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For dialysis clinic phosphorus problem, I agree with Rubeen’s process. For step 3, we always blame noncompliance as a first cause. It would be interesting to see from the patient side what they think and how they think we can help. Perhaps they don’t know what we are talking about, don’t think it’s a problem, no money to afford food, lack of education, insurance problems, etc. If the idea comes from them, they might be willing to follow through the process than being told what to do.
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I like the idea of theory Y. Everyone in the organization can engage and improve, strong team work. I might be wrong but theory X sounds like military order, at least from where I came from. No need for discussion, just follow orders. I don’t think they assume people are stupid though. Do I miss the point/off topic here or this does not apply ? But if I’m on the right track here, I guess we still have a place that needs theory X?? Can we find something in the middle between X and Y or we always have to choose one?
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