Shifts in the environment can compel health care organizations to change their strategies. However strategic change frequently fails because individuals do not adopt the behaviors necessary to successfully implement the new strategy. Purpose: This study explores how three variables—agreement with new strategy, leaders’ actions, and groups’ general orientation toward change—can influence…
Historically, coastal development in the United States was dominated by major urban regions oriented to commercial ports and defense installations. Elsewhere, coastal settlements were typically quiet fishing villages, vacation refuges, and older seaside resorts gradually evolving into year-round communities. Since the advent of the Interstate Highway System in the 1960s, increasing demand for c…
Exhaust products emitted by the current subsonic-transport fleet may influence tropospheric ozone and clouds, and thus Earth’s climate. Such emissions in the upper troposphere may affect climate at the surface of the Earth by means of many chemical and meteorological processes. Some of these processes are poorly understood, and thus cannot be quantified with much certainty. NASA’s Atmo- …
Children's health insurance became a subject of national debate early in 1997 when President Clinton and members of Congress began to develop a variety of competing proposals to expand coverage for children. After several months of active discussion and negotiation, Congress enacted the State Children's Health Insurance Program (SCHIP) as part of the Balanced Budget Act of 1997 (P.L. 105-33). T…
Sexually transmitted diseases (STDs) are hidden epidemics of tremendous health and economic consequence in the United States. They are hidden from public view because many Americans are reluctant to address sexual health issues in an open way and because of the biological and social factors associated with these diseases. In addition, the scope, impact, and consequences of STDs are underrecogni…
The Healthcare industry is undergoing a paradigm shift from healthcare institution-centred care to a citizen-centred care that emphasises on continuity of care from prevention to rehabilitation. The recent development of Information and Communication Technology (ICT), especially the Internet and its related technologies has become the main driver of the paradigm shift. Managing relationship w…
The label ‘critical mathematics education’ refers to a variety of perspectives and activities, which highlight some concerns.1 Critical mathematics education is concerned with the social and political aspects of the learning of mathematics. It is concerned with providing access to mathematical ideas for everybody independent of colour of skin, gender and class. It is concerned with the …
Whether you are a security professional, an IT professional who wants to learn more about security, someone who has been thrust into a security role without preparation, an executive who wants to increase your organization’s knowledge assets, a member of a sales force in a company that sells security products or services, or a technology, law, or business student or professor in a college or …
A geographic information system (GIS) is a technology that combines database management with digital mapping on a computer (Korte 1994). Users are able to query the database and have the results displayed on a map or obtain detailed information about objects displayed on the map with the click of a mouse button. Relationships between different types of data can be easily understood, display…
This report is the second in a series of three annual assessments of project management at the U.S. Department of Energy (DOE). The first annual report assessed progress through mid-2001 (NRC, 2001b), and this report continues the assessment through October 2002. The assessments are being made by the National Research Council’s (NRC’s) Committee for Oversight and Assessment of U.S. Departm…