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PubMed · 10168469

Don't force change--facilitate it.

P J Wojciak
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Abstract

Many projects are planned well but seem to fail in the implementation stage. We've all been in that situation to one degree or another, so we know that planning, in and of itself, does not dictate success. What is the link between planning and success that is missed so often? While a project with no plan is doomed to failure, a well-planned project can fail just as easily if you can't execute the plan. The ability to keep your team motivated and the project moving forward is critical, and most project leaders don't recognize some fundamentals that are prerequisites for success.

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CommunicationHumansInstitutional Management TeamsMaterials Management, HospitalMotivationOrganizational CultureOrganizational InnovationPlanning TechniquesUnited StatesJournal Article

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P J Wojciak. 1997. Don't force change--facilitate it.. https://pubmed.ncbi.nlm.nih.gov/10168469/

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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