm that helps in seeing the connecting link between family-school-community-society-world or school and peers and this helps in providing a more useful synergistic focus than trying to work in isolation with discrete segments of a microsystem for example, with an individual in isolation. Management strategies for dealing with HIV/AIDS include the notion that achieving sustainability requires bringing together a variety of legitimate stakeholders, drawing on a variety of accepted bodies of knowledge, to negotiate a learning path based on a series of conflict resolutions within ecological constraints. Continual learning based on free flow of information and mutual respect, and investment in effective management of HIV/AIDS are keys to success. The empirical research investigation revealed that psychologically disturbed, emotional well-being, spiritual well-being, physical well-being, social life, their scholastic performance, daily routine, there is a change in their behaviour or health after the HIV- positive status has been revealed, they fear of death, their academic performance at school is affected by absenteeism and lack of concentration, there is absence of strategies to assist learners who are absent frequently because of illness, they loose valued level of functioning, lack assistance at school, fear being discriminated or ridiculed, there is absence v of measures to deal with discrimination at school, there is a lack of information on HIV/AIDS, learners fear disclosing to friends and teachers, there is a lack of communication between parents and infected learners about issues regarding HIV/AIDS. Educators are also affected emotionally, spiritually and physically. They become affected socially and they do not cope with the impact of HIV. The level of communicating the HIV/AIDS pandemic within the schools is low, the principals are not doing much as leaders to supplement this low level of communicating about HIV/AIDS, school policies on HIV/AIDS in these schools do not address issues of support for learners and educators who are incapacitated because of HIV/AIDS, there is no monitoring tool used in these schools to ensure HIV-policy adherence, principals in these schools do not ensure that educators teach learners about matters pertaining to HIV/AIDS, health programmes in these schools do not assist learners living with HIV/AIDS within the school and the level of accepting and accommodating infected learners and the personnel in these schools is low. The level of involvement of community members in matters pertaining to HIV/AIDS in these schools is low. An ecosysternic management system is proposed in this research vi / Thesis (M.Ed.)--North-West University, Vaal Triangle Campus, 2008.

Bakgrund: Cytostatika har sedan 1960-talet använts för att bota flera olika cancerformer. Cytostatika skadar tumörer men påverkar även friska celler vilket ofta medför en rad olika biverkningar. Cancerpatienter befinner sig ofta i en sårbar situation vilket kräver omsorgsfull omvårdnad. Syfte: Syftet med studien var att studera patienters upplevelser av vanligt förekommande cytostatikaorsakade biverkningar (illamående och kräkningar, fatigue, hårförlust, smak-och luktförändringar) samt vilka hanteringsstrategier de använder sig av. Metod: Denna litteraturstudie baseras på nio kvalitativa artiklar. Artikelsökningen genomfördes i databaserna PubMed och CINAHL. Artiklarna har analyserats genom innehållsanalys. Resultat: Biverkningarna kunde upplevas som fruktansvärda, olustiga, obehagliga och utmattande. Dessa påverkade det dagliga livet vad gällande bl.a. relationer och självständighet. Hanteringsstrategierna innefattade exempelvis vila, fysisk aktivitet och särskild kost. Slutsats: Många patienter upplever cytostatikaorsakade biverkningar som påfrestande och att de påverkar det dagliga livet negativt, men vissa patienter upplever tvärtom att de inte påverkar deras dagliga liv nämnvärt. Upplevelserna av biverkningarna och dess följder kan påverkas av patienternas förmåga att hitta fungerande hanteringsstrategier. Resultatet visar på skillnader mellan olika cancerpatienters upplevelser och strategier, vilket kan kräva personcentrerad vård. / Background: Chemotherapy has since the 1960’s been used to cure various forms of cancer. Chemotherapy damages tumors but also effects healthy cells which often result in a variety of side effects. Cancer patients often find themselves in a vulnerable situation which requires careful nursing. Aim: The aim of this study was to explore patients experiences of commonly occuring adverse effects (nausea and vomiting, fatigue, alopecia, smell- and tastealterations) and their management strategies. Method: This literature study is based on nine qualitative articles. The searching of articles was performed in the data bases PubMed and CINAHL. The articles has been analysed with content analysis. Results: The side effects could be perceived as awful, uncomfortable, unpleasant and exhausting. These effected the daily life including factors like relationships and independence. Management strategies included for example rest, physical activities and special diets. Conclusion: Many patients experience adverse effects from chemotherapy as distressing and that they effects their daily life in a negative way, but occasional patients experience the contrary that they don’t effect their daily lives significantly. The experiences and their consequenses can be affected by patients ability to find useful management strategies. The result shows the difference between different cancer patients’ expericences and management strategies, wich may require person-centred care.

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The NPF is one of the Australian Commonwealth’s most valuable fisheries. The species groups targeted include tiger, banana and endeavour prawns. The fishery is managed using input controls and, from 2001 until 2004 (the period which spans this study), the agreed target was for the level of fishing effort expended to lead to a 70% chance (or greater) that the spawning stock size of tiger prawns was at or above that corresponding to Maximum Sustainable Yield, SMSY. A key issue in the management of this fishery is that the efficiency of fishing effort is continually increasing so that past effort reductions have been fully offset by improved efficiencies. In fact, some past effort reductions did not actually lead to a real reduction in effective effort. As a consequence of this, there was no recovery in the size of the tiger prawn resource but rather, in some years, a decline, until a major effort reduction program was implemented in 2001.