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PUBH6005: Epidemiology
Assignment- 3
Critical Appraisal Essay
Title: To find the association between use of tobacco and
alcohol and head and
neck/ Oral Cancer in South East Asia.
Name of student: Rajwant Kaur
Student ID: 00275380T
Name of topic co-ordinator: Dr. Bhawna Gupta
Topic: PUBH6005: Epidemiology
Introduction
The major risk factors for head and neck cancers are tobacco
and alcohol consumption. Smoking
and alcohol are independent risk factor for head and neck
cancer. Tobacco use can be chewing
tobacco, snuff and smoking tobacco. At least 75% of head and
neck cancers are caused by
tobacco and alcohol use (NIH 2017). In developing countries
like Southeast Asia, tobacco is used
in many forms along with alcohol consumptions. Areca nuts
and betel leaf with or without
tobacco also cause cancers Other factors also increase the
vulnerability of people for cancers
such as low education, low family income, poor oral hygiene
and environment (Priebe et al.,
2008).
Awareness is virtually non-existence in the developing
countries of Southeast Asia and therefore
people with rising affluence tend to buy more of tobacco
products and thus increase their risks
for cancer. To prevent the cancers, the health organizations and
health professionals should
focus on educating the people through various means to quit
habits of tobacco use and alcohol
consumption. Regular screening is also important to detect the
cancer at early stage (Priebe et
al., 2008).
Methodology
Method:
Three selected papers were evaluated and explained by NHMRC
form, in which level of evidence,
bias, confounding factors and chances, clinical impacts,
applicability are defined. CASP
framework with checklist that can explain or support in
analyzing and justifying the questions
and characteristics.
Search strategy:
Before commencing critical appraisal of studies, I did
systematic review on our research question
about identifying the association between use of tobacco and
alcohol and head and neck/ Oral
Cancer in South East Asia. Systematic reviews apply strategies
for eliminating biases and random
errors. They adhere to a scientific design for offering reliable,
reproducible and defensible
conclusions. The evidences use more rigorous methodology
/designs that minimize bias.
Systematic reviews incorporate results of multiple studies
(Guide, 2018).
The literature search covered the studies applying alternative
terminologies, like the terms sed
for education on cancer include Recommendation, Internet-
based intervention on cancer,
teletherapy, etc.
Databases:
The databases used in the research include (1) Cochrane Library
(Cochrane Database of
Systematic Reviews), (2) CINAHL Plus with full text (3)
MEDLINE via PubMed (4) EBSCOhost, (5)
Ovid, and (6) ProQuest. I searched 105 studies, out of which
three studies are selected, which are
identifies as the most compatible with the research question.
Key words: -
Search terms used in the search include:
• Causes of the oral cancer, education, interventions, substance
abuse adverse impact on
health.
• telemedicine, video conferencing, tele-CBT, Internet-assisted
healthcare, telehealth
• home therapy, rehabilitation, telemedicine, Government
programs
• teenager, youngster, adolescent of south East Asia
• social issues, behavior, lifestyle,
• rural, remote
• efficacy, effectiveness
• face-to-face, in-person care
Use of Boolean Operators and Truncation
I used Boolean operators (AND, OR, NOT) to expand or limit
the search. For example: young AND
elders, young OR old people, Internet OR mobile based,
information OR discussion OR
interaction. To expand or emphasize the search I used
truncation (behav*, young*, educat*).
Inclusion criteria
Inclusion criteria are the original peer-review articles, academic
research papers, Scholarly
articles (perspective articles, opinions, reviews, documents),
published in English language within
last ten years.
Results:-
Table 1 Cross-sectional study:
Epidemiological profile of head and neck cancer patients in
Western Uttar Pradesh and
analysis of distributions of risk factors in relation to site of
tumor
Critical appraisal questions Underline your answer
Were the criteria for inclusion in the sample
clearly defined?
Yes
Evidence:
In this cross-sectional study, the criteria of inclusion were
clearly defined as the patients
(n=850) having head and neck cancers (HNC) between a
particular time period.
Critical appraisal questions Underline your answer
Were the study subjects and the setting
described in detail?
Yes
Evidence:
The study subjects and setting are clearly described as to
identify the differences in site,
pattern and incidences of head and neck cancers in a specific
geography (Western Uttar
Pradesh, India). Moreover, the patients were categorized in
accordance with the
histopathological reports into different categories.
Critical appraisal questions Underline your answer
Was the exposure measured in a valid and
reliable way?
No
Evidence:
The exposure to tobacco and alcohol was not measured in valid
and reliable manner. For
example, there was not description of age when started,
frequency and duration of
cigarette smoking or tobacco chewing.
Critical appraisal questions Underline your answer
Were objective, standard criteria used for
measurement of the condition?
Yes
Evidence:
The cancers have been measured using the standard and
objective criteria. For example,
HNCs were classified on the basis of the anatomical sites like
oral cavity, tongue, salivary
gland, oropharynx or paranasal sinus. Histopathological
assessment was also conducted.
Critical appraisal questions Underline your answer
Were confounding factors identified? Yes
Evidence:
In this study, the confounding factors were detected as poor
socioeconomic class and low
literacy which are known risk factors for cancers (Davis et al.,
2002, pp 134).
Critical appraisal questions Underline your answer
Were strategies to deal with confounding
factors stated?
No
Evidence:
No strategy to deal confounding factor is stated in the study.
Critical appraisal questions Underline your answer
Were the outcomes measured in a valid and
reliable way?
Yes
Evidence:
The outcomes were measured in detailed manner using reliable
and valid procedures.
There is no bias as study is retrospective and objective, based
on case history and
histopathological reports. In addition, all measurements tools
were appropriately used.
Critical appraisal questions Underline your answer
Was appropriate statistical analysis used? Yes
Evidence:
Appropriate statistical analysis methods were used. Significance
P values and correlation
values were determined by using valid Pearson Ch-square test
(Zaccai, 2004; Health
Knowledge, 2017).
Reference:
Alam, M. S., Siddiqui, S.A. & Perween, R. (2017).
Epidemiological profile of head and neck cancer
patients in Western Uttar Pradesh and analysis of distributions
of risk factors in relation to site
of tumor. Journal of Cancer Research and Therapeutics, 13:
430-35. doi: 10.1111/j.1349-
7006.2010.01785.x
Table 2 Case-control study:
Associations between oral hygiene habits, diet, tobacco and
alcohol and risk of oral cancer:
A case–control study from India
Critical appraisal questions Underline your answer
1. Did the study address a clearly focused issue? Yes
Evidence:
This case control study addressed an important issue of
association of poor oral hygiene,
diet, tobacco chewing/smoking and alcohol (risk factors) with
the oral cancers (outcomes).
Critical appraisal questions Underline your answer
2. Did the authors use an appropriate method to answer their
question?
Yes
Evidence:
The method is appropriate to answer the question but there is
possibility of biases as the
patients have awareness about risk factors and diagnosis and
therefore, they are motivated
to recall more of risk factors.
Critical appraisal questions Underline your answer
3. Were the cases recruited in an acceptable way? Yes
Evidence:
The cases were recruited appropriately, and the criteria of
inclusion were clearly defined.
The patients selected from two big tertiary hospitals of Pune
City. All 187 patients with oral
cancers were recruited irrespective of their age, sex and stages
of disease.
Critical appraisal questions Underline your answer
4. Were the controls selected in an acceptable way? Yes
Evidence:
The controls were selected in sufficient numbers (240). The
controls are the patients
having non-neoplastic disease, recruited within same time frame
and matched in terms of
sex and age with the cases.
Critical appraisal questions Underline your answer
5. Was the exposure accurately measured to minimise bias? Yes
Evidence:
Exposure measurements were described accurately in detail that
included data from face-
to-face interview, questionnaire, life grid tool, exposure to
tobacco, oral hygiene habit,
anthropometry, intraoral examination and putative risk factors.
Frequency, duration and
cumulative effect of smoking and tobacco chewing recorded in
valid and reliable manner.
The cancers were measured using standard criteria (extent, type,
stages, site and
comorbidities.
Critical appraisal questions
Underline your answer
6. Aside from the experimental intervention, were the groups
treated equally?
Yes
Evidence:
Aside from the experimental intervention, both groups were
equally treated to minimize
any bias.
Critical appraisal questions Underline your answer
7. Have the authors taken account of the potential confounding
factors in the design and/or in their analysis?
Yes
Evidence:
There was possibility of confounding factors like age, family
income, socioeconomic status,
and education which may have effect on the outcomes or
increase the cancer risks
(Jayalekshmi et al., 2011). The article used unconditional
logistic regression model to adjust
the confounding factors.
Critical appraisal questions Underline your answer
8. How large was the treatment effect? Yes
Evidence:
The results are consistent with previous research reports and are
believable. The
Confidence interval 95% CIs and P value = 0.001 showing
precise research. A linear dose
related association was found between tobacco chewing and
occurrence of oral cancer.
Critical appraisal questions Underline your answer
9. How precise was the estimate of the treatment effect? Yes
Evidence:
The results are reliable and trustworthy. The results cannot be
applied to Australia as the
tobacco chewing is not prevalent and oral hygiene is remarkably
better than India.
The results are consistent with previous research reports and are
believable. The
Confidence interval 95% CIs and P value = 0.001 showing
precise research.
Critical appraisal questions Underline your answer
10. Do you believe the results? Yes
Evidence:
The findings are in line and consistent with the previous
research findings. Regarding the
results, the association between oral /oropharyngeal cancers and
tobacco with alcohol is
explained as potent risk factor. The novel finding is the
evidence of increased risks of oral
cancer when patients are chewing tobacco in presence of poor
oral hygiene.
Critical appraisal questions Underline your answer
11. Can the results be applied to the local population? No
Evidence:
The results cannot be applied to Australia as the tobacco
chewing is not prevalent and oral
hygiene is remarkably better than India. The findings are in line
and consistent with the
previous research findings
Critical appraisal questions Underline your answer
12. Do the results of this study fit with other available
evidence? Yes
Evidence:
The findings are in line and consistent with the previous
research findings
Reference:
Gupta, B., Bray, F., Kumar, N. & Johnson, N.W. (2017).
Associations between oral hygiene habits,
diet, tobacco and alcohol and risk of oral cancer: A case–control
study from India, Cancer
Epidemiology, 51:7-14. doi.org/10.1016/j.canep.2017.09.003
Table 3 Cohort study:
Oral cavity cancer risk in relation to tobacco chewing and bidi
smoking among men in
Karunagappally
Critical appraisal questions Underline your answer
Did the study address a clearly focused issue? Yes
Evidence:
Yes, the study addressed a clearly focused issue. This cohort
study aims to analyze
relationship of oral cancer with tobacco use, alcohol drinking
and low socioeconomic status
in the rural population that is the Karunagapally cohort of
Kerala.
Critical appraisal questions Underline your answer
Was the cohort recruited in an acceptable
way?
Yes
Evidence:
Yes, the cohort recruited in an acceptable way. Virtually all
residents (n= 66277) aged 30-
84 years in the cohort were recruited in Jan 1990 using Poisson
regression analysis of
grouped data stratified on age, calendar time, education and
family income to deal with
biases and confounders. Therefore, virtually all households
were recruited in the cohort.
Critical appraisal questions Underline your answer
Was the exposure accurately measured to
minimise bias?
Yes
Evidence:
Regarding exposure, tobacco use, alcohol and socioeconomic
stats were measured
appropriately. The participants were asked for history of
tobacco chewing (not chewing,
habitually in past, habitually currently), age when they started
chewing tobacco and the
duration. Similar questions were put forward for BIDI and
cigarette smokers. Thus, the bias
is controlled.
Critical appraisal questions Underline your answer
Was the outcome accurately measured to
minimise bias?
Yes
Evidence:
Outcomes (development of cancers) were ascertained by the
Cancer Registry during the
long period between 1990 and 2005 under the Regional Cancer
Center (RCC). Biases are
minimized with accurate measurement and diagnosis of cancers.
By the end of 2005, 160
men developed oral cancers.
Critical appraisal questions Underline your answer
Have the authors identified all important
confounding factors?
Yes
Evidence:
The confounding factors were identified as family income, age,
calendar time and
education level.
Critical appraisal questions Underline your answer
Have they taken account of the confounding
factors in the design and/or analysis?
Yes
Evidence:
To deal with confounding factors, stratification strategy and
regression strategy were
adopted.
Critical appraisal questions Underline your answer
Was the follow up of subjects complete
enough?
Yes
Evidence:
The follow up was complete and long enough from 1990 to
2005. Migrants were identified
from door to door monitoring survey. Only 0.7% participants
were lost due to permanent
migrations.
Critical appraisal questions Underline your answer
Was the follow up of subjects long enough? Yes
Evidence:
The follow up was complete and long enough from 1990 to 2005
(15 years long). Migrants
were identified from door to door monitoring survey.
Critical appraisal questions Underline your answer
What are the results of this study? Yes
Evidence:
Results show that tobacco chewing increases risk of cancers of
gums and mouth among
people who keeps tobacco in the cheek. In addition, even pan
with or without tobacco
causes oral cancer Bidi smoking also increases risk for cancers.
Critical appraisal questions Underline your answer
How precise are the results? Yes
Evidence:
Results are precise with use of appropriate methodologies and
statistical analysis. Cancers
at different sites in oral cavity are examined for risk factors.
For example, risk of tongue
cancer is related with duration of bidis smoking (RR =3.4, 95%
CI and p=0.034). P value is
0.001 and CI is 95% Confidence interval shows the precision of
the study
Critical appraisal questions Underline your answer
Do you believe the results? Yes
Evidence:
Results are believable as the study sample is large and study
duration in long enough. The
methods are appropriate without bias and confounders.
Critical appraisal questions Underline your answer
Can the results be applied to the local population? Yes
Evidence:
The results can be partially applied to local Australian
population where smoking is
prevalent. However, Pan and tobacco chewable products
(smokeless tobacco) are not
prevalent.
Critical appraisal questions Underline your answer
Do the results of this study fit with other available
evidence?
Yes
Evidence:
The results of this study are supported by most of the articles in
literature. Alam et al.
(2017) also found the tobacco use as important risk factor for
cancer in the oral cavity.
Critical appraisal questions Underline your answer
What are the implications of this study for
practice?
Yes
Evidence:
Regarding implication, the nurses and social workers should
educate the people regarding
the harmful impact of tobacco and alcohol in causing cancers.
In vulnerable patients with
habits of tobacco use, a complete screening should be done at
regular interval to detect
early cancers. Smokeless tobacco (chewing) is equally harmful.
Reference:
Jayalekshmi, P.A., Gangadharan, P., Akiba, S., Koriyama, C. &
Nair, R.R.K. (2011). Oral cavity
cancer risk in relation to tobacco chewing and bidi smoking
among men in Karunagappally,
Kerala, India: Karunagappally cohort study. Cancer Sci,
102:460-467. doi: 10.1111/j.1349-
7006.2010.01785.x
Discussion:-
Article 1: Cross-sectional study authored by Alam et al. (2017,
pp. 430-435).
In this cross-sectional study, the criteria of inclusion were
clearly defined as the patients (n=850)
having head and neck cancers (HNC) between a particular time
period. Study subject and setting
are clearly described as to identify the differences in site,
pattern and incidences of head and
neck cancers in a specific geography (Western Uttar Pradesh,
India). The patients were
categorized according to the histopathological reports into
different categories.
Exposure to tobacco and alcohol was not measured in valid and
reliable manner. For example,
there was not description of age when started, frequency and
duration of cigarette smoking or
tobacco chewing. The cancers have been measured using the
standard and objective criteria. For
example, HNCs were classified on the basis of the anatomical
sites like oral cavity, tongue, salivary
gland, oropharynx or paranasal sinus. Histopathological
assessment was also conducted. In this
study, the confounding factors were detected as poor
socioeconomic class and low literacy which
are known risk factors for cancers (Davis et al., 2002, pp 134).
However, no strategy to deal
confounding factor is stated in the study.
Appropriate statistical analysis methods were used. Significance
P values and correlation values
were determined by using valid Pearson Ch-square test.
Outcomes were measured in detailed
manner using reliable and valid procedures. There is no bias as
study is retrospective and
objective, based on case history and histopathological reports.
In addition, all measurements
tools were appropriately used. Chance or sample error is
minimal as the sample size and time
span were large enough to represent the population (Zaccai,
2004; Health Knowledge, 2017).
The result of the study showed that maximum cases of HNC are
between 40-60 years of age.
Tobacco smoking and tobacco chewing are most prevalent risk
factors. Alcohol alone is an
insignificant risk factor, but it has synergistic effect with
tobacco use in causing buccal mucosa
cancers. The results are generalizable as the study is rigorous
with large sample size and research
design.
Article 2: Case control study authored by Gupta et al. (2017)
This case control study addressed an important issue of
association of poor oral hygiene, diet,
tobacco chewing/smoking and alcohol (risk factors) with the
oral cancers (outcomes). The
method is appropriate to answer the question but there is
possibility of biases as the patients
have awareness about risk factors and diagnosis and therefore,
they are motivated to recall more
of risk factors. The disadvantage is that the findings are
dependent on the memory of the
patients.
The cases were recruited appropriately, and the criteria of
inclusion were clearly defined. The
patients selected from two big tertiary hospitals of Pune City.
All 187 patients with oral cancers
were recruited irrespective of their age, sex and stages of
disease. The controls were selected in
sufficient numbers (240). The controls are the patients having
non-neoplastic disease, recruited
within same time frame and matched in terms of sex and age
with the cases. Thus, there is no
evidence of selection biases.
Exposure measurements were described accurately in detail that
included data from face-to-face
interview, questionnaire, life grid tool, exposure to tobacco,
oral hygiene habit, anthropometry,
intraoral examination and putative risk factors. Frequency,
duration and cumulative effect of
smoking and tobacco chewing recorded in valid and reliable
manner. The cancers were measured
using standard criteria (extent, type, stages, site and
comorbidities. Both groups were equally
treated to minimize any bias.
There was possibility of confounding factors like age, family
income, socioeconomic status, and
education which may have effect on the outcomes or increase
the cancer risks (Jayalekshmi et
al., 2011). The article used unconditional logistic regression
model to adjust the confounding
factors. Regarding the results, the association between oral
/oropharyngeal cancers and tobacco
with alcohol is explained as potent risk factor. The novel
finding is the evidence of increased risks
of oral cancer when patients are chewing tobacco in presence of
poor oral hygiene.
The results are consistent with previous research reports and are
believable. The Confidence
interval 95% CIs and P value = 0.001 showing precise research.
A linear dose related association
was found between tobacco chewing and occurrence of oral
cancer.
The results are reliable and trustworthy. The results cannot be
applied to Australia as the tobacco
chewing is not prevalent and oral hygiene is remarkably better
than India. The findings are in line
and consistent with the previous research findings (Alam et al
2017)
Article 3: Cohort Study Authored by Jayalekshmi et al. (2011)
This cohort study aims to analyze relationship of oral cancer
with tobacco use, alcohol drinking
and low socioeconomic status in the rural population that is the
Karunagapally cohort of Kerala.
Virtually all residents (n= 66277) aged 30-84 years in the
cohort were recruited in Jan 1990 using
Poisson regression analysis of grouped data stratified on age,
calendar time, education and family
income to deal with biases and confounders. Therefore,
virtually all households were recruited
in the cohort.
Regarding exposure, tobacco use, alcohol and socioeconomic
stats were measured
appropriately. The participants were asked for history of
tobacco chewing (not chewing,
habitually in past, habitually currently), age when they started
chewing tobacco and the duration.
Similar questions were put forward for BIDI and cigarette
smokers. Thus, the bias is controlled.
Outcomes (development of cancers) were ascertained by the
Cancer Registry during the long
period between 1990 and 2005 under the Regional Cancer
Center (RCC). Biases are minimized
with accurate measurement and diagnosis of cancers. By the end
of 2005, 160 men developed
oral cancers.
The confounding factors were identified as family income, age,
calendar time and education
level. To deal with confounding factors, stratification strategy
and regression strategy were
adopted. The follow up was complete and long enough from
1990 to 2005. Migrants were
identified from door to door monitoring survey. Only 0.7%
participants were lost due to
permanent migrations.
Results show that tobacco chewing increases risk of cancers of
gums and mouth among people
who keeps tobacco in the cheek. In addition, even pan with or
without tobacco causes oral cancer
Bidi smoking also increases risk for cancers. Results are precise
with use of appropriate
methodologies and statistical analysis. Cancers at different
sites in oral cavity are examined for
risk factors. For example, risk of tongue cancer is related with
duration of bidis smoking (RR =3.4,
95% CI and p=0.034). P value is 0.001 and CI is 95%
Confidence interval shows the precision of
the study.
Results are believable as the study sample is large and study
duration in long enough. The
methods are appropriate without bias and confounders. The
results can be partially applied to
local Australian population where smoking is prevalent.
However, Pan and tobacco chewable
products (smokeless tobacco) are not prevalent. The results of
this study are supported by most
of the articles in literature. Alam et al. (2017) also found the
tobacco use as important risk factor
for cancer in the oral cavity. Regarding implication, the nurses
and social workers should educate
the people regarding the harmful impact of tobacco and alcohol
in causing cancers. In vulnerable
patients with habits of tobacco use, a complete screening should
be done at regular interval to
detect early cancers. Smokeless tobacco (chewing) is equally
harmful.
Discussion on bias, confounding factors and chances
Bias is a systematic error that should be minimized by proper
selection of the cases and proper
measurement. Bias does not disqualify the study. Research
studies can have pitfall called
Confounding which arises when the risk factor and the outcome
both are associated with a third
variable which creates a confusion. To avoid confounding, the
control should be the subject who
might have been the cases but are independent of the exposure.
Confounding can be prevented
by randomization, restriction and matching. Confounding can be
adjusted during statistical
analysis by using stratified analysis and multivariate analysis
techniques. Stratification is the best
technique to avoid confounding as used by Jayalekshmi et al.
(2011). Regression is also effective
technique for confounding as used by Gupta et al. (2017).
