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According to Borkowski in her book on Organizational Behavior in health care, she depicts the numerous changes that individuals are anticipated to portray in cases of a changes in an entity. The area that the book has concentrated on more specifically is on the health organizations. Through the first three subtopic namely, diversity in health care, attitudes and perceptions in addition to workplace communication, she has focused her attention to providing the readers with concise and clear overview from a health care manager's point of view. This particular knowledge will be helpful in outlining the crucial areas concerned in preparing staff transition when merging Springdale health organization with St Mary's HMO.

Among the number of aspects that an organizational behavior especially in a health setting looks into include diversity, motivation, stress, power, leadership, management, group dynamics and ways of approaching management changes (Borkowski, 2010). Borkowski has expounded adequately on each factor and how it can be approached and addressed. At the same time the author has presented, learning objectives, a number of activities like evaluations and self assessment exercises and case studies in each chapter to increase the readers' comprehension on the different ideas that have been tackled in the chapter.


To say that this text is not helpful to learners is an infringement; the text is arranged in a way that helps bring out the ideas and facts in an arranged organized manner that helps increase the comprehension of the readers. Both practical encounters and the theoretical parts of the book help bring out the rigor making it very applicable and appropriate to students both at the undergraduate and post graduate levels of education (Borkowski, 2010).

Apart from the students, health care mangers are provided with a critical insight on comprehending the dynamics and problems that are deemed to be encountered at the work place. The book thus provides a solution into how different ideas should be approached in order to increase an organizations probability of achieving set targets and goals. Through this understanding, workers morale is improved and this leads to an increase in productivity. The book also provides practices and theories essential for health organizations. It is thus undisputable to say that the ideas brought forward by this text in regard to meeting and satisfying constant organizational behaviors that are challenging modern organizations. The text presents us with a myriad that confronts modern health organizations and how to successfully approach such instances.

Diversities in workplaces

Diversity in work places is one of the issues that the organizations should take into considerations if their organizations have to perform optimally. Diversity in work places involves the differences that are exhibited by the employees of the company. The differences as portrayed by the employees of the organizations are according to the race affiliations of the employees, the gender, religious faith professed, disabilities, sexual orientation, physical appearance and the nationality. The diversity in the places of work can be used as strength to the organization since people would come with the ideas that are meant to improve the performance of the organization and thus enable the organization to meet its goals and objectives. On the other hand diversity can be a source of failure to the organization especially where the management does not work to acknowledge different ideologies brought to the organizations. The management of the organization should come with ways to prevent possible conflicts in the organization as a result of the diversities exhibited by it employees (Borkowski, 2010, pp.15).

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In many organizations today they acknowledge that the diversity in the organization is the source of success to the organization. It would be absurd for the organization to hire people who thing alike because the generations of ideas would be limited and thus dismal performance of the company would be recorded. In order for the organization to tap the benefits brought by the diversity of their workforce, the organization should be geared towards forming diverse-work-relationship which is important to ensure the success of the organization.

For the transition program to be successful, both Springdale health organization and St Mary's HMO ought to come with the programs that are meant to reward diversities in work places for instance organize cultural fairs to acknowledge people of different cultures that are present in the organization, have maternal leaves in order to enable women in the organization have time to nurse their children and also have a way of rewarding skills and special talents possessed by the organization for instance through job promotions, monetary reward and recognition of the individual as having played an important role in the success of the company (Mathis, 2007).

Workplace communication

Effective communication is important in the organization just like in any relationship. In an organization the takes place every other time in form of issuing order to the employees of the company by the management or through the communication of the report or findings of a give assignment to the management by the employees of the company. Thus for the business organizations to ensure it successes in the industry, it should be in a position to ensure accurate, relevant and timely information is passed to the intended parties for decision making.

In the organization the communications is made to different stakeholders constantly. Importantly the business is in communication with its employees. Communications can either be from the management giving policies to be implemented by the employees. On the other hand communication can be from the employees of the organizations communicating the findings of the assignment given by the management of the organization. Lack of the effective communications between the management the employees can lead to the frustrations and killing morale and thus dismal performance of the organization. The business is in communications with its customers when it wants to communicate on the delivery of goods to the customers, for instance. Like the customers of the organization communicate with the organization when they are placing orders, want to make payments for the goods supplied and when they want to lodge complains to the company. The organization is also in communication with its suppliers of the raw materials to the company. When the company devises effective communications with all the stakeholders, it ensures success in the organizations; the effective communication is paramount in ensuring the company meets its goals (Borkowski, 2010, pp.72).

There are many sources of lack of communications or presence of poor communication in the organization. In the organizations nowadays, lack of clear instructions from the management to the employees on the accomplishment of the tasks remains to be the major source of problem in the organization. It is pathetic to note that employees of the company lack the information they need to carry out a given task in this era where information is flooded in the society. When the instructions are not clear, the employees fail to perform that task and hence the organization fails to meet its goals and objectives. Effective communication in the organization is hindered by among other issues by the management creating a conducive environment where the information can be shared freely. Employees fear that when their share information in the organization would be reprimanded or intimidated and thus opt to keep quit rather than go through a humiliating ordeal.

The management should come with the rewarding systems that encourage the employees of the company to share their ideas and thus leading to improvement in working conditions and thus success of the organization. Another source of poor communication in the organization is the conflicts among employees themselves. Employees of the company may not be in good terms with other employees and thus inhibit sharing of the ideas. It is therefore the sole obligation of Springdale health organization and St Mary's HMO organization to come up with systems that ensure the employees share information they have among each other and also avoid instances that would lead to conflicts for instance defining roles of every employee as defined in performance contract and also in organizational structure.

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