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welcome to writepoint the automated review system that recognizes errors most commonly made by university students in academic essays the system embeds comments into your paper and suggests possible changes in grammar and style please evaluate each comment carefully to ensure that the suggested change is appropriate for your paper but remember that your instructor s preferences for style and format prevail you will also need to review your own citations and references since writepoint capability in this area is limited please see the other helpful writing resources in the tutorials and guides section of the center for writing excellence thank you for using writepoint [note writepoint comments are computer-generated writing and grammar suggestions inviting the consideration and analysis of the writer not infallible statements of right/wrong and they should not be used as grading elements also at present writepoint cannot detect quotations or block-quotes so comments in those areas should be ignored the process of change can be complex the initial planning phase must be thrall and examine the need for change and ultimately the course that the change process will take the initial unfreezing state transfers its energy to the moving or change phase and finally to the refreezing phase since [check word choice since is more precise in referring to time after that otherwise use because organizations may remain paralyzed in any of the phases it [place comma before it if it ends the introductory phrase beginning with since is important to have the resources available to assist individuals through the phases helping to solidify the refreezing phase and ensure meaningful lasting change in this paper i will describe the methods used to monitor the implementation of the rn and md patient rounding program i will also examine the relationship between the organization s related processes systems and personal and professional roles and their affect on the proposed organization change finally i will identify communication techniques that can be use to address any implementation issues this paper will focus on the evaluation and refreezing phase of organizational change describe the methods use to monitor implementation of the proposed change monitoring the implementation of change shows the organizations commitment to the change process the method used to monitor the change can be a variety of options as maxwell states a series of follow-up meetings and reviews will greatly assist the monitoring process p 390 other methods include participant feedback and evaluations comparison review and [remove comma after conjunction data evaluation it is it is is an awkward phrase if it is not clearly a thing important to include both quantitative data and qualitative data in the monitoring process a voluntary collaboration team of rns and mds who are active participants in the rounding program along with a member of management quality improvement and chief residents will meet once a week for an hour long meeting to be held for the next 2 [write out numbers under 10 months from the change implementation date to discuss progress this team will be encouraged [the passive voice is a form of be will be and a participle encouraged over-use of the passive voice can make paragraphs tedious to read and officious try to use the active voice most often e.g the student completed the paper on time the passive voice version the paper was completed on time by the student note how often the passive voice appears in the paper to discuss the specifics of the rounding program including the specific time place value of discussions frequency and process [insert a comma before and if the following is the last in a series of more than two they will also be encouraged [passive voice to discuss the outcomes as they are perceived [passive voice on an individual and observed basis the perceived impact [doctoral rule although good advice for any academic writer impact is a noun a hit it is informally used as a verb impacting the business but avoid this in academic writing the change has had on patient outcomes and professional collaboration efforts the discussion will be documented [passive voice and the information disseminated to unit managers and upper management as well as to all members of the rounding teams the members of the voluntary team will be supported [passive voice in obtaining feedback and evaluation from all members involved in the program as well as other professionals who may be peripherally impacted [passive voice by the change the [leave either one or two spaces after closing punctuation but not more note writepoint cannot distinguish between three blank spaces and two spaces an invisible carriage return ignore this comment if this is the first word