Chance is a sample error that should
be dealt by recruiting a large sample (Zaccai, 2004).
Conclusion:-
The paper concluded that tobacco consumption in any form is
injurious to health as it is the major
independent risk factor for head and neck cancers. Alcohol acts
as synergy with tobacco by
facilitating carcinogen uptake to the tissues. People in the
Southeast Asia have generally low
education and poor socioeconomic status. People in remote
villages and even in urban areas
have unhealthy lifestyle that increase the risks for cancers. The
health organization should
intensify their mission of educating the people in order to
control the cancers.
References:-
Alam, M. S., Siddiqui, S.A. & Perween, R. (2017).
Epidemiological profile of head and neck cancer
patients in Western Uttar Pradesh and analysis of distributions
of risk factors in relation to site
of tumor. Journal of Cancer Research and Therapeutics, 13:
430-35. doi: 10.1111/j.1349-
7006.2010.01785.x
Davis, T. C., Williams, M.V., Marin, E., Parker, R.M. & Glass
J. (2002). Health literacy and cancer
communication. CA: A Cancer Journal for Clinicians,
52(3):134-49.
Guide: University of Canberra (2018). Evidence-based practice
in health: Guide. Retrieved from
https://canberra.libguides.com/c.php?g=599346&p=4149721>.
Gupta, B., Bray, F., Kumar, N. & Johnson, N.W. (2017).
Associations between oral hygiene habits,
diet, tobacco and alcohol and risk of oral cancer: A case–control
study from India, Cancer
Epidemiology, 51:7-14. doi.org/10.1016/j.canep.2017.09.003
Health Knowledge (2017). Errors in epidemiological
measurements. Retrieved from
<https://www.healthknowledge.org.uk/e-
learning/epidemiology/practitioners/errors-
epidemiological-measurements>.
Jayalekshmi, P.A., Gangadharan, P., Akiba, S., Koriyama, C. &
Nair, R.R.K. (2011). Oral cavity
cancer risk in relation to tobacco chewing and bidi smoking
among men in Karunagappally.
Kerala, India: Karunagappally cohort study. Cancer Science,
102:460-467. doi: 10.1111/j.1349-
7006.2010.01785.x
National Cancer Institute (NIH) (2017). Head and Neck
Cancers. Retrieved from
<https://www.cancer.gov/types/head-and-neck/head-neck-fact-
sheet>.
Priebe, S. L., Aleksejuniene, J., Dharamsi, S. & Zed, C. (2008).
Oral cancer and cultural factors in
Asia. The Canadian Journal of Dental Hygiene, 42(6):291-293
Zaccai, J.H. (2004). How to assess epidemiological studies:
Review. The Canadian Journal of
Dental Hygiene, 80(941):140–147. doi:
10.1136/pgmj.2003.012633.
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ProjectManagementforEngineering,
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anyoneteachingEngineering,BusinessorTechnologyProjectManag
ement/Engineering.Ialso
recommenditasa‘keeper’forstudentswhowillbeguidingprojectsint
hefuture.”
MarkCalabrese,UniversityofCentralFlorida,USA
“Thepublicationofthe5theditionofProjectManagementforEnginee
ring,BusinessandTechnologyby
JohnNicholasandHermanSteynisanimportantmilestoneinacontinu
ingconversationbetweenthe
authorsandthecurrentandfuturepractitionersofprojectmanagement
aroundtheworld.Thisbookhas
longbeenacomprehensivebutaccessiblepublicationthatprovidesva
luableinsightsintothestrategic
andday-
todaymanagementofprojectsbothlargeandsmall.Therearenumerou
spublicationsinthis
fieldbutNicholasandSteynhavefoundthebalancebetweentheneeds
ofexperiencedpractitioners
lookingforwaystoimproveprojectoutcomes,andtheneedsofstudent
swhoarenewtotheproject
managementfield.Theconceptsareclearlyandlogicallylaidout,andt
helanguageisappropriatefora
widerangeofaudiences.Itcontinuestobeabenchmarkinacrowdedfie
ldofpublicationsofferingboth
practicalandstrategicinsightsintotheartandcraftofprojectmanage
ment.”
BarrieTodhunter,UniversityofSouthernQueensland,Australia
“IhavebeenusingtheearliereditionsofthisbookinmyProjectManage
mentteachingtoworking
executivesofamajorengineeringcompanyemployingcloseto40000
peopleinvarioustypesofprojects.
Ihaveevaluatedthecurrent5theditionofthebookfromtheperspective
of(a)ateachingresource(b)
studymaterialand(c)asaresourceforcasestudiesandreferences.Ifin
dthatthe5theditionhasbeen
thoroughlyrevampedandincorporatesseveralrelevantresourcesand
ispresentedinaverylucidand
structuredway.Ihaveabsolutelynohesitationinrecommendingthisb
ookasastandardresourcefor
teachingstudentsinauniversitysetupand/orforworkingexecutivesi
naprojectenvironment.The
bookisalsoagoodresourceasastudymaterialforcertificationcourses
.”
KrishnaMoorthy,Ex-
Dean,Larsen&ToubroInstituteofProjectManagement,India
“ProjectManagementforEngineering,BusinessandTechnologyiso
neofthemostcomprehensive
textbooksinthefield.NicholasandSteynexplainthematterinareadab
leandeasy-to-understandway,
illustratedwithinterestingexamples.Theauthorscombinethe‘hard
matter’ofprojectmanagementwith
relevantbehaviouralaspects.Overall,ausefulworkforanyonenewto
thefieldorasreferenceforthe
moreadvancedprojectmanager.”
MartijnLeijten,DelftUniversityofTechnology,TheNetherlands
“Projectmanagementplaysavitalroleinachievingprojectobjectives
.Projectsbringchangeandproject
managementisrecognisedasthemosteffectivewaytomanagingsuch
change.Thisbookencourages
readerstobecomeinterestedandinvolvedinthechangetowardsrenew
edprojectmanagementand
managementofprojects.”
BenitaZulch,UniversityoftheFreeState,SouthAfrica
“Averycomprehensivetext.Anexcellentmixofmaterialstoenablest
udentstolearntechniquesand
engageindiscussionofscenarios.”
RichardKamm,UniversityofBath,UK
ProjectManagementforEngineering,
BusinessandTechnology
FIFTHEDITION
JohnM.Nicholas
LoyolaUniversityChicago
HermanSteyn
UniversityofPretoria
Fiftheditionpublished2017
byRoutledge
2ParkSquare,MiltonPark,Abingdon,OxonOX144RN
andbyRoutledge
711ThirdAvenue,NewYork,NY10017
RoutledgeisanimprintoftheTaylor&FrancisGroup,aninformabusi
ness
©2017JohnNicholasandHermanSteyn
TherightofJohnNicholasandHermanSteyntobeidentifiedasauthors
ofthisworkhasbeenassertedby
theminaccordancewithsections77and78oftheCopyright,Designsa
ndPatentsAct1988.
Allrightsreserved.Nopartofthisbookmaybereprintedorreproduced
orutilisedinanyformorbyany
electronic,mechanical,orothermeans,nowknownorhereafterinvent
ed,includingphotocopyingand
recording,orinanyinformationstorageorretrievalsystem,withoutpe
rmissioninwritingfromthe
publishers.
Trademarknotice:Productorcorporatenamesmaybetrademarksorre
gisteredtrademarks,andareused
onlyforidentificationandexplanationwithoutintenttoinfringe.
FourtheditionpublishedbyRoutledge2012
ThirdeditionpublishedbyElsevierInc.2008
BritishLibraryCataloguinginPublicationData
AcataloguerecordforthisbookisavailablefromtheBritishLibrary
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Acatalogrecordforthisbookhasbeenrequested
ISBN:978-1-138-93735-2(hbk)
ISBN:978-1-138-93734-5(pbk)
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TypesetinJoannabyServisFilmsettingLtd,Stockport,Cheshire
Visitthecompanionwebsite:www.routledge.com/cw/nicholas
http://www.routledge.com/cw/nicholas
ToSharry,Julia,Joshua,andAbigail
J.M.N.
ToKarenandJanine
H.S.
BriefContents
Introduction
PARTI:PHILOSOPHYANDCONCEPTS
1WhatIsProjectManagement?
2SystemsApproach
PARTII:PROJECTLIFECYCLE
3ProjectLifeCycleandProjectConception
4ProjectDefinitionandSystemDefinition
PARTIII:SYSTEMSANDPROCEDURESFORPLANNINGANDC
ONTROL
5BasicProjectPlanningTechniques
6ProjectSchedulePlanningandNetworks
7AdvancedProjectNetworkAnalysisandScheduling
8CostEstimatingandBudgeting
9ProjectQualityManagement
10ProjectRiskManagement
11ProjectExecution,Monitoring,andControl
12ProjectEvaluation,Communication,Implementation,andCloseo
ut
13AgileProjectManagementandLean
PARTIV:ORGANIZATIONBEHAVIOR
14ProjectOrganizationStructureandIntegration
15ProjectRolesandStakeholders
16ManagingParticipation,Teamwork,andConflict
PARTV:PROJECTMANAGEMENTINTHECORPORATECONTE
XT
17Meta-ManagementofProjectsandProgramManagement
18ProjectSelectionandPortfolioManagement
19InternationalProjectManagement
AppendixA:RFPforMidwestParcelDistributionCompany
AppendixB:ProposalforLogisticalOnlineSystemProject(LOGON)
AppendixC:ProjectEvaluationPlanforLogisticalOnlineSystem
Index
Contents
Cover
Title
Copyright
Dedication
BriefContents
Contents
Preface
Acknowledgements
AbouttheAuthors
Introduction
I.1IntheBeginning…
I.2WhatIsaProject?
I.3AllProjectsareNottheSame
I.4ProjectManagement:TheNeed
I.5ProjectGoal:Time,Cost,andPerformance
I.6 Project Management: The Person, The Team, The
Methodology
I.7 Project Management Standards of Knowledge and
Competencies
I.8AboutThisBook
I.9StudyProject
Appendix: Relation Between Professional Standards and
ChaptersofThisBook
ReviewQuestions
CaseI.1TheDenverAirport
QuestionsAbouttheCase
kindle:embed:0007?mime=image/jpg
Endnotes
PARTI:PHILOSOPHYANDCONCEPTS
1WhatIsProjectManagement?
1.1FunctionsofManagement
1.2FeaturesofProjectManagement
1.3EvolutionofProjectManagement
1.4WhereisProjectManagementAppropriate?
1.5ManagementbyProject:ACommonApproach
1.6DifferentFormsofProject-RelatedManagement
1.7ProjectEnvironments
1.8NewProductandSystemsDevelopmentProjects
1.9ConstructionProjects
1.10Service-SectorProjects
1.11 Public-Sector and Governmental Projects and
Programs
1.12MiscellaneousProjects
1.13Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case1.1DisasterRecoveryatMarshallField’s
Case 1.2 Flexible Benefits System Implementation at
ShahAlamMedicalCenter
Endnotes
2SystemsApproach
2.1SystemsandSystemsThinking
2.2SystemsConceptsandPrinciples
2.3SystemsApproach
2.4SystemsEngineering
2.5ProjectManagement:ASystemsApproach
2.6Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case2.1GladesCountySanitaryDistrict
Case 2.2 Life and Death of an Aircraft Development
Project
Case2.3JubileeLineExtensionProject
Case2.4SantaClaraCountyTrafficOperationsSystem
andSignalCoordinationProject
Endnotes
PARTII:PROJECTLIFECYCLE
3ProjectLifeCycleandProjectConception
3.1ProjectLifeCycle
3.2SystemsDevelopmentCycle
3.3PhaseA:Conception
3.4ProjectFeasibility
3.5TheProjectProposal
3.6ProjectContracting
3.7Summary
Appendix:KindsofContracts
ReviewQuestions
QuestionsAbouttheStudyProject
Case3.1WestCoastUniversityMedicalCenter
Case3.2X-PhilesDataManagementCorporation:RFP
Matters
Case3.3ProposalEvaluationforApolloSpacecraft
Case3.4ContractMess-UpatPolanskiDevelopers
Endnotes
4ProjectDefinitionandSystemDefinition
4.1PhaseB:Definition
4.2ProjectDefinition
4.3Phased(RollingWave)ProjectPlanning
4.4SystemDefinition
4.5Summary
AppendixA:StagesofSystemsEngineering
AppendixB:QualityFunctionDeployment
ReviewQuestions
QuestionsAbouttheStudyProject
Case 4.1 Star-Board Construction and Santaro
Associates:RequirementsSnafu
Case 4.2 Revcon Products and Welbar, Inc.: Client–
ContractorCommunication
Case 4.3 Lavasoft.com: Interpreting Customer
Requirements
Case 4.4 Proposed Gold Mine in Canada: Phased
ProjectPlanning
Endnotes
PART III: SYSTEMS AND PROCEDURES FOR PLANNING
AND
CONTROL
5BasicProjectPlanningTechniques
5.1PlanningSteps
5.2TheProjectExecutionPlan
5.3ScopeandStatementofWork
5.4WorkDefinition
5.5ProjectOrganizationandResponsibilities
5.6Scheduling
5.7PlanningandSchedulingCharts
5.8LineofBalance(LinearSchedulingMethod)
5.9ProcurementManagement
5.10Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case5.1BarrageConstructionCompany:Sean’sWBS
Case5.2StartrekEnterprises,Inc.:Deva’sProjectPlan
Case5.3Walter’sProjectPlan
Case 5.4 Planning the Boca Implementation at
KulczyńskiProducts
Endnotes
6ProjectSchedulePlanningandNetworks
6.1NetworkDiagrams
6.2TheCriticalPath
6.3ConvertingtoGanttCalendarSchedules
6.4ManagementScheduleReserve
6.5AlternativeRelationships
6.6SchedulingwithResourceConstraints
6.7CriticismsofNetworkMethods
6.8Summary
AppendixA:AOADiagrams
Appendix B: Alternate Scheduling Method: Project
StartsatDay1
ReviewQuestionsandProblems
QuestionsAbouttheStudyProject
Case 6.1 Network Diagram for a Large Construction
Project
Case6.2MelbourneConstructionCompany,A
Case6.3MelbourneConstructionCompany,B
Case6.4MelbourneConstructionCompany,C
Endnotes
7AdvancedProjectNetworkAnalysisandScheduling
7.1CPMandTime-CostTradeoff
7.2VariabilityofActivityDuration
7.3PERT
7.4 Allocating Resources and Multiple Project
Scheduling
7.5TheoryofConstraintsandCriticalChainMethod
7.6TOCMethod forAllocatingResources toMultiple
Projects
7.7DiscussionandSummary
SummaryListofSymbols
ReviewQuestionsandProblems
QuestionsAbouttheStudyProject
Case7.1BridgeconContractors
Case7.2LOGONProject
Case7.3PapuaPeteraVillageProject
Endnotes
8CostEstimatingandBudgeting
8.1CostEstimates
8.2CostEscalation
8.3 Cost Estimating and the Systems Development
Cycle
8.4CostEstimatingProcess
8.5ElementsofEstimatesandBudgets
8.6ProjectCostAccountingSystems
8.7BudgetingUsingControl(orCost)Accounts
8.8CostSummaries
8.9CostSchedulesandForecasts
8.10LifeCycleCosts
8.11Summary
ReviewQuestionsandProblems
QuestionsAbouttheStudyProject
Case 8.1 Life Cycle Costs for Fleet of Tourist
Spaceships
Case8.2EstimatedCostsfortheChunnelProject
Case8.3Fiona’sEstimatefortheGorgyProject
Case8.4MelbourneConstructionCompany,D
Endnotes
9ProjectQualityManagement
9.1TheConceptofQuality
9.2ProjectQualityManagementProcesses
9.3 Techniques for Quality Assurance in System
Development
9.4TechniquesforQualityControl
9.5Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case9.1CeilingPanelCollapseintheBigDigProject
Case9.2FIFA2010WorldCupSouthAfrica
Case9.3AirbagAdversity
Endnotes
10ProjectRiskManagement
10.1RiskConcepts
10.2RiskIdentification
10.3RiskAssessment
10.4RiskResponsePlanning
10.5RiskMonitoringandResponse
10.6ProjectManagementIsRiskManagement
10.7Summary
Appendix:RiskAnalysisMethods
ReviewQuestionsandProblems
QuestionsAbouttheStudyProject
Case10.1TheSydneyOperaHouse
Case10.2Infinity&Beyond,Inc.
Case10.3TheNelsonMandelaBridge
Endnotes
11ProjectExecution,Monitoring,andControl
11.1PhaseC:Execution
11.2DetailDesignStage
11.3Production/BuildStage
11.4MonitoringandControlProcess
11.5WorkPackagesandControlAccounts
11.6ProjectMonitoringandControlEmphasis
11.7 Performance Analysis and Earned Value
Management
11.8IssueManagement
11.9ChangeControl
11.10ContractAdministration
11.11 Problems with Monitoring and Controlling
Projects
11.12Summary
SummaryofVariables
ReviewQuestionsandProblems
QuestionsAbouttheStudyProject
Case11.1CybersonicProject
Case11.2SAGoldMine:EarnedValueAfter aScope
Change
Case 11.3 Change Control Process at Dynacom
Company
Endnotes
12 Project Evaluation, Communication, Implementation,
andCloseout
12.1ProjectEvaluation
12.2ProjectCommunicationManagement
12.3ProjectManagementInformationSystems
12.4InformalCommunication
12.5ImplementationStage
12.6ProjectTerminationandCloseout
12.7ProjectSummaryEvaluation
12.8AftertheProject—PhaseD:Operation
12.9Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case12.1StatusReportfortheLOGONProject
Case12.2SLUInformationCentralBuilding
Case12.3FormalandInformalCommunication
Endnotes
13AgileProjectManagementandLean
13.1TraditionalProjectManagement
13.2AgileProjectManagement,APM
13.3Scrum
13.4APMControversy
13.5LeanProductionandProjectManagement
13.6Summary
ReviewQuestions
QuestionsabouttheStudyProject
Case13.1GrandEntryforAccent,Inc.
Case13.2TechnologytoTrackStolenVehicles
Endnotes
PARTIV:ORGANIZATIONBEHAVIOR
14ProjectOrganizationStructureandIntegration
14.1FormalOrganizationStructure
14.2 Organizational Design by Differentiation and
Integration
14.3RequirementsofProjectOrganizations
14.4IntegrationofSubunitsinProjects
14.5LiaisonRoles,TaskForces,andTeams
14.6ProjectExpeditorsandCoordinators
14.7PureProjectOrganizations
14.8MatrixOrganizations
14.9SelectinganOrganizationFormforProjects
14.10ProjectOfficeandPMO
14.11IntegrationinLarge-ScaleProjects
14.12IntegrationinSystemsDevelopmentProjects
14.13ConcurrentEngineering
14.14Summary
ReviewQuestions
QuestionsabouttheStudyProject
Case14.1OrganizationfortheLOGONProject
Case 14.2 Pinhole Camera and Optics, Inc.:Why Do
WeNeedaProjectManager?
Case14.3ImplementingaMatrixStructureinanR&D
Laboratory
Endnotes
15ProjectRolesandStakeholders
15.1TheProjectManager
15.2ProjectManagementAuthority
15.3ProjectManagerQualifications
15.4FillingtheProjectManagementRole
15.5RolesintheProjectTeam
15.6RolesOutsidetheProjectTeam
15.7ProjectStakeholderEngagement
15.8Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case15.1TheLOGONProject
Case 15.2 Selecting a Project Manager at Nuwave
ProductsCompany
Case15.3StakeholdersinBoston’sBigDig
Endnotes
16ManagingParticipation,Teamwork,andConflict
16.1LeadershipinProjectManagement
16.2ParticipativeManagement
16.3TeamsinProjectManagement
16.4TheTeam-BuildingApproach
16.5ImprovingOngoingWorkTeams
16.6BuildingNewTeams
16.7IntergroupProblemSolving
16.8VirtualTeams
16.9Conflict
16.10ManagingGroupConflict
16.11ManagingEmotionalStress
16.12Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case16.1WilmaKeith
Case16.2MarsClimateOrbiterSpacecraft
Endnotes
PART V: PROJECT MANAGEMENT IN THE CORPORATE
CONTEXT
17Meta-ManagementofProjectsandProgramManagement
17.1 Project Management Maturity and Maturity
Models
17.2ProjectManagementMethodology
17.3ManagingProjectKnowledge
17.4ProjectManagementOffice
17.5ProgramManagement
17.6ProgramPhases
17.7ProgramManagementThemes
17.8ProgramOrganization
17.9SpecialConsiderations
17.10Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case17.1MaximCorporationAmerica(MCA)
Case 17.2 Motorola’s M-Gate Methodology and the
RAZRProject
Case17.3TecknokratCompany
Case17.4MercuryExplorationProgram
Endnotes
18ProjectSelectionandPortfolioManagement
18.1ProjectPortfolioManagement
18.2 Framework for Project Selection and Portfolio
Management
18.3MethodsforAssessingIndividualProjects
18.4MethodsforComparingandSelectingProjects
18.5 Integrating the Gating Process and Portfolio
Management
18.6SummaryandDiscussion
ReviewQuestionsandProblems
QuestionAbouttheStudyProject
Case18.1ConsolidatedEnergyCompany
Case18.2ProposedCementFactoryforPCSCompany
Endnotes
19InternationalProjectManagement
19.1InternationalProjects
19.2ProblemsManagingInternationalProjects
19.3LocalInstitutionsandCulture
19.4LocalStakeholders
19.5Geo-NationalIssues
19.6ProjectManager
19.7LocalRepresentative
19.8TopManagement,SteeringCommittee,andPMO
19.9TeamandRelationshipBuilding
19.10ProjectDefinition
19.11ProjectMonitoring
19.12Communication
19.13RisksandContingencies
19.14Summary
ReviewQuestions
QuestionsAbouttheStudyProject
Case 19.1 Mozal Project—International Investment in
anUndevelopedCountry
Case19.2SpiritElectronics’PuertoRicoOffice
Endnotes
APPENDIXARFPforMidwestParcelDistributionCompany
APPENDIXBProposalforLogisticalOnlineSystemProject(LOGO
N)
APPENDIXCProjectExecutionPlanforLogisticalOnlineSystem
Index
Preface
When people see or use something impressive—a bridge arching
high over a
canyon,aspaceprobetouchingdownonadistantplanet,ananimatedg
ameso
realistic you think you’re there, or a nifty
phone/camera/computer the size of
yourhand—
theysometimeswonder,“Howdidtheydothat?”Bythey,ofcourse,
theyarereferringtothecreators,designers,andbuilders,thepeoplew
hocreated
—thoughtupandmade—
thosethings.Seldomdotheywonderabouttheleaders
andmanagers, thepeoplewhoorganizedand led theefforts
thatbrought those
astounding things from concept to reality andwithout whommost
neat ideas
would never have been achieved. This book is about them—the
managers of
project managers, the mostly unsung heroes of engineering,
business, and
technologywho standoutside thepublic eyebutultimately are
responsible for
practicallyeverythingthatrequirescollectivehumaneffort.
