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  • Title: The importance of maintenance in implementing change: an experience with problem-oriented recording.
    Author: Hofing AL, McGugin MB, Merkel SI.
    Journal: J Nurs Adm; 1979 Dec; 9(12):43-8. PubMed ID: 316003.
    Abstract:
    Most change implementation efforts focus on the initial acquisition-of-skill phase with little attention to maintaining skills in use of a new system. This article looks at the maintenance phases in implementing a new system, using a changeover to problem-oriented recording as an example. Through this illustration, the essential elements for maintaining a high level of performance of a new skill are presented.
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