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in a line promotion of collaboration and culture that values discussion and collaboration is important in the success of this organizational change coordination of care improves as professionals respond to patients needs through the process of enquiry dialogue and reflection cohn allyn [if not in a company name or an in-text citation do not use an ampersand in the text spell out and reid 2008 p 267 it is [avoid it is etc important to review pre change data with data obtained after the implementation of the change this is not a onetime data collection activity rather a continual process of data analysis and reflection the organization currently uses press ganey for patient satisfaction data gathering this data can be further utilized [review word choice utilize can be used to mean make good use of for other meanings such as place in service or employ the preferred word is use [passive voice to evaluate the patient rounding program this quantitative data can be used to support the change process physicians [check the quotation if it is a complete sentence a comma should precede the opening quotation mark and the first word should be capitalized can bring focus to decision making [possible error if these two words function as an adjective they should be spelled as a single hyphenated word with a data-driven fix-it-now [clearer writing suggestion unless you are making a philosophical statement now is the time to improve myself or mean as of the present time and the business is now known as ajax corp consider removing now since this is being read after the time you wrote it now is in the past approach just as administrators can prevent costly errors by wanting to understand contingencies affecting multiple stakeholders before making major decisions cohn allyn reid 2008 p 267 according to schmitt 2001 there is limited [passive voice data focusing on the cost outcomes of collaboration this may create opportunity to research this specific area a cost analysis team can evaluate the effects of cost as related to collaboration it is [avoid it is etc also important to have a collaboration of members to review the qualitative and quantitative data this team will evaluate the relevancy effectiveness efficiency impact and sustainability [insert a comma before and if the following is the last in a series of more than two of the patient rounding program [if a paragraph runs longer than one double-spaced page it may lose readers in the dense mass of words break this up into shorter paragraphs each dealing with a single subject http [a sentence begins with a capital letter or is this an incomplete sentence www.ifad.org/evaluation/guide/5/5.htm#5_3 monitoring the impact and progress of change will provide data that can be used to modify the program to achieve maximum benefit the purpose of the monitoring is to assist in the refreezing phase of change so that lasting meaningful change can occur examine the relationship between the organizations related processes systems and personal organizational change this [leave either one or two spaces after closing punctuation but not more if this is not the first word in a line change is based [passive voice on a value chain of providing the highest quality of care at a sustainable cost by improving professional collaboration and patient care interactions the quality of care will improve with minimal cost the realignment of professionals will not increase cost however additional cost will come from the monitoring teams that will be coordinated [passive voice to assist with the refreezing process other costs will arise from the initial planning process the value change is important and as spector 2010 points out organizations [check the quotation if it is a complete sentence a comma should precede the opening quotation mark and the first word should be capitalized develop competitive advantage and create shareholders wealth through an independent sequence of activities know as the value chain p 144 the roles and responsibilities differ between rns and mds but the ultimate goal of both professions is to provide quality safe patient care the relationship between rns and mds can be viewed [passive voice in a variety of manners from authoritative/subordinate to fully collaborative the aim of this program is to improve md rn relations by supporting collaboration with open constructive dialogue the benefits of this program is threefold collaborative nurse-physician relationships also lead to better patient and organizational outcomes such as decreased length of stay and net reduction in treatment costs without reduction in functional levels or decreased in satisfaction among patients kramer schmalenberg 2009 p 76 furthermore collaboration increases both nurse and physician satisfaction it is the goal of management to reduce system barriers that may arise the policies and procedures will be assessed and modified to reflect the current objectives of the organization when the system provides a workable framework for the necessary

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processes the interrelations and behavioral changes are given [passive voice an arena in which they can flourish the [leave either one or two spaces after closing punctuation but not more if this is not the first word in a line process of refreezing depends heavily on the behavioral changes of individuals when there is a human element in place it [place comma before it if it ends the introductory phrase beginning with when is vital that communication is conducted [passive voice in the most clear and concise manner possible conflict disagreement and frustration [insert a comma before and if the following is the last in a series of more than two can arise in a change process and is imperative that employees are given [passive voice the tools and techniques to communicate in a respectful effective manner no organization is exempt from conflict however the healthcare setting has been referred to as one of the highest conflictual environments due to factors such as high stress high emotions scarce resources competition downsizing mergers excessive regulations diversity and cultural issues and multiple stakeholders demands borkowski p 272 since [check word choice since is more precise in referring to time after that otherwise use because the goal of the program is to increase collaboration it [place comma before it if it ends the introductory phrase beginning with since is fitting to enlist collaboration as a means to conflict resolution drawing on the values that the program will support including openness dialogue teamwork and sharing of ideas employees are able to [wordiness these three words mean simply can work together to seek conflict resolution and use the information obtained in a meaningful manner employees will be taught conflict resolution and collaboration techniques that will assist them in obtaining the goals as outlined by the patient rounding program workshops will be made available to assist employees in communication techniques and interpersonal conflict resolution by improving the communication skills of individuals it increases the collaboration effects conclusion the unfreezing phase of change is often the most difficult requiring extensive planning time money and effort [insert a comma before and if the following is the last in a series of more than two once an organization has implemented change passed through the moving phase it [place comma before it if it ends the introductory phrase beginning with once enters into [redundancy remove into how else does one enter the refreezing phase by developing methods to monitor the implementation of change the organization works to reduce change failure enlisting means such as follow up [possible error if these two words function as an adjective they should be spelled as a single hyphenated word meetings participant feedback and evaluation comparison review and date evaluation combined with an environment that fosters open collaborative participation can help maintain the newly acquired change because change is not independent of relationships it [place comma before it if it ends the introductory phrase beginning with because is imperative to examine the interactions that occur between the organizations processes systems and interpersonal [insert a comma before and if the following is the last in a series of more than two relations adopting a system based on a value chain and realigning individuals while eliminating process barriers is the role of management in this change process management must also provide resources to maximize participant contribution and encouraged input this input must be valued [passive voice and encouraged management has an obligation to provide communication training and instill and environment that values openness and collaboration the difficult process of unfreezing and changing must be followed [passive voice by an equally valued maintenance of change program to ensure the refreezing phase of change.

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