The projectmanager is but one ofmany people involved in the
creation of
society’sproducts,systems,andartifacts,yetit
isheorshewhogetstheothers
involved and organizes and directs their efforts so everything
comes out right.
Occasionally, themanager and the creator happen to be the
same:BurtRutan,
WoodyAllen,andGutzonBorglumareexamples; their lifework—
inaerospace,
motion pictures, and monumental sculptures, respectively—
represent not only
creativeortechnologicalgenius,butleadershipandmanagerialtalent
aswell.
In the last several decades businesses have expanded from
domestic,
nationalistic enterprises andmarkets intomultinational, global
enterprises and
markets.Asaresult, fromabusinessperspectivethere
ismoreofeverythingto
contend with—more ideas, competitors, resources, constraints,
and, certainly,
more people doing andwanting things. Technology is advancing
and products
andprocessesevolvingatamorerapidpace;asaresult, the
lifecyclesofmost
thingsinsocietyaregettingshorter.This“moreofeverything”hashad
adirect
impact on the conduct of projects—including projects to
develop products,
systems,orprocessesthatcompeteinlocal,domestic,andinternation
almarkets;
projects to create and implement new ways of meeting demand
for energy,
recreation, housing, communication, transportation, and food;
and projects to
answer basic questions in science and resolve grave problems
such as disease,
pollution, global warming, and the aftermath of natural
disasters. All of this
project activity has spurred a growing interest in improved ways
to plan,
organize,andguideprojectstobettermeettheneedsofcustomers,mar
kets,and
societywithintheboundsoflimitedtimeandresources.
Associatedwiththisinterestisthegrowingneedtoeducateandtrainpr
oject
managers. In thepast—and still today—projectmanagerswere
chosen for some
demonstratedexceptionalcapability,althoughnotnecessarilymana
gerial.Ifyou
were a good engineer, systems analyst, researcher, architect, or
accountant,
eventually you would become a project manager. Somewhere
along the way,
presumably, you would pick up the “other” necessary skills. The
flaw in this
reasoning is that project management encompasses a broad
range of skills—
managerial, leadership, interpersonal—that are much different
from and
independent of skills associated with technical competency. And
there is no
reason to presume that the project environment alone will
provide the
opportunityforsomeoneto“pickup”theseothernecessaryskills.
Asatextandhandbook,thisbookisaboutthe“right”waytomanagepro
jects.
Itisintendedforadvancedundergraduateandgraduateuniversitystud
entsand
practicingmanagersinengineering,business,andtechnology.Asthet
itlesays,it
isabookaboutprinciplesandpractice,meaningthatthetopicsinitarep
ractical
and meant to be applied. It covers the big picture of project
management—
origins,applications,andphilosophy,aswellas thenitty-gritty,how-
tosteps. It
describes the usual project management topics of schedules,
budgets, and
controls, but also the human side of projectmanagement,
including leadership
andconflict.
Why a book on project management in engineering and business
and
technology? In our experience, technology specialists such as
engineers,
programmers, architects, chemists, and so on, involved in
“engineering/technology projects” often have little or no
management or
leadershiptraining.Thisbook,whichincludesmanyengineeringandt
echnology
examples, provides somewhat broad exposure to business
concepts and
management specifics to help these specialists get started as
managers and
leaders.
Whataboutthosepeopleinvolvedinproductdevelopment,marketing
,process
improvement,andrelatedprojectscommonlythoughtofas“business
projects”?
Just as technology specialists seldom receive formal
management training,
students and practitioners of business rarely get formal
exposure to practices
common in technology projects. For them, this book describes
not only how
“business”projectsareconducted,butalsothenecessarystepsinthec
onception
and execution of engineering, system development,
construction, and other
“technology” projects. Of course, every technology project is
also a business
project:itisconductedinabusinesscontextandinvolvesbusinessissu
essuchas
customersatisfaction,resourceutilization,deadlines,costs,andprof
its.
Virtuallyallprojects—engineering,technology,andbusiness—
originateandare
conducted in a similar way, in this book conceptualized using a
methodology
called the Systems Development Cycle (SDC). The SDC serves
as a general
framework for discussing the principles and practices of project
management,
andillustratingcommonalitiesanddifferencesamongawidevarietyo
fprojects.
This book is an outgrowth of the authors’ combined several
decades of
experience teaching project management at Loyola University
Chicago and
UniversityofPretoriatobusinessandengineeringstudents,preceded
byseveral
years’ experience in business and technology projects, including
for aircraft
design and flight test, large-scale process facility construction,
and software
applications development and process improvement. This
practical experience
gave us an appreciation not only for the business-management
side of project
management,butalsoforthehuman-
interpersonalsideaswell.Wehaveseenthe
benefitsofgoodcommunication,trust,andteamwork,aswellastheco
stsofpoor
leadership, emotional stress, and group conflict. In our
experience, the most
successful projects are those where leadership, trust,
communication, and
teamworkflourished,regardlessoftheformalplanningandcontrolme
thodsand
systemsinplace.Thisbooklargelyreflectsthesepersonalexperience
s.Ofcourse,
comprehensive coverage of project management required that
we look much
beyondourownexperienceanddrawuponthepublishedworksofman
yothers
andthewisdomandsuggestionsofcolleaguesandreviewers.
In this fifth editionwe have revised and addedmaterial to
incorporate new
topicsofinterest,currentexamples,andthegrowingbodyofliterature
inproject
management. Among significant new additions are a chapter on
agile project
management and lean production, extended coverage of
programmanagement,
aswell as 18newend-of-chapter case studies.The Introduction
includes tables
that relate sections of the book to the most-common project
management
knowledgeareasandmethodologies:PMIPMBOK,
IPMA,APM,andPRINCE2.
Books tend to grow in sizewith each new edition; to combat that
all chapters
havebeenrewrittentomakeeverythingmorereadableandconcise.De
spitethe
inclusionofnewmaterial,we’veheldthepagecounttoroughlywhatit
wasin
thepreviousedition.
Ourgoal inwritingthisbook is
toprovidestudentsandpracticingmanagers
themostpractical, current, and interesting
textpossible.Weappreciatehearing
yourcommentsandsuggestions.Pleasesendthemtousat[email prote
cted]and
[email protected]
Acknowledgments
Likemostprojects,writingabookreflectsthecontributionsofmanype
ople.We
wanttoacknowledgeandgivespecialthankstothosewhocontributedt
hemost.
First,thankstoourresearchassistants.Researchassistantsingeneral
doalotof
work—
academicaswellasgofer,andwithouttheirtoilingeffortsmostprofess
ors
would accomplish far less. We were fortunate to have had the
assistance of
severalsuchbrightandcapablepeople,particularlyElisaDenney,Hol
lyceJames,
Diane Petrozzo, Miguel Velasco, Gaurav Monga, Cary Morgan,
Louis
Schwartzman,andBrianWhelan.
SpecialthankstocurrentandformercolleaguesatLoyolaUniversityC
hicago
andtheUniversityofPretoria.InChicago,thankstoDr.GezinusHiddi
ngforhis
enthusiasm and contributions to the field of project
management; and to Drs.
EnriqueVenta,HaroldDyck,SamuelRamenofsky,andDonaldMeyer
,andElaine
Strnad, Paul Flugel, John Edison, Sharon Tylus, and Debbie
Gillespie for their
suggestions and support for this and earlier editions. In
Pretoria, thanks toDr.
TinusPretoriusforencouragingeducationandresearchinprojectman
agementat
theGraduateSchoolofTechnologyManagementandforsupportingth
eworkon
thisbook.I(Herman)alsowanttoexpressappreciationtoDr.GielBek
ker,Philip
Viljoen,Dr.TarynBond-
Barnard,Dr.PieterPretorius,Dr.KrigeVisser,Corrovan
Waveren,Dr.MichaelCarruthersandDr.Marie-
LouiseBarryfortheirdirectand
indirectcontributionstothisbookandforallIhavelearnedfromthem.I
(John)
want to acknowledge the influence of three of my professors,
Dr. Charles
ThompsonandDr.GustaveRathatNorthwesternUniversity,andDr.
DickEvans
attheUniversityofIllinois,whosephilosophiesandteachingshelped
shapedthis
book.IalsowanttothankChrisPharesandBobZimmerman,dearfrien
dsand
project managers extraordinaire, for ongoing sharing of their
wisdom on the
meaningandsignificanceofprojectleadership.
SpecialthanksalsotoourwivesSharryandKaren.Sharryprovidednu
merous
suggestionstothefirsteditionandhelpedreducetheamountof“techno
-jargon”
inthebook;shemanagedthehomefrontandfreeduptimesothatI(John
)could
pursue and complete this project. Karen provided wifely support
and
encouragement;as in thecaseof somanyotherprojects I
(Herman)havebeen
involved in,mycontribution to
thisprojectwouldneverhavematerializedhad
notitbeenforhersupport.
Thanks also to Amy Laurens and the folks at Routledge and
Taylor and
Francis, and special thanks toHollyDavis for her ongoing
support throughout
preparationofthisfifthedition.
Other colleagues, students, and friends, some mentioned in the
endnotes
throughoutthebook,providedsupport,encouragement,andreferenc
ematerials;
tothemalsowesaythankyou.Despitetheassistanceofsomanypeople
andour
ownbestefforts,therearestilllikelytobeomissionsorerrors.Wehadfi
nalsay
andacceptresponsibilityforthem.
JohnM.Nicholas
HermanSteyn
AbouttheAuthors
JOHNNICHOLASisProfessorOperationsManagementandProject
Management
intheQuinlanSchoolofBusinessatLoyolaUniversityChicago.Heisa
nactive
teacher, writer, and researcher in project management and
production
management, and conducts executive seminars and consults on
project
managementandprocessimprovement.Johnistheauthorofnumerous
academic
and technical publications, and five books including Lean
Production for
CompetitiveAdvantage (2011)andThePortaltoLeanProduction
(2006).Hehas
heldthepositionsofteamleadandengineeronaircraftdevelopmentpr
ojectsat
Lockheed-Martin Corporation, team lead and business systems
analyst on
operations projects at Bank America, and researcher on energy-
environmental
research projects atArgonneNational Laboratory.He has aBS in
aeronautical
and astronautical engineering and an MBA in operations
research from the
University of Illinois, Urbana-Champaign, and a PhD in
industrial engineering
andappliedbehavioralsciencefromNorthwesternUniversity.
HERMANSTEYNisProfessorofProjectManagementintheGraduat
eSchoolof
Technology Management, University of Pretoria, South Africa.
He has been
involved inprojects in industry since1975,hasmanagedavarietyof
largeand
small engineering projects (system, product, and process
development) in the
minerals, defense and nuclear industries, and has alsomanaged
programs and
project portfolios. In 1996 he was appointed to his current
position at the
University of Pretoria where he initiated a masters’ program in
project
management. Besides supervising project management research
and teaching
graduate project management courses, Herman has conducted
more than 200
seminarsandworkshopsonprojectmanagement.Hehasabachelor’sd
egreeand
graduate diploma in metallurgical engineering, an MBA, and a
PhD in
engineeringmanagement.
Introduction
I.1InTheBeginning…
Sometime during the third millennium BC, workers on the Great
Pyramid of
Cheops set the last stone in place. Theymust have felt jubilant,
for this event
represented a milestone of sorts in one of humanity’s grandest
undertakings.
Although much of the ancient Egyptians’ technology is still a
mystery, the
enormityandqualityofthefinishedproductremainsamarvel.Despite
thelack
ofsophisticatedmachinery, theywereable
toraiseandfitsome2,300,000stone
blocks,weighing2to70tonsapiece,intoastructuretheheightofamod
ern40-
story building. Each facing stonewas set against thenextwith an
accuracy of
0.04 inch (1mm),and thebase,whichcovers13acres
(52,600m2),deviates less
than1inch(25mm)fromlevel(FigureI.1).1
Equally as staggering was the number of workers involved. To
quarry the
stonesandtransportthemdowntheNile,about100,000laborerswerel
evied.In
addition,40,000skilledmasonsandattendantswereemployed
inpreparingand
laying the blocks and erecting or dismantling the ramps. Public
works were
essential tokeep theworkingpopulationemployedand fed, and it
is estimated
thatnolessthan150,000womenandchildrenalsohadtobehousedandf
ed.2But
just as mind-boggling was the managerial ability exercised by
the Egyptians
throughout the 20-year durationof the pyramid construction.
FrancisBarber, a
nineteenth-centurypyramidscholar,concludedthat:
Itmusthavetakentheorganizationalcapacityofageniustoplanallthe
work,tolayitout,toprovide
foremergenciesandaccidents, to see that themen in
thequarries,on theboatsand sleds, and in the
mason’s and smithies shops were all continuously and usefully
employed, that the means of
transportationwasample…thatthewatersupplywasample…andthat
thesickreliefswereonhand.3
BuildingtheGreatPyramidiswhatwetodaywouldcallalarge-
scaleproject.It
stands among numerous projects from early recorded history
that required
massive human works and managerial competency. Worthy of
note are the
managerialandleadershipaccomplishmentsofMoses.TheBiblicala
ccountofthe
exodusoftheHebrewsfromthebondageoftheEgyptiansgivessomepe
rspective
onthepreparation,organization,andexecutionofthistremendousun
dertaking.
Supposedly Moses did a magnificent job of personnel selection,
training,
organization,anddelegationofauthority.4ThefamedrulerSolomona
lsowasthe
“manager”ofgreatprojects.Hetransformedthebatteredruinsofmany
ancient
cities and crude shantytowns into powerful fortifications.With
hiswealth and
the help of Phoenician artisans, Solomon built the Temple in
Jerusalem. Seven
years went into the construction of the Temple, after which
Solomon took 13
years more to build a palace for himself. He employed a
workforce of 30,000
IsraelitestofelltreesandimporttimberfromtheforestsofLebanon.5T
hatwas
almost3,000yearsago.
FigureI.1TheGreatPyramidofCheops,anearly(circa2500BC)large
-scaleproject.
PhotocourtesyofiStock.
With later civilizations, notably the Greeks and Romans,
projects requiring
extensive planning and organizing escalated. To facilitate their
military
campaigns and commercial interests, the Romans constructed
networks of
highways and roads throughout Europe, Asia Minor, Palestine,
and northern
Africa so that all roadswould “lead toRome.”The civilizations
ofRenaissance
EuropeandtheMiddleandFarEastundertookriverengineering,const
ructionof
aqueducts,canals,dams,locks,andportandharborfacilities.Withthe
spreadof
modern religions, construction of temples, monasteries,
mosques, and massive
urbancathedralswasaddedtothelistofprojects.
With the advent of industrialization and electricity, projects for
the
construction of railroads, electrical and hydro-electrical power
facilities and
infrastructures, subways, and factories became commonplace. In
recent times,
development of large systems for communications, defense,
transportation,
research,andinformationtechnologyhavespurreddifferent,moreco
mplexkinds
ofprojectactivity.
Aslongaspeopledothings,therewillbeprojects.Manyprojectsofthef
uture
will be similar to those in the past.Otherswill be different either
in terms of
increased scale of effort or more advanced technology.
Representative of the
latter are two recent projects, the English Channel tunnel
(Chunnel) and the
International Space Station. The Chunnel required tremendous
resources and
tookadecadetocomplete.TheInternationalSpaceStation(Figure
I.2) required
developmentofnew technologiesand theeffortsof
theUS,Russian,European,
Canadian,andJapanesespaceagencies.
FigureI.2TheInternationalSpaceStation,amodernlarge-
scaleproject.
PhotocourtesyofNASA.
I.2WhatIsaProject?
From these examples it is clear that humankind has been
involved in project
activities for a long time. Butwhy are these considered
“projects”while other
humanactivities,suchasplantingandharvestingacrop,stockingawar
ehouse,
issuingpayrollchecks,ormanufacturingaproduct,arenot?
Whatisaproject?Thisisaquestionwewillcoverinmuchdetaillater.A
san
introduction though, below are listed some characteristics that
warrant
classifyinganactivityasaproject.6
1. A project has a defined goal—a purpose with well-defined
end-items,
deliverables,results,orproductstoachievespecificbenefits.
2. It is unique; it requires doing something different than was
done
previously.Itisaone-timeactivity,nevertobeexactlyrepeatedagain.
3.Itisatemporaryorganizationthatseekstoaccomplishthegoalwithi
na
scheduledtimeframe.
4. It utilizes people and other resources from different
organizations and
functions.
5.Giventhateachprojectisunique,itcarriesunfamiliarityandrisk.
The examples described earlier are for familiar kinds of projects
such as
construction(pyramids)andtechnologydevelopment(spacestation)
.Ingeneral,
the list of activities that qualify as projects is long and
includesmany that are
commonplace.Weddings,remodelingahome,andmovingtoanother
houseare
projects; so are company audits, major litigations, corporate
relocations, and
projects;andsoareeffortstodevelopnewproductsandimplementnew
systems.
Military campaigns also qualify as projects; they are temporary,
unique efforts
directedtowardaspecificgoal.TheNormandyInvasioninWorldWarI
IonJune
6,1944isanexample:
The technical ingenuity and organizational skill thatmade the
landings possiblewas staggering. The
invasionarmadaincludednearly5,000shipsofalldescriptionsprotec
tedbyanother900warships.The
plancalledforlanding150,000troopsand1500tanksontheNormandy
coastinthefirst48hours.7
Mostartisticendeavorsareprojects,too.Composingasongorsympho
ny,writing
anovel,ormakingasculptureareone-
personprojects.Someartisticprojectsalso
require the skills of engineers and builders, for exampleMount
Rushmore, the
StatueofLiberty,andtheEiffelTower.
Manyeffortsatsavinghumanlifeandrecoveringfromman-
madeornatural
disastersbecomeprojects.Examplesarethemassivecleanupfollowin
gtheSoviet
nuclear accident at Chernobyl, and rescue and recovery
operations following
disastrous earthquakes in Chile, Haiti, China, Pakistan, Mexico,
Turkey, and
elsewhere,theIndianOceantsunamiof2004,andtheEbolaoutbreakin
western
Africain2014.
Figure I.3 shows diverse project endeavors and examples of
well-known
projects,andwheretheprojectsfallwithrespecttocomplexityandunc
ertainty.
Complexity ismeasuredby themagnitudeof the effort—
thenumberof groups
and organizations involved and the diversity of skills or
expertise needed to
accomplish the work. Time and resource commitments tend to
increase with
complexity.
Uncertainty is measured roughly by the difficulty in predicting
the final
outcomeintermsofthedimensionsoftime,cost,and
technicalperformance. In
mostprojectsthereissomeuncertaintyinoneortwodimensions(e.g.w
eddings);
in complex projects there is uncertainty in all three dimensions
(e.g. the space
station).
Generally, themoreoften something is done, the lessuncertainty
there is in
doing it. This is simply because people learn by doing and so
improve their
efforts—the “learning curve” concept. Projects that are very
similar to previous
ones and about which there is abundant knowledge have lower
uncertainty.
These are found in the lower portion of Figure I.3 (e.g.
weddings, highways,
dams, system implementation). Projectswithhighuncertainty are
in theupper
portionofthefigure.
Whentheuncertaintyofaprojectdropstonearlyzero,andwhentheproj
ect
effort is repeated a large number of times, then thework is
usually no longer
considered a project. For example, building a skyscraper is
definitely a project,
but mass construction of prefabricated homes more closely
resembles a
scheduled,repetitiveoperationthanaproject.ThefirstflighttotheSo
uthPoleby
AdmiralByrdwasaproject,butmoderndailysupply flights tobases
thereare
not.WheninthefuturetouristsbegintakingcharteredexcursionstoM
ars,trips
therewillnotbeconsideredprojectseither.Theywilljustbeordinarys
cheduled
operations.
ThecostcurveinFigureI.3indicatesthataproject’sexpensetendstoin
crease
roughly in proportion to its complexity and uncertainty. Cost,
represented in
termsoftimeoreconomicvalue,isattheleveloftensorhundredsoflabo
rhours
forprojectswith lowcomplexityanduncertainty,but increases
tomillionsand
billionsofhoursforprojectswiththegreatestcomplexityanduncertai
nty.
In all cases, projects are conducted by organizations that after
the project is
completedgoontodosomethingelse(constructioncompanies)orared
isbanded
(AdmiralByrd’s crew, theMars exploration team). In contrast,
repetitive, high-
certainty activities (prefabricated housing, supply flights, and
tourist trips to
AntarcticaorMars)areperformedbypermanentorganizationsthatdo
thesame
thingrepeatedly,withlittlechangesinoperationsotherthanschedulin
g.Because
projectsarenotrepetitiveisthereasontheymustbemanageddifferentl
y.
I.3AllProjectsareNottheSame8
BesidesFigure I.3,anotherwayto illustrate thediversity inprojects
iswith the
so-calledNTCPmodel,whichclassifiesprojectsandtheirend-
resultsorproducts
intofourdimensions,eachwiththreeorfourpossiblelevels.Thedime
nsionsand
levelsare:
•Novelty: This represents how new the project end-item or
product is to
customersandpotentialusersandhowwelldefinedareitsinitialprodu
ct
requirements.Itincludesthreelevels:
FigureI.3Atypologyofprojects.
• Derivative—the project end-item or product is an extension or
improvementofanexistingproductorsystem;e.g.newfeaturesto
anexistingcarmodel;
• Platform—the end-item or product is a new generation of an
existingproduct line inawell-establishedmarket;e.g.anewcar
model;
•Breakthrough—theend-itemorproductisnewtotheworld;e.g.the
firstmobiletelephone,thefirst3MPost-itnotes.
• Technology: This represents the project’s technological
uncertainty and
whetheritisnewormature.Itaddressesthequestionofhowmuchnew
technologyisrequiredtocreate,build,manufactureandenabletheuse
of
theproductandhowmuchtechnicalcompetencyisneededbytheproje
ct
managerandtheteam.Ithasfourlevels:
•Low-tech—involvesonlywell-establishedtechnologies;
•Medium-tech—usesmainly existing technologies, but also
limited
useofsomenewtechnologyornewfeatures;e.g.automotiveand
appliancesindustries;
•High-tech—uses technologies that aremostlynew to the firmbut
already exist and are available at project initiation; typical of
manydefenseandcomputerprojects; issynonymouswith“high-
risk”;
• Super-high-tech—relies on new technologies that do not exist
at
projectinitiation.Theprojectgoaliswelldefined,butthesolution
isnot;e.g.landingamanonthemoon;isoftensynonymouswith
“veryhigh-risk.”
•Complexity:Thismeasuresthecomplexityoftheproductandtheproj
ect
organization.Therearethreelevels:
•Assembly—theprojectinvolvescombiningacollectionofelements,
components, and modules into a single unit or entity that
performsasinglefunction;e.g.developinganewcoffeemachine
or creating a department to manage a single function (such as
payroll);
•System—involvesacomplexcollectionof interactiveelementsand
subsystems that jointly perform multiple functions to meet
specificoperationalneeds;e.g.anewcar,newcomputer,entirely
newbusiness;
•Array—theprojectinvolvesalargevarietyofdispersedsystems(a
system of systems, or “super system”) that function together to
achieve a common purpose; e.g. national communications
network, mass transit infrastructure, regional power generation
anddistributionnetwork,anentirecorporation.
•Pace:Thisreferstotimeavailablefortheproject—
theurgencyorcriticality
ofmeetingtheproject’stimegoals.Therearefourlevels:
•Regular—nourgency;timeisnotcriticaltoimmediatesuccess;
• Fast/competitive—complete project in adequate time to
address
marketopportunities,createastrategicpositioning,orformanew
business unit; e.g. launching a new drug, introducing a new
productline;
•Time-critical—completeprojectbyaspecificdeadline;missingthe
deadlinemeansproject failure; e.g.Y2Kprojects; constructionof
facilities for the Olympic Games; launch of space probe to a
comet;
•Blitz—acrisisproject;thecriterionforsuccessissolvingaproblem
asfastaspossible;e.g.savepeoplefromasinkingship.
Allprojectscanbecharacterizedaccordingtothefourdimensions.InF
igure I.4,
eachofthedimensionsisrepresentedbyaquadrantonthegraph.Thedi
amond-
shaped profiles show the four dimensions for two examples, the
Apollo lunar
programandthespaceshuttleprogram.
FigureI.4ShenharandDvir’sNTCPDiamondmodelcontrastingtheA
polloandspaceshuttleprograms.
Source:ShenharA.andDvirD.ReinventingProjectManagement:Th
eDiamondApproachtoSuccessful
GrowthandInnovation.Cambridge,MA:HarvardBusinessSchoolPr
ess;2007.
I.4ProjectManagement:TheNeed
Althoughmankindhasbeeninvolvedinprojectssincethebeginningof
recorded
history, obviously the nature of projects and the environment
have changed.
Manymodernprojects involve technical complexityandchallenges
in termsof
assembling and directing large temporary organizations while
subject to
constrainedresources,limitedtimeschedules,andenvironmentalun
certainty.An
exampleistheNASAPathfinderMissiontolandandoperatearoverve
hicleon
thesurfaceofMars.Suchaprojectisunparallelednotonlyintermsofte
chnical
difficulty and organizational complexity, but also in terms of
the requirements
imposedon it. Inancient times, therequirementswereflexible. If
thePharaohs
neededmoreworkers,thenmoreslavesormoreofthegeneralpopulati
onwere
conscripted.
IfRenaissancebuildersranoutoffundingduringconstructionofa
cathedral, theworkwas stopped untilmore funds could be raised
(one reason
whycathedralstookdecadesorcenturiestocomplete).Ifakingranout
ofmoney
whilebuildingapalace,hesimplyraisedtaxes.Incaseswhereaddition
almoney
orworkerscouldnotbefoundortheprojectdelayed,thenthescaleofeff
ortor
qualityofworkmanshipwasreducedtoaccommodatetheconstraints.
In the Pathfinder project, many of the requirements were
inflexible: the
missionteamwaschallengedwithdevelopingandlandingavehicleon
Marsin
lessthan3years’timeandona$150millionbudget,whichwaslessthan
halfthe
timeand1/20ththecostofthelastprobeNASAhadlandedonMars.The
project
involvedadvancedresearchanddevelopmentandexplorednewareas
ofscience
andengineering.Technicalperformancerequirementscouldnotbeco
mpromised;
todosowouldincreasetherisktoundertakingsthatwerealreadyveryri
sky.
Constraints and uncertainty in projectwork are not restricted to
large-scale
governmental science programs. They are common in everyday
business and
technologywhereorganizationscontinuallystrivetodevelopandimp
lementnew
products, processes, and systems, and to adapt to changing
requirements in a
changing world. Consider Dalian Company’s development of
“Product J,” a
productdevelopmentprojectthatexemplifieswhatcompaniesevery
wheremust
dotobecompetitiveandsurvive.ProductJisapromisingbutradically
newidea.
Tomovetheideafromaconcepttoarealproductwillrequiretheinvolv
ementof
engineersandtechniciansfromseveralDaliandivisionsandsuppliers
.ProductJ
will require meeting tough technical challenges, launching the
product well
aheadofthecompetition,anddoingitforacostthecompanycanafford.
Another example is Shah Alam Hospital’s installation of a new
employee
benefitsplan.Theprojectwould involvedevelopingnewpolicies,
training staff
workers, familiarizing 10,000 employees with the plan, and
installing a new
computernetworkanddatabase,andrequireactiveparticipationfrom
personnel
inhumanresources,financialservice,andinformationsystems,aswel
lasexperts
from two consulting firms. It typifies “change” projects
everywhere—projects
initiated in response to changing needs andwith the goal of
transforming the
organization’swayofdoingthings.
Finally, consider that virtually every company has or will have
a website.
Behindeachsitearemultipleprojectstodeveloporenhancethewebsit
eandto
integrate electronic business technology into the company’s
mainstream
marketing and supply-chain operations. Such projects are also
examples of
organizations’ need to change, in this case to keep pace with
advances in
informationtechnologyandbusinessprocesses.
Activitiessuchastheseexamplesdefytraditionalmanagementappro
achesfor
planning, organization, and control. They are representative of
activities that
requiremodernmethodsofprojectmanagementtomeetdifficulttechn
ologicalor
market-
relatedperformancegoalsinspiteoflimitedtimeandresources.
I.5ProjectGoal:Time,Cost,andPerformance
FigureI.5Three-dimensionalprojectgoal.
Source:AdaptedfromRosenauM.,SuccessfulProjectManagement.
Belmont,CA:LifetimeLearning
Publications;1981,p,16.
The goal of virtually every project can be conceptualized in
terms of hitting a
target that floats in three-dimensional space—the dimensions
being cost, time,
andperformance(FigureI.5).Costisthespecifiedorbudgetedcostfor
theproject.
Timeisthescheduledperiodoverwhichtheworkistobedone.Perform
anceis
what the project end-item, deliverables, or final result must do;
it includes
whatever the project customer, end-user, and other stakeholders
consider
necessary or important. The target represents a goal to deliver a
certain
somethingtosomebodybyacertaindateandforacertaincost.Thepurp
oseof
projectmanagementistohitthetarget—
i.e.,toachievethegoaloftheproject.9
But technological complexity, changing markets, and an
uncontrollable
environment make it difficult to hit the target. Time, cost, and
technical
performance are interrelated, and exclusive emphasis on any
one will likely
underminetheothers.Intryingtomeetschedulesandperformancereq
uirements,
costs increase; conversely, in trying to contain costs,work
performance erodes
andschedules slip. Inearlier times,oneor twoaspectsof
thegoalweresimply
allowed to slide so that the “most fixed” could be met. Most
projects, as the
Pathfinder, Dalian Company, and Shah Alam Hospital examples
show, do not
havethisluxury.Projectmanagementoffersawaytomaintainfocuson
allthree
dimensionsandtocontrolthetradeoffsamongthem.
I.6ProjectManagement:ThePerson,TheTeam,The
Methodology
Three key features distinguish project management from
traditional forms of
management:theperson,theteam,andthemethodology.
The most prominent feature about project management is the
role of the
project manager—the individual who has overall responsibility
to plan, direct,
and integrate the efforts of everyone involved in the project
(stakeholders) to
achieve the project goal. In the role of project manager, one
person is held
accountable for the project and is totally dedicated to achieving
its goals. The
projectmanagercoordinatestheeffortsofeveryfunctionalareaandor
ganization
intheprojectandoverseestheplanningandcontrolofcosts,schedules,
andwork
tasks.Aswewilldiscusslater,numerousotherparties(stakeholders)a
reinvolved
inandcrucialtoprojectmanagement;nonetheless,theroleofprojectm
anageris
akeyfeaturethatdistinguishesproject-fromnon-
projectmanagement.
Doing a project is a team effort, and project management means
bringing
individualsandgroupstogethertoformtheteamanddirectingthemto
wardthe
commongoal.The teamwill often consist of people andgroups
fromdifferent
functional areas and organizations. Depending on the project,
the size and
composition of the team may fluctuate; usually the team
disbands after the
projectiscompleted.
The project manager and project team typically perform work in
phases
according to a “projectmanagementmethodology.”
Thismethodology provides
for integrative planning and control of projects,which according
toArchibald
refersto
thepullingtogetherofallimportantelementsofinformationrelatedto
(1)theproductsorresultsofthe
project,(2)thetime,and(3)thecost,infunds,manpower,orotherkeyr
esources…forall(orasmanyas
practical) phases of the project. [It] requires continual revision
of future plans, comparison of actual
resultswithplans,andprojectionoftotaltimeandcostatcompletionth
roughinterrelatedevaluationof
allelementsofinformation.10
Asaprojectproceedsfromonephasetothenext,theprojectmanagerrel
ieson
the methodology to (1) identify the project tasks, (2) identify
the required
resourcesandthecosts,(3)establishpriorities,(4)planandupdatesch
edules,(5)
monitorandcontrolend-
itemqualityandperformance,and(6)measureproject
performance.11
I.7ProjectManagementStandardsofKnowledgeand
Competencies
Project management has become a recognized vocation
supported by several
professionalorganizationsaroundtheworld.Theseorganizationsha
veadvanced
project management by establishing standards, guidelines, and
certifications.
Among the more well-known of these organizations are IPMA
(International
Project Management Association), APM Group (Association for
Project
Management),andPMI(ProjectManagementInstitute).ThePMIisba
sedinthe
USandisthelargestoftheseorganizations;theIPMA,basedintheNeth
erlands,
isaninternationalgroupofnationalprojectmanagementassociations
inEurope,
Africa,AsiaandNorthandSouthAmerica;theAPMisbasedintheUK.
Theseprofessionalorganizationshavegathered
theacceptedbestpracticesof
projectmanagementandpublishedthemasstandardsor“bodiesofkno
wledge”
(BOKs)andcompetenciesfortheprofession.12Althoughnoneofthes
tandardsor
BOKs covers everything about project management, they have
become
recognized norms about what minimally a project management
professional
shouldknow.Theorganizationsalsoofferlevelsofqualificationandc
ertification
that include, for example, PMI’s PMP (Project Management
Professional)
certification; APM’s APMP (APM professional), and IPMA’s
CPMA (Certified
Project Management Associate). PMI’s and APM’s
certifications are “body of
knowledge-based”; IPMA’s certifications are “competency-
based.” Another
certificationpopularinEuropeandparticularlytheUKisbaseduponP
RINCE2
(PRojectsINControlledEnvironments,Version2),amethodologyfo
rmanaging
projectsoriginatedbytheUKOfficeofGovernmentCommerce.13
Forreadersinterestedinprofessionalcertification,TablesI.1through
TableI.4
intheAppendixtothechaptershowthecorrespondencebetweenthekn
owledge
areas,competenciesexpected,andmethodsfromPMI,IPMA,APM,a
ndPRINCE,
andchaptersinthisbookmostrelevanttothem.
I.8AboutThisBook
PhilosophyandObjectives
As a philosophy and an approach, project management is
broader and more
sophisticatedthantraditionalmanagementofrepetitiveactivities.Ith
asrootsin
many disciplines, including management science, systems
theory, accounting,
operations management, organizational design, law, and applied
behavioral
science. What has evolved, and will continue to evolve, are a
philosophy,
approach, and set of practices, the sum total of which comprise
project
management.Somemanagersfailtounderstandthis,believingthatap
plicationof
techniques alone, such as “Gantt charts,” “PERT,” or
“matrixmanagement” (all
explainedlater)makeforsuccessfulprojectmanagement.Projectma
nagementis
muchmorethanthese.
C.P.Snowwroteanessayentitled“TwoCultures”abouttheculturalga
pthat
separatesscientistsfromtherestofsociety.14Managersandmanage
mentscholars
also tend to separate the world into either of two perspectives:
(1) the
“quantitativists” tend to view projects in terms of costs, dates,
and economic
variables;(2)the“behaviorists”viewprojectsintermsofpeoples’beh
avior,skills,
andattitudes,andsystemsoforganization.
The intent of this book is to give a balanced view that
emphasizes both the
behaviorist and quantitativist sides of project management. The
philosophy of
this book is that for managers to “do” project management, they
must gain
familiarity with four topical areas: system methodology;
systems development
process; managementmethods, procedures, and systems; and
organization and
human behavior; correspondingly, the objectives of this book
are to cover in
depth:
1.Theprinciplesandphilosophythatguideprojectmanagementpracti
ce.
2.Thelogicalsequenceofstagesinthelifeofaproject.
3.Themethods,procedures,andsystemsfordefining,planning,sched
uling,
controlling,andorganizingprojectactivities.
4. The organizational,managerial, and human behavioral issues
in project
management.
Inrecentyearsthescopeofprojectmanagementhasgrowntoencompa
ssmore
than the management of individual projects, recognizing that
project success
involvesmorethantheskillsandtalentofagoodprojectmanager;henc
e,afinal
objectiveofthebookistocover:
5. Responsibilities of the organization for assuring effective
project
managementandsuccessfulprojects.
OrganizationofThisBook
Beyondthisintroductorychapter,thebookisdividedintofivemainsec
tions.The
firstsectionisdevotedtothebasicconceptsofprojectmanagement.Th
issection
describes project management principles, systems
methodologies, and the
systems approach—the philosophy that underlies project
management. Also
coveredaretheoriginsandconceptsofprojectmanagement,situation
swhereit
isneeded,andexamplesofapplications.Thesecondsectiondescribes
thelogical
process in the creation and life of a system. Called the Systems
Development
Cycle,itisthesequenceofphasesthroughwhichallhuman-
madesystemsmove
frombirthtodeath.Thecycleisdescribedintermsofitsrelationtoproje
ctsand
projectmanagement.Thethirdsectionisdevotedtomethodsandproce
duresfor
planning,scheduling,costestimating,budgeting,resourceallocatio
n,controlling,
and terminatingaproject.The topicsof resourceplanning,
computerandweb-
basedprojectmanagement, andproject evaluationare also
covered.The fourth
section isdevoted toprojectorganizations, teams,and thepeople
inprojects. It
covers forms of project organization, roles and responsibilities
of project
managers and teammembers, styles of leadership, andmethods
formanaging
teamwork, conflict, and emotional stress.The last section covers
topics that lie
beyondtheprojectmanagerbutarecrucialforprojectsuccessand,mor
ebroadly,
the success of the organizations and communities that sponsor
and undertake
projects. It also covers a topic that spans most other topics in
this book but
requiresspecialattention,managingprojectsindifferentcountries.
Thefivestatedobjectivesofthisbookareroughlydividedamongchapt
ersin
thebook’sfivesections:
1.Basicconceptsandsystemsphilosophy:Chapters1and2.
2.Systemsdevelopmentandprojectlifecycle:Chapters3and4.
3.Methods, procedures, and systems for planning and
control:Chapters 5
through13.
4.Organization,management,andhumanbehavior:Chapters14throu
gh16.
5.Thecorporatecontextandinternationalprojectmanagement:Chapt
ers17
through19.
Three Appendices provide examples of topicsmentioned
throughout the book:
request for proposal (AppendixA), project proposal (Appendix
B), and project
executionplan(AppendixC).
I.9StudyProject
Thebestwaytolearnaboutprojectmanagementistoactuallyparticipa
teinitor,
failingthat,towitnessit.Attheendofeverychapterinthisbookaretwo
kinds
ofquestions:thefirstkindaretheusualchapterreviewquestions,these
condare
called“QuestionsAbouttheStudyProject.”Thelatterareintendedtob
eapplied
to a particular project of the reader’s choosing. This will be
called the “study
project.”Thepurposeofthesequestionsandthestudyprojectistohelpt
hereader
relateconceptsfromeachchaptertoreal-lifesituations.
Thestudyprojectquestionscanbeusedintwoways:
1.Forreaderswhoarecurrentlyworkinginprojectsasmanagersorproj
ect
teammembers, the questions can be related to their currentwork.
The
questions serve to increase the reader’s awareness of key issues
surroundingtheprojectandtoguidemanagersintheconductofproject
management.
2. For readerswho are currently full- or part-time students, the
questions
can be applied to “real-life” projects they are permitted to
observe and
research. Many business firms and government agencies are
happy to
allowstudentgroupstointerviewmanagersandcollectinformationab
out
theirprojects.Thoughsecondhand,thisisnonethelessanexcellentwa
yto
learnaboutprojectmanagementpractice(andmismanagement).
Assignment
Selectaprojecttoinvestigate.Itshouldbea“real”project;thatis,aproj
ectthat
hasarealpurposeandisnotcontrivedjustsoyoucaninvestigateit.Itca
nbea
current project or one already completed; whichever, it must be
a project for
whichyoucanreadilygetinformation.
Ifyouarenotcurrentlyinvolvedinaprojectasateammember,thenyou
must
find one for which you have permission to study (collect data
and interview
people)asan“outsider.”Theprojectshouldincludeaprojectteam(mi
nimumof
five people)with a project leader andbe at least 2 or 3months
induration. It
should alsohave a specific goal in termsof a target
completiondate, a budget
limit,andaspecifiedend-
itemresultorproduct.Ingenerallargerprojectsafford
betteropportunity toobserve theconceptsofprojectmanagement
than smaller
ones.
Ifyouarestudyingaprojectasanoutsideritisalsoagoodideatodoitina
teamwith three to six people and an appointed team leader (i.e.,
perform the
study using a team). This, in essence, becomes your project
team—a team
organizedforthepurposeofstudyingaproject.Youcanthenreadilyap
plymany
of the planning, organizing, team building, and other procedures
discussed
throughout the book as practice and to see how they work. This
“hands-on”
experiencewithyourownteamcombinedwithwhatyoulearnfromthe
project
you are studying, will give you a fairly accurate picture about
problems
encounteredandmanagementtechniquesusedinreal-
lifeprojectmanagement.
Appendix:RelationBetweenProfessionalStandards
andChaptersofthisBook
TableI.1PMIProjectManagementBodiesofKnowledgeandProcess
Groups
PMBOKGUIDEANDTEN
KNOWLEDGEAREAS
CHAPTERSADDRESSINGTHESE
AREAS
MOST
RELEVANT RELATED
1.Introduction 0,1 15,16
2.Organizationalinfluence&projectLife
cycle
3,14,16 1,2,4,5,13,14–
17
3.Projectmanagementprocesses 3,13
4.Projectintegrationmanagement* 4,11 2,5,9,12,14,19
5.Projectscopemanagement* 4,5,11 2,13,19
6.Projectschedulemanagement* 6,7,11 5,13,19
7.Projectcostmanagement* 8,11 19
8.Projectqualitymanagement* 9 11,13
9.Projectresourcemanagement* 6,16 7,11,14,15,19
10.Projectcommunicationsmanagement* 11,12 13,19
11.Projectriskmanagement* 10 7,11,18,19
12.Projectprocurementmanagement* 3,5 11
13.Projectstakeholderengagement* 15 1,2,3,19
14.AppendixX3:Interpersonal&
behavioralskills
16
*Knowledgearea
ProcessGroups
InitiatingProcessGroup 3,4
PlanningProcessGroup 5,6,7,8 9,10,13,19
ExecutingProcessGroup 11 13,19
MonitoringandControllingProcessGroup 11 12,13,19
ClosingProcessGroup 12
TableI.2IPMAProjectManagementCompetencies
ICB-IPMACOMPETENCE
BASELINE
CHAPTERSADDRESSINGTHESE
COMPETENCIES
MOSTRELEVANT RELATED
1.Technicalcompetencies
1.01Projectmanagementsuccess 3,5,9
1.02Interestedparties 15 1,3,19
1.03Projectrequirements&
objectives
4,5 2,11,19
1.04Risk&opportunity 10 7,11,18,19
1.05Quality 9 11,13
1.06Projectorganization 14,15 13,16,19
1.07Teamwork 16 13
1.08Problemresolution 16 2,9,10
1.09Projectstructures 5,14 1,4,8,13,15
1.10Scope&deliverables 4,5 2,3,13
1.11Time&projectphases 3,4,6,7 3
1.12Resources 5,6,7 8,11,12,14,16,18,19
1.13Cost&finance 8 -
1.14Procurement&contract 3,5 11,19
1.15Changes 11 13
1.16Control&reports 11 13,19
1.17Information&documentation 9,12
1.18Communication 11,12 19
1.19Startup 3,4 16
1.20Closeout 12
2.Behavioralcompetencies
2.01Leadership 16 15,19
2.02Engagement 15,16
2.03Self-control 16
2.04Assertiveness 16
2.05Relaxation 16
2.06Openness 16
2.07Creativity 9,10
2.08Resultsorientation 16
2.09Efficiency 5–9,11,16
2.10Consultation 5,16
2.11Negotiation 3,16
2.12Conflict&crisis 16
2.13Reliability 5–9,16
2.14Valuesappreciation 16
2.15Ethics 16
3.Contextualcompetencies
3.01Projectorientation I,1,17
3.02Programorientation 17 1
3.03Portfolioorientation 18 1
3.04Project,program&portfolio
implementation
18 17
3.05Permanentorganization 4,14,17
3.06Business 14,17–19
3.07Systems,products&technology 2,3,4 9
3.08Personnelmanagement 6,16,19
3.09Health,security,safety&
environment
3 4,10
3.10Finance 8,11,18
3.11Legal 3,19
TableI.3APMProjectManagementKnowledgeAreas
APMPQUALIFICATION37 CHAPTERSADDRESSINGTHESE
KNOWLEDGEAREAS AREAS
MOST
RELEVANT RELATED
Projectmanagementincontext
1.1Projectmanagement 1 I,17,19
1.2Programmemanagement 17 1
1.3Portfoliomanagement 18 1
1.4Projectcontext 1 2
1.5Projectsponsorship 15 19
1.6Projectoffice 17 14
Planningthestrategy
2.1Projectsuccess&benefits
management
3 9
2.2Stakeholdermanagement 15 1–3,19
2.4Projectmanagementplan 4 5–10
2.5Projectriskmanagement 10 7,11,18,19
2.6Projectqualitymanagement 9 11,13
2.7Healthandsafety 3 4,10
Executingthestrategy
3.1Scopemanagement 4,5,11 2,13,19
3.2Scheduling 6,7 5,11,13,19
3.3Resourcemanagement 5–7 8,11,12,14,16,18,
19
3.4Budgeting&costmanagement 8 11,19
3.5Changecontrol 11 13
3.6Earnedvalueanalysis 11
3.7Informationmanagement&reporting 12 19
3.8Issuemanagement 11
Techniques
4.1Requirementsmanagement 4,5 2,11,13,19
4.3Estimating 8
4.7Configurationmanagement 8 2,11
4.7Configurationmanagement 8 2,11
Businessandcommercial
5.1Businesscase 3
5.4Procurement 3,5 11
Organisationandgovernance
6.1Projectlifecycles 3 13,17
6.5Handoverandcloseout 12
6.6Projectreviews 12 9,13
6.7Organizationalstructure 14
6.8Organizationalroles 15
6.9Methodsandprocedures 17 13
6.10Governanceofprojectmanagement 17,18
Peopleandtheprofession
7.1Communication 12
7.2Teamwork 16 13
7.3Leadership 16 15,19
7.4Conflictmanagement 16
7.5Negotiating 3,16
TableI.4PRINCE2Methodology:Principles,Themes,Processes
PRINCE2
CHAPTERSADDRESSINGPRINCIPLES,
THEMES,PROCESSES
MOSTRELEVANT RELATED
1.Sevenprinciples
Continuedbusiness
justification
18
Learnfromexperience 17 4,13
Definedrolesand
responsibilities
15
Managebystages 3 2,4
Managebyexception 9
Focusonproducts 4,5,9
Tailortosuittheproject
environment
1 I,17
2.Seventhemes
Businesscase 3
Organization 5,14 1,4,8,13,15
Quality 9 11,13
Plans 5 6–10
Risk 10 7,11,18,19
Change 11 9,13
Progress 11 11,19
3.Sevenprocesses
Startingupaproject 3,4 16
Directingaproject 11 12,13,19
Initiatingaproject 3,4
Managingastage
boundary
4
Controllingastage 11
Managingproductdelivery 11
Closingaproject 12
ReviewQuestions
1. Lookatwebsites,newspapers,magazines,or television
forexamplesof
projects. Surprisingly, a great number of newsworthy topics
relate to
currentandfutureprojects,ortotheoutcomeofpastprojects.Preparea
listofthesetopics.
2.
Preparealistofactivitiesthatarenotprojects.Whatdistinguishesthe
m
from project activities? Which activities are difficult to classify
as
projectsornon-projects?
3. Because this is an introductory chapter, not verymuch has
been said
about why projects must be managed differently from ordinary
“operations,” andwhat constitutes projectmanagement—the
subject of
this book. Now is a good time to speculate about these:Why do
you
thinkprojects andnon-projectsneed
tobemanageddifferently?What
doyouthinkaresomeadditionalorspecialconsiderationsnecessaryfo
r
managingprojects?
CaseI.1TheDenverAirport15
WhentheDenverAirportprojectwasinitiatedin1989,theplanned4-
year
timeframe seemed adequate. However, despite abundant
political backing
and adequate funding, the project suffered a 16-month delay and
a $1.5
billioncostoverrun.TheNTCPmodelcanbeusedinretrospecttoexpla
in
therootcauseofmuchoftheproject’sunsatisfactoryperformance.Wi
th20-
20hindsight onemayargue that a relatively simpleNTCPanalysis
of the
projectanditssub-
projectsatanearlystage(andadjustingthemanagement
styleaccordingly)mighthavesignificantlyimprovedperformance.
Toenableaircraftturnaroundaroundinlessthan30minutesasrequest
ed
by United Airlines, one of the airport’s largest tenants, an
automated
baggage sorting andhandling systemwasnecessary to improve
efficiency
over the traditional manual handling system. In December 1991
BAE
AutomaticSystemswascontractedtodesignandimplementtheautom
ated
systeminanestimated2.5-yeartimeframe.
By August 1994 the system was 11 months late and was
severely
hamperingairportoperations.Managementdecidedtobuildanaltern
ative,
more traditional baggage system as a backup at an additional
$50million
cost, and only United would use the BAE system for its own
terminal
concourse.InJanuary1995afull-
scalepracticerunoftheBAEsystemwas
successfully executed, and in February 1995 the airport was
opened—16
monthslate.
Building the airportwasmostly a typical large construction
project; in
terms of NTCP it would be classified as follows: Novelty—
Platform;
Technology—Low-tech; Complexity—Array; Pace—
Fast/Competitive. The
snagintheprojectwasthatoneelement—theautomaticbaggage-
handling
system:itwasnewtechnologyand,thus,riskierthantherestoftheproje
ct,
ariskthatwasnotconsidered.Thesystemwasthefirstof itskind(ithad
beenusedbeforeonlyonamuchsmallerscale)andrequiredseveraldes
ign
cyclesandintensivetesting.Itthereforeshouldhavebeenconsidered“
High-
tech” andmanaged accordingly. As discussed later in the book,
high-risk
projectsneed tobemanageddifferently fromlow-
riskprojects.TheNTCP
profilesofthetotalprojectandthebaggage-
handlingsystemareillustrated
inFigureI.6.
FigureI.6“Diamond”profilesfortheDenverAirportandfortheBagga
ge-HandlingSystem.
Source:ShenharA.andDvirD.ReinventingProjectManagement:Th
eDiamondApproachto
SuccessfulGrowthandInnovation.Cambridge,MA:HarvardBusine
ssSchoolPress;2007.
QuestionsAbouttheCase
1. In what ways should High-tech projects bemanaged
differently from
Low-techones?
2. BAEAutomaticSystemsisareputablehigh-
technologycorporationand
wasfamiliarwithbuildingautomatedbaggage-
handlingsystems.What
might have convinced them to accept a schedule of 2.5 years for
designingandconstructionofthebaggage-handlingsystem?
3. If an NTCP analysis had been done and the profile of the
baggage-
handlingsystemidentified,whatshouldtheprojectmanagerhavedon
e
tohelpensureprojectsuccess?
4.
ExplainhowtheNTCPmodelmakesprovisionfor144differenttypeso
f
projects.
Endnotes
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia
Association between tobacco, alcohol and oral cancer in Southeast Asia

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Association between tobacco, alcohol and oral cancer in Southeast Asia

  • 1. PUBH6005: Epidemiology Assignment- 3 Critical Appraisal Essay Title: To find the association between use of tobacco and alcohol and head and neck/ Oral Cancer in South East Asia. Name of student: Rajwant Kaur Student ID: 00275380T Name of topic co-ordinator: Dr. Bhawna Gupta Topic: PUBH6005: Epidemiology Introduction
  • 2. The major risk factors for head and neck cancers are tobacco and alcohol consumption. Smoking and alcohol are independent risk factor for head and neck cancer. Tobacco use can be chewing tobacco, snuff and smoking tobacco. At least 75% of head and neck cancers are caused by tobacco and alcohol use (NIH 2017). In developing countries like Southeast Asia, tobacco is used in many forms along with alcohol consumptions. Areca nuts and betel leaf with or without tobacco also cause cancers Other factors also increase the vulnerability of people for cancers such as low education, low family income, poor oral hygiene and environment (Priebe et al., 2008). Awareness is virtually non-existence in the developing countries of Southeast Asia and therefore people with rising affluence tend to buy more of tobacco products and thus increase their risks for cancer. To prevent the cancers, the health organizations and health professionals should focus on educating the people through various means to quit habits of tobacco use and alcohol consumption. Regular screening is also important to detect the
  • 3. cancer at early stage (Priebe et al., 2008). Methodology Method: Three selected papers were evaluated and explained by NHMRC form, in which level of evidence, bias, confounding factors and chances, clinical impacts, applicability are defined. CASP framework with checklist that can explain or support in analyzing and justifying the questions and characteristics. Search strategy: Before commencing critical appraisal of studies, I did systematic review on our research question about identifying the association between use of tobacco and alcohol and head and neck/ Oral Cancer in South East Asia. Systematic reviews apply strategies for eliminating biases and random errors. They adhere to a scientific design for offering reliable,
  • 4. reproducible and defensible conclusions. The evidences use more rigorous methodology /designs that minimize bias. Systematic reviews incorporate results of multiple studies (Guide, 2018). The literature search covered the studies applying alternative terminologies, like the terms sed for education on cancer include Recommendation, Internet- based intervention on cancer, teletherapy, etc. Databases: The databases used in the research include (1) Cochrane Library (Cochrane Database of Systematic Reviews), (2) CINAHL Plus with full text (3) MEDLINE via PubMed (4) EBSCOhost, (5) Ovid, and (6) ProQuest. I searched 105 studies, out of which three studies are selected, which are identifies as the most compatible with the research question.
  • 5. Key words: - Search terms used in the search include: • Causes of the oral cancer, education, interventions, substance abuse adverse impact on health. • telemedicine, video conferencing, tele-CBT, Internet-assisted healthcare, telehealth • home therapy, rehabilitation, telemedicine, Government programs • teenager, youngster, adolescent of south East Asia • social issues, behavior, lifestyle, • rural, remote • efficacy, effectiveness • face-to-face, in-person care Use of Boolean Operators and Truncation I used Boolean operators (AND, OR, NOT) to expand or limit the search. For example: young AND elders, young OR old people, Internet OR mobile based, information OR discussion OR interaction. To expand or emphasize the search I used truncation (behav*, young*, educat*). Inclusion criteria Inclusion criteria are the original peer-review articles, academic research papers, Scholarly
  • 6. articles (perspective articles, opinions, reviews, documents), published in English language within last ten years. Results:- Table 1 Cross-sectional study: Epidemiological profile of head and neck cancer patients in Western Uttar Pradesh and analysis of distributions of risk factors in relation to site of tumor Critical appraisal questions Underline your answer Were the criteria for inclusion in the sample clearly defined? Yes Evidence: In this cross-sectional study, the criteria of inclusion were clearly defined as the patients (n=850) having head and neck cancers (HNC) between a particular time period. Critical appraisal questions Underline your answer
  • 7. Were the study subjects and the setting described in detail? Yes Evidence: The study subjects and setting are clearly described as to identify the differences in site, pattern and incidences of head and neck cancers in a specific geography (Western Uttar Pradesh, India). Moreover, the patients were categorized in accordance with the histopathological reports into different categories. Critical appraisal questions Underline your answer Was the exposure measured in a valid and reliable way? No Evidence: The exposure to tobacco and alcohol was not measured in valid and reliable manner. For example, there was not description of age when started, frequency and duration of
  • 8. cigarette smoking or tobacco chewing. Critical appraisal questions Underline your answer Were objective, standard criteria used for measurement of the condition? Yes Evidence: The cancers have been measured using the standard and objective criteria. For example, HNCs were classified on the basis of the anatomical sites like oral cavity, tongue, salivary gland, oropharynx or paranasal sinus. Histopathological assessment was also conducted. Critical appraisal questions Underline your answer Were confounding factors identified? Yes Evidence: In this study, the confounding factors were detected as poor socioeconomic class and low literacy which are known risk factors for cancers (Davis et al., 2002, pp 134). Critical appraisal questions Underline your answer
  • 9. Were strategies to deal with confounding factors stated? No Evidence: No strategy to deal confounding factor is stated in the study. Critical appraisal questions Underline your answer Were the outcomes measured in a valid and reliable way? Yes Evidence: The outcomes were measured in detailed manner using reliable and valid procedures. There is no bias as study is retrospective and objective, based on case history and histopathological reports. In addition, all measurements tools were appropriately used. Critical appraisal questions Underline your answer Was appropriate statistical analysis used? Yes
  • 10. Evidence: Appropriate statistical analysis methods were used. Significance P values and correlation values were determined by using valid Pearson Ch-square test (Zaccai, 2004; Health Knowledge, 2017). Reference: Alam, M. S., Siddiqui, S.A. & Perween, R. (2017). Epidemiological profile of head and neck cancer patients in Western Uttar Pradesh and analysis of distributions of risk factors in relation to site of tumor. Journal of Cancer Research and Therapeutics, 13: 430-35. doi: 10.1111/j.1349- 7006.2010.01785.x Table 2 Case-control study: Associations between oral hygiene habits, diet, tobacco and alcohol and risk of oral cancer: A case–control study from India Critical appraisal questions Underline your answer
  • 11. 1. Did the study address a clearly focused issue? Yes Evidence: This case control study addressed an important issue of association of poor oral hygiene, diet, tobacco chewing/smoking and alcohol (risk factors) with the oral cancers (outcomes). Critical appraisal questions Underline your answer 2. Did the authors use an appropriate method to answer their question? Yes Evidence: The method is appropriate to answer the question but there is possibility of biases as the patients have awareness about risk factors and diagnosis and therefore, they are motivated to recall more of risk factors. Critical appraisal questions Underline your answer 3. Were the cases recruited in an acceptable way? Yes Evidence: The cases were recruited appropriately, and the criteria of
  • 12. inclusion were clearly defined. The patients selected from two big tertiary hospitals of Pune City. All 187 patients with oral cancers were recruited irrespective of their age, sex and stages of disease. Critical appraisal questions Underline your answer 4. Were the controls selected in an acceptable way? Yes Evidence: The controls were selected in sufficient numbers (240). The controls are the patients having non-neoplastic disease, recruited within same time frame and matched in terms of sex and age with the cases. Critical appraisal questions Underline your answer 5. Was the exposure accurately measured to minimise bias? Yes Evidence: Exposure measurements were described accurately in detail that included data from face- to-face interview, questionnaire, life grid tool, exposure to tobacco, oral hygiene habit,
  • 13. anthropometry, intraoral examination and putative risk factors. Frequency, duration and cumulative effect of smoking and tobacco chewing recorded in valid and reliable manner. The cancers were measured using standard criteria (extent, type, stages, site and comorbidities. Critical appraisal questions Underline your answer 6. Aside from the experimental intervention, were the groups treated equally? Yes Evidence: Aside from the experimental intervention, both groups were equally treated to minimize any bias. Critical appraisal questions Underline your answer
  • 14. 7. Have the authors taken account of the potential confounding factors in the design and/or in their analysis? Yes Evidence: There was possibility of confounding factors like age, family income, socioeconomic status, and education which may have effect on the outcomes or increase the cancer risks (Jayalekshmi et al., 2011). The article used unconditional logistic regression model to adjust the confounding factors. Critical appraisal questions Underline your answer 8. How large was the treatment effect? Yes Evidence: The results are consistent with previous research reports and are believable. The Confidence interval 95% CIs and P value = 0.001 showing precise research. A linear dose related association was found between tobacco chewing and occurrence of oral cancer.
  • 15. Critical appraisal questions Underline your answer 9. How precise was the estimate of the treatment effect? Yes Evidence: The results are reliable and trustworthy. The results cannot be applied to Australia as the tobacco chewing is not prevalent and oral hygiene is remarkably better than India. The results are consistent with previous research reports and are believable. The Confidence interval 95% CIs and P value = 0.001 showing precise research. Critical appraisal questions Underline your answer 10. Do you believe the results? Yes Evidence: The findings are in line and consistent with the previous research findings. Regarding the results, the association between oral /oropharyngeal cancers and tobacco with alcohol is explained as potent risk factor. The novel finding is the evidence of increased risks of oral cancer when patients are chewing tobacco in presence of poor
  • 16. oral hygiene. Critical appraisal questions Underline your answer 11. Can the results be applied to the local population? No Evidence: The results cannot be applied to Australia as the tobacco chewing is not prevalent and oral hygiene is remarkably better than India. The findings are in line and consistent with the previous research findings Critical appraisal questions Underline your answer 12. Do the results of this study fit with other available evidence? Yes Evidence: The findings are in line and consistent with the previous research findings Reference: Gupta, B., Bray, F., Kumar, N. & Johnson, N.W. (2017). Associations between oral hygiene habits, diet, tobacco and alcohol and risk of oral cancer: A case–control
  • 17. study from India, Cancer Epidemiology, 51:7-14. doi.org/10.1016/j.canep.2017.09.003 Table 3 Cohort study: Oral cavity cancer risk in relation to tobacco chewing and bidi smoking among men in Karunagappally Critical appraisal questions Underline your answer Did the study address a clearly focused issue? Yes Evidence: Yes, the study addressed a clearly focused issue. This cohort study aims to analyze relationship of oral cancer with tobacco use, alcohol drinking and low socioeconomic status in the rural population that is the Karunagapally cohort of Kerala. Critical appraisal questions Underline your answer Was the cohort recruited in an acceptable way?
  • 18. Yes Evidence: Yes, the cohort recruited in an acceptable way. Virtually all residents (n= 66277) aged 30- 84 years in the cohort were recruited in Jan 1990 using Poisson regression analysis of grouped data stratified on age, calendar time, education and family income to deal with biases and confounders. Therefore, virtually all households were recruited in the cohort. Critical appraisal questions Underline your answer Was the exposure accurately measured to minimise bias? Yes Evidence: Regarding exposure, tobacco use, alcohol and socioeconomic stats were measured appropriately. The participants were asked for history of tobacco chewing (not chewing, habitually in past, habitually currently), age when they started chewing tobacco and the
  • 19. duration. Similar questions were put forward for BIDI and cigarette smokers. Thus, the bias is controlled. Critical appraisal questions Underline your answer Was the outcome accurately measured to minimise bias? Yes Evidence: Outcomes (development of cancers) were ascertained by the Cancer Registry during the long period between 1990 and 2005 under the Regional Cancer Center (RCC). Biases are minimized with accurate measurement and diagnosis of cancers. By the end of 2005, 160 men developed oral cancers. Critical appraisal questions Underline your answer Have the authors identified all important confounding factors? Yes
  • 20. Evidence: The confounding factors were identified as family income, age, calendar time and education level. Critical appraisal questions Underline your answer Have they taken account of the confounding factors in the design and/or analysis? Yes Evidence: To deal with confounding factors, stratification strategy and regression strategy were adopted. Critical appraisal questions Underline your answer Was the follow up of subjects complete enough? Yes Evidence: The follow up was complete and long enough from 1990 to 2005. Migrants were identified from door to door monitoring survey. Only 0.7% participants
  • 21. were lost due to permanent migrations. Critical appraisal questions Underline your answer Was the follow up of subjects long enough? Yes Evidence: The follow up was complete and long enough from 1990 to 2005 (15 years long). Migrants were identified from door to door monitoring survey. Critical appraisal questions Underline your answer What are the results of this study? Yes Evidence: Results show that tobacco chewing increases risk of cancers of gums and mouth among people who keeps tobacco in the cheek. In addition, even pan with or without tobacco causes oral cancer Bidi smoking also increases risk for cancers. Critical appraisal questions Underline your answer How precise are the results? Yes
  • 22. Evidence: Results are precise with use of appropriate methodologies and statistical analysis. Cancers at different sites in oral cavity are examined for risk factors. For example, risk of tongue cancer is related with duration of bidis smoking (RR =3.4, 95% CI and p=0.034). P value is 0.001 and CI is 95% Confidence interval shows the precision of the study Critical appraisal questions Underline your answer Do you believe the results? Yes Evidence: Results are believable as the study sample is large and study duration in long enough. The methods are appropriate without bias and confounders. Critical appraisal questions Underline your answer Can the results be applied to the local population? Yes Evidence: The results can be partially applied to local Australian population where smoking is prevalent. However, Pan and tobacco chewable products
  • 23. (smokeless tobacco) are not prevalent. Critical appraisal questions Underline your answer Do the results of this study fit with other available evidence? Yes Evidence: The results of this study are supported by most of the articles in literature. Alam et al. (2017) also found the tobacco use as important risk factor for cancer in the oral cavity. Critical appraisal questions Underline your answer What are the implications of this study for practice? Yes Evidence: Regarding implication, the nurses and social workers should educate the people regarding the harmful impact of tobacco and alcohol in causing cancers.
  • 24. In vulnerable patients with habits of tobacco use, a complete screening should be done at regular interval to detect early cancers. Smokeless tobacco (chewing) is equally harmful. Reference: Jayalekshmi, P.A., Gangadharan, P., Akiba, S., Koriyama, C. & Nair, R.R.K. (2011). Oral cavity cancer risk in relation to tobacco chewing and bidi smoking among men in Karunagappally, Kerala, India: Karunagappally cohort study. Cancer Sci, 102:460-467. doi: 10.1111/j.1349- 7006.2010.01785.x Discussion:- Article 1: Cross-sectional study authored by Alam et al. (2017, pp. 430-435). In this cross-sectional study, the criteria of inclusion were clearly defined as the patients (n=850)
  • 25. having head and neck cancers (HNC) between a particular time period. Study subject and setting are clearly described as to identify the differences in site, pattern and incidences of head and neck cancers in a specific geography (Western Uttar Pradesh, India). The patients were categorized according to the histopathological reports into different categories. Exposure to tobacco and alcohol was not measured in valid and reliable manner. For example, there was not description of age when started, frequency and duration of cigarette smoking or tobacco chewing. The cancers have been measured using the standard and objective criteria. For example, HNCs were classified on the basis of the anatomical sites like oral cavity, tongue, salivary gland, oropharynx or paranasal sinus. Histopathological assessment was also conducted. In this study, the confounding factors were detected as poor socioeconomic class and low literacy which are known risk factors for cancers (Davis et al., 2002, pp 134). However, no strategy to deal confounding factor is stated in the study. Appropriate statistical analysis methods were used. Significance
  • 26. P values and correlation values were determined by using valid Pearson Ch-square test. Outcomes were measured in detailed manner using reliable and valid procedures. There is no bias as study is retrospective and objective, based on case history and histopathological reports. In addition, all measurements tools were appropriately used. Chance or sample error is minimal as the sample size and time span were large enough to represent the population (Zaccai, 2004; Health Knowledge, 2017). The result of the study showed that maximum cases of HNC are between 40-60 years of age. Tobacco smoking and tobacco chewing are most prevalent risk factors. Alcohol alone is an insignificant risk factor, but it has synergistic effect with tobacco use in causing buccal mucosa cancers. The results are generalizable as the study is rigorous with large sample size and research design. Article 2: Case control study authored by Gupta et al. (2017) This case control study addressed an important issue of association of poor oral hygiene, diet,
  • 27. tobacco chewing/smoking and alcohol (risk factors) with the oral cancers (outcomes). The method is appropriate to answer the question but there is possibility of biases as the patients have awareness about risk factors and diagnosis and therefore, they are motivated to recall more of risk factors. The disadvantage is that the findings are dependent on the memory of the patients. The cases were recruited appropriately, and the criteria of inclusion were clearly defined. The patients selected from two big tertiary hospitals of Pune City. All 187 patients with oral cancers were recruited irrespective of their age, sex and stages of disease. The controls were selected in sufficient numbers (240). The controls are the patients having non-neoplastic disease, recruited within same time frame and matched in terms of sex and age with the cases. Thus, there is no evidence of selection biases. Exposure measurements were described accurately in detail that included data from face-to-face
  • 28. interview, questionnaire, life grid tool, exposure to tobacco, oral hygiene habit, anthropometry, intraoral examination and putative risk factors. Frequency, duration and cumulative effect of smoking and tobacco chewing recorded in valid and reliable manner. The cancers were measured using standard criteria (extent, type, stages, site and comorbidities. Both groups were equally treated to minimize any bias. There was possibility of confounding factors like age, family income, socioeconomic status, and education which may have effect on the outcomes or increase the cancer risks (Jayalekshmi et al., 2011). The article used unconditional logistic regression model to adjust the confounding factors. Regarding the results, the association between oral /oropharyngeal cancers and tobacco with alcohol is explained as potent risk factor. The novel finding is the evidence of increased risks of oral cancer when patients are chewing tobacco in presence of poor oral hygiene. The results are consistent with previous research reports and are believable. The Confidence
  • 29. interval 95% CIs and P value = 0.001 showing precise research. A linear dose related association was found between tobacco chewing and occurrence of oral cancer. The results are reliable and trustworthy. The results cannot be applied to Australia as the tobacco chewing is not prevalent and oral hygiene is remarkably better than India. The findings are in line and consistent with the previous research findings (Alam et al 2017) Article 3: Cohort Study Authored by Jayalekshmi et al. (2011) This cohort study aims to analyze relationship of oral cancer with tobacco use, alcohol drinking and low socioeconomic status in the rural population that is the Karunagapally cohort of Kerala. Virtually all residents (n= 66277) aged 30-84 years in the cohort were recruited in Jan 1990 using Poisson regression analysis of grouped data stratified on age, calendar time, education and family income to deal with biases and confounders. Therefore, virtually all households were recruited in the cohort.
  • 30. Regarding exposure, tobacco use, alcohol and socioeconomic stats were measured appropriately. The participants were asked for history of tobacco chewing (not chewing, habitually in past, habitually currently), age when they started chewing tobacco and the duration. Similar questions were put forward for BIDI and cigarette smokers. Thus, the bias is controlled. Outcomes (development of cancers) were ascertained by the Cancer Registry during the long period between 1990 and 2005 under the Regional Cancer Center (RCC). Biases are minimized with accurate measurement and diagnosis of cancers. By the end of 2005, 160 men developed oral cancers. The confounding factors were identified as family income, age, calendar time and education level. To deal with confounding factors, stratification strategy and regression strategy were adopted. The follow up was complete and long enough from 1990 to 2005. Migrants were identified from door to door monitoring survey. Only 0.7% participants were lost due to
  • 31. permanent migrations. Results show that tobacco chewing increases risk of cancers of gums and mouth among people who keeps tobacco in the cheek. In addition, even pan with or without tobacco causes oral cancer Bidi smoking also increases risk for cancers. Results are precise with use of appropriate methodologies and statistical analysis. Cancers at different sites in oral cavity are examined for risk factors. For example, risk of tongue cancer is related with duration of bidis smoking (RR =3.4, 95% CI and p=0.034). P value is 0.001 and CI is 95% Confidence interval shows the precision of the study. Results are believable as the study sample is large and study duration in long enough. The methods are appropriate without bias and confounders. The results can be partially applied to local Australian population where smoking is prevalent. However, Pan and tobacco chewable products (smokeless tobacco) are not prevalent. The results of this study are supported by most of the articles in literature. Alam et al. (2017) also found the tobacco use as important risk factor
  • 32. for cancer in the oral cavity. Regarding implication, the nurses and social workers should educate the people regarding the harmful impact of tobacco and alcohol in causing cancers. In vulnerable patients with habits of tobacco use, a complete screening should be done at regular interval to detect early cancers. Smokeless tobacco (chewing) is equally harmful. Discussion on bias, confounding factors and chances Bias is a systematic error that should be minimized by proper selection of the cases and proper measurement. Bias does not disqualify the study. Research studies can have pitfall called Confounding which arises when the risk factor and the outcome both are associated with a third variable which creates a confusion. To avoid confounding, the control should be the subject who might have been the cases but are independent of the exposure. Confounding can be prevented by randomization, restriction and matching. Confounding can be adjusted during statistical
  • 33. analysis by using stratified analysis and multivariate analysis techniques. Stratification is the best technique to avoid confounding as used by Jayalekshmi et al. (2011). Regression is also effective technique for confounding as used by Gupta et al. (2017). Chance is a sample error that should be dealt by recruiting a large sample (Zaccai, 2004). Conclusion:- The paper concluded that tobacco consumption in any form is injurious to health as it is the major independent risk factor for head and neck cancers. Alcohol acts as synergy with tobacco by facilitating carcinogen uptake to the tissues. People in the Southeast Asia have generally low education and poor socioeconomic status. People in remote villages and even in urban areas have unhealthy lifestyle that increase the risks for cancers. The health organization should intensify their mission of educating the people in order to control the cancers.
  • 34. References:- Alam, M. S., Siddiqui, S.A. & Perween, R. (2017). Epidemiological profile of head and neck cancer patients in Western Uttar Pradesh and analysis of distributions of risk factors in relation to site of tumor. Journal of Cancer Research and Therapeutics, 13: 430-35. doi: 10.1111/j.1349- 7006.2010.01785.x Davis, T. C., Williams, M.V., Marin, E., Parker, R.M. & Glass J. (2002). Health literacy and cancer communication. CA: A Cancer Journal for Clinicians, 52(3):134-49. Guide: University of Canberra (2018). Evidence-based practice in health: Guide. Retrieved from https://canberra.libguides.com/c.php?g=599346&p=4149721>.
  • 35. Gupta, B., Bray, F., Kumar, N. & Johnson, N.W. (2017). Associations between oral hygiene habits, diet, tobacco and alcohol and risk of oral cancer: A case–control study from India, Cancer Epidemiology, 51:7-14. doi.org/10.1016/j.canep.2017.09.003 Health Knowledge (2017). Errors in epidemiological measurements. Retrieved from <https://www.healthknowledge.org.uk/e- learning/epidemiology/practitioners/errors- epidemiological-measurements>. Jayalekshmi, P.A., Gangadharan, P., Akiba, S., Koriyama, C. & Nair, R.R.K. (2011). Oral cavity cancer risk in relation to tobacco chewing and bidi smoking among men in Karunagappally. Kerala, India: Karunagappally cohort study. Cancer Science, 102:460-467. doi: 10.1111/j.1349- 7006.2010.01785.x National Cancer Institute (NIH) (2017). Head and Neck Cancers. Retrieved from <https://www.cancer.gov/types/head-and-neck/head-neck-fact- sheet>. Priebe, S. L., Aleksejuniene, J., Dharamsi, S. & Zed, C. (2008). Oral cancer and cultural factors in
  • 36. Asia. The Canadian Journal of Dental Hygiene, 42(6):291-293 Zaccai, J.H. (2004). How to assess epidemiological studies: Review. The Canadian Journal of Dental Hygiene, 80(941):140–147. doi: 10.1136/pgmj.2003.012633. Powered by TCPDF (www.tcpdf.org)Powered by TCPDF (www.tcpdf.org) http://www.tcpdf.org ProjectManagementforEngineering, BusinessandTechnology FIFTHEDITION Project Management for Engineering, Business and Technology, 5th edition, addresses projectmanagement across all industries. First covering the essential background,fromoriginsandphilosophytomethodology,thebulkoft hebookis dedicatedtoconceptsandtechniquesforpracticalapplication.Cover ageincludes projectinitiationandproposals,scopeandtaskdefinition,scheduling ,budgeting,
  • 37. risk analysis, control, project selection and portfolio management, program management, project organization, and all-important “people” aspects—project leadership,teambuilding,conflictresolutionandstressmanagement . The Systems Development Cycle is used as a framework to discuss project managementinavarietyofsituations,makingthisthego- tobookformanaging virtually any kind of project, program or task force. The authors focus on the ultimate purpose of project management—to unify and integrate the interests, resources, and work efforts of many stakeholders, as well as the planning, scheduling,andbudgetingneededtoaccomplishoverallprojectgoals . Thisneweditionfeatures: • Updates throughout to cover the latest developments in project managementmethodologies • New examples and 18 new case studies to help students develop their understandingandputprinciplesintopractice •Anewchapteronagileprojectmanagementandlean • Expanded coverage of program management, stakeholder engagement, buffermanagement,andmanagingvirtualteamsandculturaldifferen ces ininternationalprojects.
  • 38. •Alignmentwith PMBOK terms anddefinitions for ease of use alongside PMIcertifications •Cross-referencetoIPMA,APM,andPRINCE2methodologies •Extensive instructor supportmaterials, including an Instructor’sManual, PowerPoint slides, answers to chapter review questions, problems and cases,andatestbankofquestions. Taking a technical yet accessible approach, Project Management for Business, EngineeringandTechnology,5thedition, isan ideal resourceandreference for all advanced undergraduate and graduate students in project management coursesaswellasforpracticingprojectmanagersacrossallindustryse ctors. John Nicholas, PhD, is Professor of Operations Management at Loyola University,Chicago,USA. Herman Steyn, PhD, is a Professor in the Graduate School of Technology Management,UniversityofPretoria,SouthAfricawherehespecializ esinproject management.
  • 39. “AsaProfessorwhohastaughtProjectEngineeringforthelast14years ,Ihavealsoperformedlarge scaleProjectEngineeringthroughoutmyfirstcareer(over20years)in Aerospace,Defenseand InformationTechnology.Whendecidingonatextbookformygraduat eProjectEngineeringclass,I lookedlongandhard.Iwasn’tfindingwhatIwaslookingforandwasgo ingtowritemyown,untilI foundProjectManagementforEngineering,BusinessandTechnolog y.ThisisthetextbookIwouldhave written.Itisrobust,completeandeasytofollow.Thegraphics,chartsa ndfiguresareallverydescriptive andreal.Andmystudentslikethepaperbacknatureofthebook.Ihighly recommendthistextbookfor anyoneteachingEngineering,BusinessorTechnologyProjectManag ement/Engineering.Ialso recommenditasa‘keeper’forstudentswhowillbeguidingprojectsint hefuture.” MarkCalabrese,UniversityofCentralFlorida,USA “Thepublicationofthe5theditionofProjectManagementforEnginee ring,BusinessandTechnologyby JohnNicholasandHermanSteynisanimportantmilestoneinacontinu ingconversationbetweenthe authorsandthecurrentandfuturepractitionersofprojectmanagement aroundtheworld.Thisbookhas longbeenacomprehensivebutaccessiblepublicationthatprovidesva luableinsightsintothestrategic andday- todaymanagementofprojectsbothlargeandsmall.Therearenumerou spublicationsinthis fieldbutNicholasandSteynhavefoundthebalancebetweentheneeds ofexperiencedpractitioners lookingforwaystoimproveprojectoutcomes,andtheneedsofstudent swhoarenewtotheproject
  • 40. managementfield.Theconceptsareclearlyandlogicallylaidout,andt helanguageisappropriatefora widerangeofaudiences.Itcontinuestobeabenchmarkinacrowdedfie ldofpublicationsofferingboth practicalandstrategicinsightsintotheartandcraftofprojectmanage ment.” BarrieTodhunter,UniversityofSouthernQueensland,Australia “IhavebeenusingtheearliereditionsofthisbookinmyProjectManage mentteachingtoworking executivesofamajorengineeringcompanyemployingcloseto40000 peopleinvarioustypesofprojects. Ihaveevaluatedthecurrent5theditionofthebookfromtheperspective of(a)ateachingresource(b) studymaterialand(c)asaresourceforcasestudiesandreferences.Ifin dthatthe5theditionhasbeen thoroughlyrevampedandincorporatesseveralrelevantresourcesand ispresentedinaverylucidand structuredway.Ihaveabsolutelynohesitationinrecommendingthisb ookasastandardresourcefor teachingstudentsinauniversitysetupand/orforworkingexecutivesi naprojectenvironment.The bookisalsoagoodresourceasastudymaterialforcertificationcourses .” KrishnaMoorthy,Ex- Dean,Larsen&ToubroInstituteofProjectManagement,India “ProjectManagementforEngineering,BusinessandTechnologyiso neofthemostcomprehensive textbooksinthefield.NicholasandSteynexplainthematterinareadab leandeasy-to-understandway, illustratedwithinterestingexamples.Theauthorscombinethe‘hard matter’ofprojectmanagementwith relevantbehaviouralaspects.Overall,ausefulworkforanyonenewto
  • 44. BriefContents Introduction PARTI:PHILOSOPHYANDCONCEPTS 1WhatIsProjectManagement? 2SystemsApproach PARTII:PROJECTLIFECYCLE 3ProjectLifeCycleandProjectConception 4ProjectDefinitionandSystemDefinition PARTIII:SYSTEMSANDPROCEDURESFORPLANNINGANDC ONTROL 5BasicProjectPlanningTechniques 6ProjectSchedulePlanningandNetworks 7AdvancedProjectNetworkAnalysisandScheduling 8CostEstimatingandBudgeting 9ProjectQualityManagement 10ProjectRiskManagement 11ProjectExecution,Monitoring,andControl 12ProjectEvaluation,Communication,Implementation,andCloseo ut 13AgileProjectManagementandLean PARTIV:ORGANIZATIONBEHAVIOR 14ProjectOrganizationStructureandIntegration 15ProjectRolesandStakeholders 16ManagingParticipation,Teamwork,andConflict PARTV:PROJECTMANAGEMENTINTHECORPORATECONTE XT 17Meta-ManagementofProjectsandProgramManagement
  • 46. I.9StudyProject Appendix: Relation Between Professional Standards and ChaptersofThisBook ReviewQuestions CaseI.1TheDenverAirport QuestionsAbouttheCase kindle:embed:0007?mime=image/jpg Endnotes PARTI:PHILOSOPHYANDCONCEPTS 1WhatIsProjectManagement? 1.1FunctionsofManagement 1.2FeaturesofProjectManagement 1.3EvolutionofProjectManagement 1.4WhereisProjectManagementAppropriate? 1.5ManagementbyProject:ACommonApproach 1.6DifferentFormsofProject-RelatedManagement 1.7ProjectEnvironments 1.8NewProductandSystemsDevelopmentProjects 1.9ConstructionProjects 1.10Service-SectorProjects 1.11 Public-Sector and Governmental Projects and Programs 1.12MiscellaneousProjects 1.13Summary ReviewQuestions QuestionsAbouttheStudyProject Case1.1DisasterRecoveryatMarshallField’s Case 1.2 Flexible Benefits System Implementation at ShahAlamMedicalCenter Endnotes
  • 47. 2SystemsApproach 2.1SystemsandSystemsThinking 2.2SystemsConceptsandPrinciples 2.3SystemsApproach 2.4SystemsEngineering 2.5ProjectManagement:ASystemsApproach 2.6Summary ReviewQuestions QuestionsAbouttheStudyProject Case2.1GladesCountySanitaryDistrict Case 2.2 Life and Death of an Aircraft Development Project Case2.3JubileeLineExtensionProject Case2.4SantaClaraCountyTrafficOperationsSystem andSignalCoordinationProject Endnotes PARTII:PROJECTLIFECYCLE 3ProjectLifeCycleandProjectConception 3.1ProjectLifeCycle 3.2SystemsDevelopmentCycle 3.3PhaseA:Conception 3.4ProjectFeasibility 3.5TheProjectProposal 3.6ProjectContracting 3.7Summary Appendix:KindsofContracts ReviewQuestions QuestionsAbouttheStudyProject
  • 48. Case3.1WestCoastUniversityMedicalCenter Case3.2X-PhilesDataManagementCorporation:RFP Matters Case3.3ProposalEvaluationforApolloSpacecraft Case3.4ContractMess-UpatPolanskiDevelopers Endnotes 4ProjectDefinitionandSystemDefinition 4.1PhaseB:Definition 4.2ProjectDefinition 4.3Phased(RollingWave)ProjectPlanning 4.4SystemDefinition 4.5Summary AppendixA:StagesofSystemsEngineering AppendixB:QualityFunctionDeployment ReviewQuestions QuestionsAbouttheStudyProject Case 4.1 Star-Board Construction and Santaro Associates:RequirementsSnafu Case 4.2 Revcon Products and Welbar, Inc.: Client– ContractorCommunication Case 4.3 Lavasoft.com: Interpreting Customer Requirements Case 4.4 Proposed Gold Mine in Canada: Phased ProjectPlanning Endnotes PART III: SYSTEMS AND PROCEDURES FOR PLANNING AND CONTROL 5BasicProjectPlanningTechniques
  • 49. 5.1PlanningSteps 5.2TheProjectExecutionPlan 5.3ScopeandStatementofWork 5.4WorkDefinition 5.5ProjectOrganizationandResponsibilities 5.6Scheduling 5.7PlanningandSchedulingCharts 5.8LineofBalance(LinearSchedulingMethod) 5.9ProcurementManagement 5.10Summary ReviewQuestions QuestionsAbouttheStudyProject Case5.1BarrageConstructionCompany:Sean’sWBS Case5.2StartrekEnterprises,Inc.:Deva’sProjectPlan Case5.3Walter’sProjectPlan Case 5.4 Planning the Boca Implementation at KulczyńskiProducts Endnotes 6ProjectSchedulePlanningandNetworks 6.1NetworkDiagrams 6.2TheCriticalPath 6.3ConvertingtoGanttCalendarSchedules 6.4ManagementScheduleReserve 6.5AlternativeRelationships 6.6SchedulingwithResourceConstraints 6.7CriticismsofNetworkMethods 6.8Summary AppendixA:AOADiagrams Appendix B: Alternate Scheduling Method: Project StartsatDay1
  • 50. ReviewQuestionsandProblems QuestionsAbouttheStudyProject Case 6.1 Network Diagram for a Large Construction Project Case6.2MelbourneConstructionCompany,A Case6.3MelbourneConstructionCompany,B Case6.4MelbourneConstructionCompany,C Endnotes 7AdvancedProjectNetworkAnalysisandScheduling 7.1CPMandTime-CostTradeoff 7.2VariabilityofActivityDuration 7.3PERT 7.4 Allocating Resources and Multiple Project Scheduling 7.5TheoryofConstraintsandCriticalChainMethod 7.6TOCMethod forAllocatingResources toMultiple Projects 7.7DiscussionandSummary SummaryListofSymbols ReviewQuestionsandProblems QuestionsAbouttheStudyProject Case7.1BridgeconContractors Case7.2LOGONProject Case7.3PapuaPeteraVillageProject Endnotes 8CostEstimatingandBudgeting 8.1CostEstimates 8.2CostEscalation 8.3 Cost Estimating and the Systems Development
  • 51. Cycle 8.4CostEstimatingProcess 8.5ElementsofEstimatesandBudgets 8.6ProjectCostAccountingSystems 8.7BudgetingUsingControl(orCost)Accounts 8.8CostSummaries 8.9CostSchedulesandForecasts 8.10LifeCycleCosts 8.11Summary ReviewQuestionsandProblems QuestionsAbouttheStudyProject Case 8.1 Life Cycle Costs for Fleet of Tourist Spaceships Case8.2EstimatedCostsfortheChunnelProject Case8.3Fiona’sEstimatefortheGorgyProject Case8.4MelbourneConstructionCompany,D Endnotes 9ProjectQualityManagement 9.1TheConceptofQuality 9.2ProjectQualityManagementProcesses 9.3 Techniques for Quality Assurance in System Development 9.4TechniquesforQualityControl 9.5Summary ReviewQuestions QuestionsAbouttheStudyProject Case9.1CeilingPanelCollapseintheBigDigProject Case9.2FIFA2010WorldCupSouthAfrica Case9.3AirbagAdversity Endnotes 10ProjectRiskManagement
  • 53. ReviewQuestionsandProblems QuestionsAbouttheStudyProject Case11.1CybersonicProject Case11.2SAGoldMine:EarnedValueAfter aScope Change Case 11.3 Change Control Process at Dynacom Company Endnotes 12 Project Evaluation, Communication, Implementation, andCloseout 12.1ProjectEvaluation 12.2ProjectCommunicationManagement 12.3ProjectManagementInformationSystems 12.4InformalCommunication 12.5ImplementationStage 12.6ProjectTerminationandCloseout 12.7ProjectSummaryEvaluation 12.8AftertheProject—PhaseD:Operation 12.9Summary ReviewQuestions QuestionsAbouttheStudyProject Case12.1StatusReportfortheLOGONProject Case12.2SLUInformationCentralBuilding Case12.3FormalandInformalCommunication Endnotes 13AgileProjectManagementandLean 13.1TraditionalProjectManagement 13.2AgileProjectManagement,APM 13.3Scrum
  • 54. 13.4APMControversy 13.5LeanProductionandProjectManagement 13.6Summary ReviewQuestions QuestionsabouttheStudyProject Case13.1GrandEntryforAccent,Inc. Case13.2TechnologytoTrackStolenVehicles Endnotes PARTIV:ORGANIZATIONBEHAVIOR 14ProjectOrganizationStructureandIntegration 14.1FormalOrganizationStructure 14.2 Organizational Design by Differentiation and Integration 14.3RequirementsofProjectOrganizations 14.4IntegrationofSubunitsinProjects 14.5LiaisonRoles,TaskForces,andTeams 14.6ProjectExpeditorsandCoordinators 14.7PureProjectOrganizations 14.8MatrixOrganizations 14.9SelectinganOrganizationFormforProjects 14.10ProjectOfficeandPMO 14.11IntegrationinLarge-ScaleProjects 14.12IntegrationinSystemsDevelopmentProjects 14.13ConcurrentEngineering 14.14Summary ReviewQuestions QuestionsabouttheStudyProject Case14.1OrganizationfortheLOGONProject Case 14.2 Pinhole Camera and Optics, Inc.:Why Do WeNeedaProjectManager?
  • 55. Case14.3ImplementingaMatrixStructureinanR&D Laboratory Endnotes 15ProjectRolesandStakeholders 15.1TheProjectManager 15.2ProjectManagementAuthority 15.3ProjectManagerQualifications 15.4FillingtheProjectManagementRole 15.5RolesintheProjectTeam 15.6RolesOutsidetheProjectTeam 15.7ProjectStakeholderEngagement 15.8Summary ReviewQuestions QuestionsAbouttheStudyProject Case15.1TheLOGONProject Case 15.2 Selecting a Project Manager at Nuwave ProductsCompany Case15.3StakeholdersinBoston’sBigDig Endnotes 16ManagingParticipation,Teamwork,andConflict 16.1LeadershipinProjectManagement 16.2ParticipativeManagement 16.3TeamsinProjectManagement 16.4TheTeam-BuildingApproach 16.5ImprovingOngoingWorkTeams 16.6BuildingNewTeams 16.7IntergroupProblemSolving 16.8VirtualTeams 16.9Conflict
  • 56. 16.10ManagingGroupConflict 16.11ManagingEmotionalStress 16.12Summary ReviewQuestions QuestionsAbouttheStudyProject Case16.1WilmaKeith Case16.2MarsClimateOrbiterSpacecraft Endnotes PART V: PROJECT MANAGEMENT IN THE CORPORATE CONTEXT 17Meta-ManagementofProjectsandProgramManagement 17.1 Project Management Maturity and Maturity Models 17.2ProjectManagementMethodology 17.3ManagingProjectKnowledge 17.4ProjectManagementOffice 17.5ProgramManagement 17.6ProgramPhases 17.7ProgramManagementThemes 17.8ProgramOrganization 17.9SpecialConsiderations 17.10Summary ReviewQuestions QuestionsAbouttheStudyProject Case17.1MaximCorporationAmerica(MCA) Case 17.2 Motorola’s M-Gate Methodology and the RAZRProject Case17.3TecknokratCompany Case17.4MercuryExplorationProgram Endnotes
  • 57. 18ProjectSelectionandPortfolioManagement 18.1ProjectPortfolioManagement 18.2 Framework for Project Selection and Portfolio Management 18.3MethodsforAssessingIndividualProjects 18.4MethodsforComparingandSelectingProjects 18.5 Integrating the Gating Process and Portfolio Management 18.6SummaryandDiscussion ReviewQuestionsandProblems QuestionAbouttheStudyProject Case18.1ConsolidatedEnergyCompany Case18.2ProposedCementFactoryforPCSCompany Endnotes 19InternationalProjectManagement 19.1InternationalProjects 19.2ProblemsManagingInternationalProjects 19.3LocalInstitutionsandCulture 19.4LocalStakeholders 19.5Geo-NationalIssues 19.6ProjectManager 19.7LocalRepresentative 19.8TopManagement,SteeringCommittee,andPMO 19.9TeamandRelationshipBuilding 19.10ProjectDefinition 19.11ProjectMonitoring 19.12Communication 19.13RisksandContingencies 19.14Summary
  • 58. ReviewQuestions QuestionsAbouttheStudyProject Case 19.1 Mozal Project—International Investment in anUndevelopedCountry Case19.2SpiritElectronics’PuertoRicoOffice Endnotes APPENDIXARFPforMidwestParcelDistributionCompany APPENDIXBProposalforLogisticalOnlineSystemProject(LOGO N) APPENDIXCProjectExecutionPlanforLogisticalOnlineSystem Index Preface When people see or use something impressive—a bridge arching high over a canyon,aspaceprobetouchingdownonadistantplanet,ananimatedg ameso realistic you think you’re there, or a nifty phone/camera/computer the size of yourhand— theysometimeswonder,“Howdidtheydothat?”Bythey,ofcourse, theyarereferringtothecreators,designers,andbuilders,thepeoplew hocreated —thoughtupandmade— thosethings.Seldomdotheywonderabouttheleaders andmanagers, thepeoplewhoorganizedand led theefforts thatbrought those astounding things from concept to reality andwithout whommost neat ideas would never have been achieved. This book is about them—the managers of project managers, the mostly unsung heroes of engineering,
  • 59. business, and technologywho standoutside thepublic eyebutultimately are responsible for practicallyeverythingthatrequirescollectivehumaneffort. The projectmanager is but one ofmany people involved in the creation of society’sproducts,systems,andartifacts,yetit isheorshewhogetstheothers involved and organizes and directs their efforts so everything comes out right. Occasionally, themanager and the creator happen to be the same:BurtRutan, WoodyAllen,andGutzonBorglumareexamples; their lifework— inaerospace, motion pictures, and monumental sculptures, respectively— represent not only creativeortechnologicalgenius,butleadershipandmanagerialtalent aswell. In the last several decades businesses have expanded from domestic, nationalistic enterprises andmarkets intomultinational, global enterprises and markets.Asaresult, fromabusinessperspectivethere ismoreofeverythingto contend with—more ideas, competitors, resources, constraints, and, certainly, more people doing andwanting things. Technology is advancing and products andprocessesevolvingatamorerapidpace;asaresult, the lifecyclesofmost thingsinsocietyaregettingshorter.This“moreofeverything”hashad adirect impact on the conduct of projects—including projects to develop products,
  • 60. systems,orprocessesthatcompeteinlocal,domestic,andinternation almarkets; projects to create and implement new ways of meeting demand for energy, recreation, housing, communication, transportation, and food; and projects to answer basic questions in science and resolve grave problems such as disease, pollution, global warming, and the aftermath of natural disasters. All of this project activity has spurred a growing interest in improved ways to plan, organize,andguideprojectstobettermeettheneedsofcustomers,mar kets,and societywithintheboundsoflimitedtimeandresources. Associatedwiththisinterestisthegrowingneedtoeducateandtrainpr oject managers. In thepast—and still today—projectmanagerswere chosen for some demonstratedexceptionalcapability,althoughnotnecessarilymana gerial.Ifyou were a good engineer, systems analyst, researcher, architect, or accountant, eventually you would become a project manager. Somewhere along the way, presumably, you would pick up the “other” necessary skills. The flaw in this reasoning is that project management encompasses a broad range of skills— managerial, leadership, interpersonal—that are much different from and independent of skills associated with technical competency. And
  • 61. there is no reason to presume that the project environment alone will provide the opportunityforsomeoneto“pickup”theseothernecessaryskills. Asatextandhandbook,thisbookisaboutthe“right”waytomanagepro jects. Itisintendedforadvancedundergraduateandgraduateuniversitystud entsand practicingmanagersinengineering,business,andtechnology.Asthet itlesays,it isabookaboutprinciplesandpractice,meaningthatthetopicsinitarep ractical and meant to be applied. It covers the big picture of project management— origins,applications,andphilosophy,aswellas thenitty-gritty,how- tosteps. It describes the usual project management topics of schedules, budgets, and controls, but also the human side of projectmanagement, including leadership andconflict. Why a book on project management in engineering and business and technology? In our experience, technology specialists such as engineers, programmers, architects, chemists, and so on, involved in “engineering/technology projects” often have little or no management or leadershiptraining.Thisbook,whichincludesmanyengineeringandt echnology examples, provides somewhat broad exposure to business concepts and
  • 62. management specifics to help these specialists get started as managers and leaders. Whataboutthosepeopleinvolvedinproductdevelopment,marketing ,process improvement,andrelatedprojectscommonlythoughtofas“business projects”? Just as technology specialists seldom receive formal management training, students and practitioners of business rarely get formal exposure to practices common in technology projects. For them, this book describes not only how “business”projectsareconducted,butalsothenecessarystepsinthec onception and execution of engineering, system development, construction, and other “technology” projects. Of course, every technology project is also a business project:itisconductedinabusinesscontextandinvolvesbusinessissu essuchas customersatisfaction,resourceutilization,deadlines,costs,andprof its. Virtuallyallprojects—engineering,technology,andbusiness— originateandare conducted in a similar way, in this book conceptualized using a methodology called the Systems Development Cycle (SDC). The SDC serves as a general framework for discussing the principles and practices of project management, andillustratingcommonalitiesanddifferencesamongawidevarietyo fprojects.
  • 63. This book is an outgrowth of the authors’ combined several decades of experience teaching project management at Loyola University Chicago and UniversityofPretoriatobusinessandengineeringstudents,preceded byseveral years’ experience in business and technology projects, including for aircraft design and flight test, large-scale process facility construction, and software applications development and process improvement. This practical experience gave us an appreciation not only for the business-management side of project management,butalsoforthehuman- interpersonalsideaswell.Wehaveseenthe benefitsofgoodcommunication,trust,andteamwork,aswellastheco stsofpoor leadership, emotional stress, and group conflict. In our experience, the most successful projects are those where leadership, trust, communication, and teamworkflourished,regardlessoftheformalplanningandcontrolme thodsand systemsinplace.Thisbooklargelyreflectsthesepersonalexperience s.Ofcourse, comprehensive coverage of project management required that we look much beyondourownexperienceanddrawuponthepublishedworksofman yothers andthewisdomandsuggestionsofcolleaguesandreviewers. In this fifth editionwe have revised and addedmaterial to incorporate new
  • 64. topicsofinterest,currentexamples,andthegrowingbodyofliterature inproject management. Among significant new additions are a chapter on agile project management and lean production, extended coverage of programmanagement, aswell as 18newend-of-chapter case studies.The Introduction includes tables that relate sections of the book to the most-common project management knowledgeareasandmethodologies:PMIPMBOK, IPMA,APM,andPRINCE2. Books tend to grow in sizewith each new edition; to combat that all chapters havebeenrewrittentomakeeverythingmorereadableandconcise.De spitethe inclusionofnewmaterial,we’veheldthepagecounttoroughlywhatit wasin thepreviousedition. Ourgoal inwritingthisbook is toprovidestudentsandpracticingmanagers themostpractical, current, and interesting textpossible.Weappreciatehearing yourcommentsandsuggestions.Pleasesendthemtousat[email prote cted]and [email protected] Acknowledgments Likemostprojects,writingabookreflectsthecontributionsofmanype ople.We
  • 65. wanttoacknowledgeandgivespecialthankstothosewhocontributedt hemost. First,thankstoourresearchassistants.Researchassistantsingeneral doalotof work— academicaswellasgofer,andwithouttheirtoilingeffortsmostprofess ors would accomplish far less. We were fortunate to have had the assistance of severalsuchbrightandcapablepeople,particularlyElisaDenney,Hol lyceJames, Diane Petrozzo, Miguel Velasco, Gaurav Monga, Cary Morgan, Louis Schwartzman,andBrianWhelan. SpecialthankstocurrentandformercolleaguesatLoyolaUniversityC hicago andtheUniversityofPretoria.InChicago,thankstoDr.GezinusHiddi ngforhis enthusiasm and contributions to the field of project management; and to Drs. EnriqueVenta,HaroldDyck,SamuelRamenofsky,andDonaldMeyer ,andElaine Strnad, Paul Flugel, John Edison, Sharon Tylus, and Debbie Gillespie for their suggestions and support for this and earlier editions. In Pretoria, thanks toDr. TinusPretoriusforencouragingeducationandresearchinprojectman agementat theGraduateSchoolofTechnologyManagementandforsupportingth eworkon thisbook.I(Herman)alsowanttoexpressappreciationtoDr.GielBek ker,Philip Viljoen,Dr.TarynBond- Barnard,Dr.PieterPretorius,Dr.KrigeVisser,Corrovan Waveren,Dr.MichaelCarruthersandDr.Marie-
  • 66. LouiseBarryfortheirdirectand indirectcontributionstothisbookandforallIhavelearnedfromthem.I (John) want to acknowledge the influence of three of my professors, Dr. Charles ThompsonandDr.GustaveRathatNorthwesternUniversity,andDr. DickEvans attheUniversityofIllinois,whosephilosophiesandteachingshelped shapedthis book.IalsowanttothankChrisPharesandBobZimmerman,dearfrien dsand project managers extraordinaire, for ongoing sharing of their wisdom on the meaningandsignificanceofprojectleadership. SpecialthanksalsotoourwivesSharryandKaren.Sharryprovidednu merous suggestionstothefirsteditionandhelpedreducetheamountof“techno -jargon” inthebook;shemanagedthehomefrontandfreeduptimesothatI(John )could pursue and complete this project. Karen provided wifely support and encouragement;as in thecaseof somanyotherprojects I (Herman)havebeen involved in,mycontribution to thisprojectwouldneverhavematerializedhad notitbeenforhersupport. Thanks also to Amy Laurens and the folks at Routledge and Taylor and Francis, and special thanks toHollyDavis for her ongoing support throughout
  • 67. preparationofthisfifthedition. Other colleagues, students, and friends, some mentioned in the endnotes throughoutthebook,providedsupport,encouragement,andreferenc ematerials; tothemalsowesaythankyou.Despitetheassistanceofsomanypeople andour ownbestefforts,therearestilllikelytobeomissionsorerrors.Wehadfi nalsay andacceptresponsibilityforthem. JohnM.Nicholas HermanSteyn AbouttheAuthors JOHNNICHOLASisProfessorOperationsManagementandProject Management intheQuinlanSchoolofBusinessatLoyolaUniversityChicago.Heisa nactive teacher, writer, and researcher in project management and production management, and conducts executive seminars and consults on project managementandprocessimprovement.Johnistheauthorofnumerous academic and technical publications, and five books including Lean Production for CompetitiveAdvantage (2011)andThePortaltoLeanProduction (2006).Hehas heldthepositionsofteamleadandengineeronaircraftdevelopmentpr ojectsat
  • 68. Lockheed-Martin Corporation, team lead and business systems analyst on operations projects at Bank America, and researcher on energy- environmental research projects atArgonneNational Laboratory.He has aBS in aeronautical and astronautical engineering and an MBA in operations research from the University of Illinois, Urbana-Champaign, and a PhD in industrial engineering andappliedbehavioralsciencefromNorthwesternUniversity. HERMANSTEYNisProfessorofProjectManagementintheGraduat eSchoolof Technology Management, University of Pretoria, South Africa. He has been involved inprojects in industry since1975,hasmanagedavarietyof largeand small engineering projects (system, product, and process development) in the minerals, defense and nuclear industries, and has alsomanaged programs and project portfolios. In 1996 he was appointed to his current position at the University of Pretoria where he initiated a masters’ program in project management. Besides supervising project management research and teaching graduate project management courses, Herman has conducted more than 200 seminarsandworkshopsonprojectmanagement.Hehasabachelor’sd egreeand graduate diploma in metallurgical engineering, an MBA, and a PhD in engineeringmanagement.
  • 69. Introduction I.1InTheBeginning… Sometime during the third millennium BC, workers on the Great Pyramid of Cheops set the last stone in place. Theymust have felt jubilant, for this event represented a milestone of sorts in one of humanity’s grandest undertakings. Although much of the ancient Egyptians’ technology is still a mystery, the enormityandqualityofthefinishedproductremainsamarvel.Despite thelack ofsophisticatedmachinery, theywereable toraiseandfitsome2,300,000stone blocks,weighing2to70tonsapiece,intoastructuretheheightofamod ern40- story building. Each facing stonewas set against thenextwith an accuracy of 0.04 inch (1mm),and thebase,whichcovers13acres (52,600m2),deviates less than1inch(25mm)fromlevel(FigureI.1).1 Equally as staggering was the number of workers involved. To quarry the stonesandtransportthemdowntheNile,about100,000laborerswerel evied.In addition,40,000skilledmasonsandattendantswereemployed inpreparingand laying the blocks and erecting or dismantling the ramps. Public works were
  • 70. essential tokeep theworkingpopulationemployedand fed, and it is estimated thatnolessthan150,000womenandchildrenalsohadtobehousedandf ed.2But just as mind-boggling was the managerial ability exercised by the Egyptians throughout the 20-year durationof the pyramid construction. FrancisBarber, a nineteenth-centurypyramidscholar,concludedthat: Itmusthavetakentheorganizationalcapacityofageniustoplanallthe work,tolayitout,toprovide foremergenciesandaccidents, to see that themen in thequarries,on theboatsand sleds, and in the mason’s and smithies shops were all continuously and usefully employed, that the means of transportationwasample…thatthewatersupplywasample…andthat thesickreliefswereonhand.3 BuildingtheGreatPyramidiswhatwetodaywouldcallalarge- scaleproject.It stands among numerous projects from early recorded history that required massive human works and managerial competency. Worthy of note are the managerialandleadershipaccomplishmentsofMoses.TheBiblicala ccountofthe exodusoftheHebrewsfromthebondageoftheEgyptiansgivessomepe rspective onthepreparation,organization,andexecutionofthistremendousun dertaking. Supposedly Moses did a magnificent job of personnel selection,
  • 71. training, organization,anddelegationofauthority.4ThefamedrulerSolomona lsowasthe “manager”ofgreatprojects.Hetransformedthebatteredruinsofmany ancient cities and crude shantytowns into powerful fortifications.With hiswealth and the help of Phoenician artisans, Solomon built the Temple in Jerusalem. Seven years went into the construction of the Temple, after which Solomon took 13 years more to build a palace for himself. He employed a workforce of 30,000 IsraelitestofelltreesandimporttimberfromtheforestsofLebanon.5T hatwas almost3,000yearsago. FigureI.1TheGreatPyramidofCheops,anearly(circa2500BC)large -scaleproject. PhotocourtesyofiStock. With later civilizations, notably the Greeks and Romans, projects requiring extensive planning and organizing escalated. To facilitate their military campaigns and commercial interests, the Romans constructed networks of highways and roads throughout Europe, Asia Minor, Palestine, and northern Africa so that all roadswould “lead toRome.”The civilizations ofRenaissance EuropeandtheMiddleandFarEastundertookriverengineering,const
  • 72. ructionof aqueducts,canals,dams,locks,andportandharborfacilities.Withthe spreadof modern religions, construction of temples, monasteries, mosques, and massive urbancathedralswasaddedtothelistofprojects. With the advent of industrialization and electricity, projects for the construction of railroads, electrical and hydro-electrical power facilities and infrastructures, subways, and factories became commonplace. In recent times, development of large systems for communications, defense, transportation, research,andinformationtechnologyhavespurreddifferent,moreco mplexkinds ofprojectactivity. Aslongaspeopledothings,therewillbeprojects.Manyprojectsofthef uture will be similar to those in the past.Otherswill be different either in terms of increased scale of effort or more advanced technology. Representative of the latter are two recent projects, the English Channel tunnel (Chunnel) and the International Space Station. The Chunnel required tremendous resources and tookadecadetocomplete.TheInternationalSpaceStation(Figure I.2) required developmentofnew technologiesand theeffortsof theUS,Russian,European, Canadian,andJapanesespaceagencies.
  • 73. FigureI.2TheInternationalSpaceStation,amodernlarge- scaleproject. PhotocourtesyofNASA. I.2WhatIsaProject? From these examples it is clear that humankind has been involved in project activities for a long time. Butwhy are these considered “projects”while other humanactivities,suchasplantingandharvestingacrop,stockingawar ehouse, issuingpayrollchecks,ormanufacturingaproduct,arenot? Whatisaproject?Thisisaquestionwewillcoverinmuchdetaillater.A san introduction though, below are listed some characteristics that warrant classifyinganactivityasaproject.6 1. A project has a defined goal—a purpose with well-defined end-items, deliverables,results,orproductstoachievespecificbenefits. 2. It is unique; it requires doing something different than was done previously.Itisaone-timeactivity,nevertobeexactlyrepeatedagain. 3.Itisatemporaryorganizationthatseekstoaccomplishthegoalwithi na scheduledtimeframe.
  • 74. 4. It utilizes people and other resources from different organizations and functions. 5.Giventhateachprojectisunique,itcarriesunfamiliarityandrisk. The examples described earlier are for familiar kinds of projects such as construction(pyramids)andtechnologydevelopment(spacestation) .Ingeneral, the list of activities that qualify as projects is long and includesmany that are commonplace.Weddings,remodelingahome,andmovingtoanother houseare projects; so are company audits, major litigations, corporate relocations, and projects;andsoareeffortstodevelopnewproductsandimplementnew systems. Military campaigns also qualify as projects; they are temporary, unique efforts directedtowardaspecificgoal.TheNormandyInvasioninWorldWarI IonJune 6,1944isanexample: The technical ingenuity and organizational skill thatmade the landings possiblewas staggering. The invasionarmadaincludednearly5,000shipsofalldescriptionsprotec tedbyanother900warships.The plancalledforlanding150,000troopsand1500tanksontheNormandy coastinthefirst48hours.7 Mostartisticendeavorsareprojects,too.Composingasongorsympho ny,writing
  • 75. anovel,ormakingasculptureareone- personprojects.Someartisticprojectsalso require the skills of engineers and builders, for exampleMount Rushmore, the StatueofLiberty,andtheEiffelTower. Manyeffortsatsavinghumanlifeandrecoveringfromman- madeornatural disastersbecomeprojects.Examplesarethemassivecleanupfollowin gtheSoviet nuclear accident at Chernobyl, and rescue and recovery operations following disastrous earthquakes in Chile, Haiti, China, Pakistan, Mexico, Turkey, and elsewhere,theIndianOceantsunamiof2004,andtheEbolaoutbreakin western Africain2014. Figure I.3 shows diverse project endeavors and examples of well-known projects,andwheretheprojectsfallwithrespecttocomplexityandunc ertainty. Complexity ismeasuredby themagnitudeof the effort— thenumberof groups and organizations involved and the diversity of skills or expertise needed to accomplish the work. Time and resource commitments tend to increase with complexity. Uncertainty is measured roughly by the difficulty in predicting the final outcomeintermsofthedimensionsoftime,cost,and technicalperformance. In mostprojectsthereissomeuncertaintyinoneortwodimensions(e.g.w eddings);
  • 76. in complex projects there is uncertainty in all three dimensions (e.g. the space station). Generally, themoreoften something is done, the lessuncertainty there is in doing it. This is simply because people learn by doing and so improve their efforts—the “learning curve” concept. Projects that are very similar to previous ones and about which there is abundant knowledge have lower uncertainty. These are found in the lower portion of Figure I.3 (e.g. weddings, highways, dams, system implementation). Projectswithhighuncertainty are in theupper portionofthefigure. Whentheuncertaintyofaprojectdropstonearlyzero,andwhentheproj ect effort is repeated a large number of times, then thework is usually no longer considered a project. For example, building a skyscraper is definitely a project, but mass construction of prefabricated homes more closely resembles a scheduled,repetitiveoperationthanaproject.ThefirstflighttotheSo uthPoleby AdmiralByrdwasaproject,butmoderndailysupply flights tobases thereare not.WheninthefuturetouristsbegintakingcharteredexcursionstoM ars,trips therewillnotbeconsideredprojectseither.Theywilljustbeordinarys
  • 77. cheduled operations. ThecostcurveinFigureI.3indicatesthataproject’sexpensetendstoin crease roughly in proportion to its complexity and uncertainty. Cost, represented in termsoftimeoreconomicvalue,isattheleveloftensorhundredsoflabo rhours forprojectswith lowcomplexityanduncertainty,but increases tomillionsand billionsofhoursforprojectswiththegreatestcomplexityanduncertai nty. In all cases, projects are conducted by organizations that after the project is completedgoontodosomethingelse(constructioncompanies)orared isbanded (AdmiralByrd’s crew, theMars exploration team). In contrast, repetitive, high- certainty activities (prefabricated housing, supply flights, and tourist trips to AntarcticaorMars)areperformedbypermanentorganizationsthatdo thesame thingrepeatedly,withlittlechangesinoperationsotherthanschedulin g.Because projectsarenotrepetitiveisthereasontheymustbemanageddifferentl y. I.3AllProjectsareNottheSame8 BesidesFigure I.3,anotherwayto illustrate thediversity inprojects iswith the so-calledNTCPmodel,whichclassifiesprojectsandtheirend-
  • 78. resultsorproducts intofourdimensions,eachwiththreeorfourpossiblelevels.Thedime nsionsand levelsare: •Novelty: This represents how new the project end-item or product is to customersandpotentialusersandhowwelldefinedareitsinitialprodu ct requirements.Itincludesthreelevels: FigureI.3Atypologyofprojects. • Derivative—the project end-item or product is an extension or improvementofanexistingproductorsystem;e.g.newfeaturesto anexistingcarmodel; • Platform—the end-item or product is a new generation of an existingproduct line inawell-establishedmarket;e.g.anewcar model; •Breakthrough—theend-itemorproductisnewtotheworld;e.g.the firstmobiletelephone,thefirst3MPost-itnotes. • Technology: This represents the project’s technological uncertainty and whetheritisnewormature.Itaddressesthequestionofhowmuchnew technologyisrequiredtocreate,build,manufactureandenabletheuse of theproductandhowmuchtechnicalcompetencyisneededbytheproje ct managerandtheteam.Ithasfourlevels: •Low-tech—involvesonlywell-establishedtechnologies;
  • 79. •Medium-tech—usesmainly existing technologies, but also limited useofsomenewtechnologyornewfeatures;e.g.automotiveand appliancesindustries; •High-tech—uses technologies that aremostlynew to the firmbut already exist and are available at project initiation; typical of manydefenseandcomputerprojects; issynonymouswith“high- risk”; • Super-high-tech—relies on new technologies that do not exist at projectinitiation.Theprojectgoaliswelldefined,butthesolution isnot;e.g.landingamanonthemoon;isoftensynonymouswith “veryhigh-risk.” •Complexity:Thismeasuresthecomplexityoftheproductandtheproj ect organization.Therearethreelevels: •Assembly—theprojectinvolvescombiningacollectionofelements, components, and modules into a single unit or entity that performsasinglefunction;e.g.developinganewcoffeemachine or creating a department to manage a single function (such as payroll); •System—involvesacomplexcollectionof interactiveelementsand subsystems that jointly perform multiple functions to meet specificoperationalneeds;e.g.anewcar,newcomputer,entirely newbusiness; •Array—theprojectinvolvesalargevarietyofdispersedsystems(a
  • 80. system of systems, or “super system”) that function together to achieve a common purpose; e.g. national communications network, mass transit infrastructure, regional power generation anddistributionnetwork,anentirecorporation. •Pace:Thisreferstotimeavailablefortheproject— theurgencyorcriticality ofmeetingtheproject’stimegoals.Therearefourlevels: •Regular—nourgency;timeisnotcriticaltoimmediatesuccess; • Fast/competitive—complete project in adequate time to address marketopportunities,createastrategicpositioning,orformanew business unit; e.g. launching a new drug, introducing a new productline; •Time-critical—completeprojectbyaspecificdeadline;missingthe deadlinemeansproject failure; e.g.Y2Kprojects; constructionof facilities for the Olympic Games; launch of space probe to a comet; •Blitz—acrisisproject;thecriterionforsuccessissolvingaproblem asfastaspossible;e.g.savepeoplefromasinkingship. Allprojectscanbecharacterizedaccordingtothefourdimensions.InF igure I.4, eachofthedimensionsisrepresentedbyaquadrantonthegraph.Thedi amond- shaped profiles show the four dimensions for two examples, the Apollo lunar programandthespaceshuttleprogram. FigureI.4ShenharandDvir’sNTCPDiamondmodelcontrastingtheA
  • 81. polloandspaceshuttleprograms. Source:ShenharA.andDvirD.ReinventingProjectManagement:Th eDiamondApproachtoSuccessful GrowthandInnovation.Cambridge,MA:HarvardBusinessSchoolPr ess;2007. I.4ProjectManagement:TheNeed Althoughmankindhasbeeninvolvedinprojectssincethebeginningof recorded history, obviously the nature of projects and the environment have changed. Manymodernprojects involve technical complexityandchallenges in termsof assembling and directing large temporary organizations while subject to constrainedresources,limitedtimeschedules,andenvironmentalun certainty.An exampleistheNASAPathfinderMissiontolandandoperatearoverve hicleon thesurfaceofMars.Suchaprojectisunparallelednotonlyintermsofte chnical difficulty and organizational complexity, but also in terms of the requirements imposedon it. Inancient times, therequirementswereflexible. If thePharaohs neededmoreworkers,thenmoreslavesormoreofthegeneralpopulati onwere conscripted. IfRenaissancebuildersranoutoffundingduringconstructionofa cathedral, theworkwas stopped untilmore funds could be raised (one reason
  • 82. whycathedralstookdecadesorcenturiestocomplete).Ifakingranout ofmoney whilebuildingapalace,hesimplyraisedtaxes.Incaseswhereaddition almoney orworkerscouldnotbefoundortheprojectdelayed,thenthescaleofeff ortor qualityofworkmanshipwasreducedtoaccommodatetheconstraints. In the Pathfinder project, many of the requirements were inflexible: the missionteamwaschallengedwithdevelopingandlandingavehicleon Marsin lessthan3years’timeandona$150millionbudget,whichwaslessthan halfthe timeand1/20ththecostofthelastprobeNASAhadlandedonMars.The project involvedadvancedresearchanddevelopmentandexplorednewareas ofscience andengineering.Technicalperformancerequirementscouldnotbeco mpromised; todosowouldincreasetherisktoundertakingsthatwerealreadyveryri sky. Constraints and uncertainty in projectwork are not restricted to large-scale governmental science programs. They are common in everyday business and technologywhereorganizationscontinuallystrivetodevelopandimp lementnew products, processes, and systems, and to adapt to changing requirements in a changing world. Consider Dalian Company’s development of “Product J,” a productdevelopmentprojectthatexemplifieswhatcompaniesevery wheremust dotobecompetitiveandsurvive.ProductJisapromisingbutradically
  • 83. newidea. Tomovetheideafromaconcepttoarealproductwillrequiretheinvolv ementof engineersandtechniciansfromseveralDaliandivisionsandsuppliers .ProductJ will require meeting tough technical challenges, launching the product well aheadofthecompetition,anddoingitforacostthecompanycanafford. Another example is Shah Alam Hospital’s installation of a new employee benefitsplan.Theprojectwould involvedevelopingnewpolicies, training staff workers, familiarizing 10,000 employees with the plan, and installing a new computernetworkanddatabase,andrequireactiveparticipationfrom personnel inhumanresources,financialservice,andinformationsystems,aswel lasexperts from two consulting firms. It typifies “change” projects everywhere—projects initiated in response to changing needs andwith the goal of transforming the organization’swayofdoingthings. Finally, consider that virtually every company has or will have a website. Behindeachsitearemultipleprojectstodeveloporenhancethewebsit eandto integrate electronic business technology into the company’s mainstream marketing and supply-chain operations. Such projects are also examples of
  • 84. organizations’ need to change, in this case to keep pace with advances in informationtechnologyandbusinessprocesses. Activitiessuchastheseexamplesdefytraditionalmanagementappro achesfor planning, organization, and control. They are representative of activities that requiremodernmethodsofprojectmanagementtomeetdifficulttechn ologicalor market- relatedperformancegoalsinspiteoflimitedtimeandresources. I.5ProjectGoal:Time,Cost,andPerformance FigureI.5Three-dimensionalprojectgoal. Source:AdaptedfromRosenauM.,SuccessfulProjectManagement. Belmont,CA:LifetimeLearning Publications;1981,p,16. The goal of virtually every project can be conceptualized in terms of hitting a target that floats in three-dimensional space—the dimensions being cost, time, andperformance(FigureI.5).Costisthespecifiedorbudgetedcostfor theproject. Timeisthescheduledperiodoverwhichtheworkistobedone.Perform anceis what the project end-item, deliverables, or final result must do; it includes whatever the project customer, end-user, and other stakeholders consider
  • 85. necessary or important. The target represents a goal to deliver a certain somethingtosomebodybyacertaindateandforacertaincost.Thepurp oseof projectmanagementistohitthetarget— i.e.,toachievethegoaloftheproject.9 But technological complexity, changing markets, and an uncontrollable environment make it difficult to hit the target. Time, cost, and technical performance are interrelated, and exclusive emphasis on any one will likely underminetheothers.Intryingtomeetschedulesandperformancereq uirements, costs increase; conversely, in trying to contain costs,work performance erodes andschedules slip. Inearlier times,oneor twoaspectsof thegoalweresimply allowed to slide so that the “most fixed” could be met. Most projects, as the Pathfinder, Dalian Company, and Shah Alam Hospital examples show, do not havethisluxury.Projectmanagementoffersawaytomaintainfocuson allthree dimensionsandtocontrolthetradeoffsamongthem. I.6ProjectManagement:ThePerson,TheTeam,The Methodology Three key features distinguish project management from
  • 86. traditional forms of management:theperson,theteam,andthemethodology. The most prominent feature about project management is the role of the project manager—the individual who has overall responsibility to plan, direct, and integrate the efforts of everyone involved in the project (stakeholders) to achieve the project goal. In the role of project manager, one person is held accountable for the project and is totally dedicated to achieving its goals. The projectmanagercoordinatestheeffortsofeveryfunctionalareaandor ganization intheprojectandoverseestheplanningandcontrolofcosts,schedules, andwork tasks.Aswewilldiscusslater,numerousotherparties(stakeholders)a reinvolved inandcrucialtoprojectmanagement;nonetheless,theroleofprojectm anageris akeyfeaturethatdistinguishesproject-fromnon- projectmanagement. Doing a project is a team effort, and project management means bringing individualsandgroupstogethertoformtheteamanddirectingthemto wardthe commongoal.The teamwill often consist of people andgroups fromdifferent functional areas and organizations. Depending on the project, the size and composition of the team may fluctuate; usually the team disbands after the projectiscompleted.
  • 87. The project manager and project team typically perform work in phases according to a “projectmanagementmethodology.” Thismethodology provides for integrative planning and control of projects,which according toArchibald refersto thepullingtogetherofallimportantelementsofinformationrelatedto (1)theproductsorresultsofthe project,(2)thetime,and(3)thecost,infunds,manpower,orotherkeyr esources…forall(orasmanyas practical) phases of the project. [It] requires continual revision of future plans, comparison of actual resultswithplans,andprojectionoftotaltimeandcostatcompletionth roughinterrelatedevaluationof allelementsofinformation.10 Asaprojectproceedsfromonephasetothenext,theprojectmanagerrel ieson the methodology to (1) identify the project tasks, (2) identify the required resourcesandthecosts,(3)establishpriorities,(4)planandupdatesch edules,(5) monitorandcontrolend- itemqualityandperformance,and(6)measureproject performance.11 I.7ProjectManagementStandardsofKnowledgeand Competencies
  • 88. Project management has become a recognized vocation supported by several professionalorganizationsaroundtheworld.Theseorganizationsha veadvanced project management by establishing standards, guidelines, and certifications. Among the more well-known of these organizations are IPMA (International Project Management Association), APM Group (Association for Project Management),andPMI(ProjectManagementInstitute).ThePMIisba sedinthe USandisthelargestoftheseorganizations;theIPMA,basedintheNeth erlands, isaninternationalgroupofnationalprojectmanagementassociations inEurope, Africa,AsiaandNorthandSouthAmerica;theAPMisbasedintheUK. Theseprofessionalorganizationshavegathered theacceptedbestpracticesof projectmanagementandpublishedthemasstandardsor“bodiesofkno wledge” (BOKs)andcompetenciesfortheprofession.12Althoughnoneofthes tandardsor BOKs covers everything about project management, they have become recognized norms about what minimally a project management professional shouldknow.Theorganizationsalsoofferlevelsofqualificationandc ertification that include, for example, PMI’s PMP (Project Management Professional) certification; APM’s APMP (APM professional), and IPMA’s CPMA (Certified Project Management Associate). PMI’s and APM’s certifications are “body of
  • 89. knowledge-based”; IPMA’s certifications are “competency- based.” Another certificationpopularinEuropeandparticularlytheUKisbaseduponP RINCE2 (PRojectsINControlledEnvironments,Version2),amethodologyfo rmanaging projectsoriginatedbytheUKOfficeofGovernmentCommerce.13 Forreadersinterestedinprofessionalcertification,TablesI.1through TableI.4 intheAppendixtothechaptershowthecorrespondencebetweenthekn owledge areas,competenciesexpected,andmethodsfromPMI,IPMA,APM,a ndPRINCE, andchaptersinthisbookmostrelevanttothem. I.8AboutThisBook PhilosophyandObjectives As a philosophy and an approach, project management is broader and more sophisticatedthantraditionalmanagementofrepetitiveactivities.Ith asrootsin many disciplines, including management science, systems theory, accounting, operations management, organizational design, law, and applied behavioral science. What has evolved, and will continue to evolve, are a philosophy, approach, and set of practices, the sum total of which comprise project management.Somemanagersfailtounderstandthis,believingthatap plicationof
  • 90. techniques alone, such as “Gantt charts,” “PERT,” or “matrixmanagement” (all explainedlater)makeforsuccessfulprojectmanagement.Projectma nagementis muchmorethanthese. C.P.Snowwroteanessayentitled“TwoCultures”abouttheculturalga pthat separatesscientistsfromtherestofsociety.14Managersandmanage mentscholars also tend to separate the world into either of two perspectives: (1) the “quantitativists” tend to view projects in terms of costs, dates, and economic variables;(2)the“behaviorists”viewprojectsintermsofpeoples’beh avior,skills, andattitudes,andsystemsoforganization. The intent of this book is to give a balanced view that emphasizes both the behaviorist and quantitativist sides of project management. The philosophy of this book is that for managers to “do” project management, they must gain familiarity with four topical areas: system methodology; systems development process; managementmethods, procedures, and systems; and organization and human behavior; correspondingly, the objectives of this book are to cover in depth: 1.Theprinciplesandphilosophythatguideprojectmanagementpracti ce. 2.Thelogicalsequenceofstagesinthelifeofaproject. 3.Themethods,procedures,andsystemsfordefining,planning,sched
  • 91. uling, controlling,andorganizingprojectactivities. 4. The organizational,managerial, and human behavioral issues in project management. Inrecentyearsthescopeofprojectmanagementhasgrowntoencompa ssmore than the management of individual projects, recognizing that project success involvesmorethantheskillsandtalentofagoodprojectmanager;henc e,afinal objectiveofthebookistocover: 5. Responsibilities of the organization for assuring effective project managementandsuccessfulprojects. OrganizationofThisBook Beyondthisintroductorychapter,thebookisdividedintofivemainsec tions.The firstsectionisdevotedtothebasicconceptsofprojectmanagement.Th issection describes project management principles, systems methodologies, and the systems approach—the philosophy that underlies project management. Also coveredaretheoriginsandconceptsofprojectmanagement,situation swhereit isneeded,andexamplesofapplications.Thesecondsectiondescribes thelogical
  • 92. process in the creation and life of a system. Called the Systems Development Cycle,itisthesequenceofphasesthroughwhichallhuman- madesystemsmove frombirthtodeath.Thecycleisdescribedintermsofitsrelationtoproje ctsand projectmanagement.Thethirdsectionisdevotedtomethodsandproce duresfor planning,scheduling,costestimating,budgeting,resourceallocatio n,controlling, and terminatingaproject.The topicsof resourceplanning, computerandweb- basedprojectmanagement, andproject evaluationare also covered.The fourth section isdevoted toprojectorganizations, teams,and thepeople inprojects. It covers forms of project organization, roles and responsibilities of project managers and teammembers, styles of leadership, andmethods formanaging teamwork, conflict, and emotional stress.The last section covers topics that lie beyondtheprojectmanagerbutarecrucialforprojectsuccessand,mor ebroadly, the success of the organizations and communities that sponsor and undertake projects. It also covers a topic that spans most other topics in this book but requiresspecialattention,managingprojectsindifferentcountries. Thefivestatedobjectivesofthisbookareroughlydividedamongchapt ersin thebook’sfivesections:
  • 93. 1.Basicconceptsandsystemsphilosophy:Chapters1and2. 2.Systemsdevelopmentandprojectlifecycle:Chapters3and4. 3.Methods, procedures, and systems for planning and control:Chapters 5 through13. 4.Organization,management,andhumanbehavior:Chapters14throu gh16. 5.Thecorporatecontextandinternationalprojectmanagement:Chapt ers17 through19. Three Appendices provide examples of topicsmentioned throughout the book: request for proposal (AppendixA), project proposal (Appendix B), and project executionplan(AppendixC). I.9StudyProject Thebestwaytolearnaboutprojectmanagementistoactuallyparticipa teinitor, failingthat,towitnessit.Attheendofeverychapterinthisbookaretwo kinds ofquestions:thefirstkindaretheusualchapterreviewquestions,these condare called“QuestionsAbouttheStudyProject.”Thelatterareintendedtob eapplied to a particular project of the reader’s choosing. This will be called the “study project.”Thepurposeofthesequestionsandthestudyprojectistohelpt hereader
  • 94. relateconceptsfromeachchaptertoreal-lifesituations. Thestudyprojectquestionscanbeusedintwoways: 1.Forreaderswhoarecurrentlyworkinginprojectsasmanagersorproj ect teammembers, the questions can be related to their currentwork. The questions serve to increase the reader’s awareness of key issues surroundingtheprojectandtoguidemanagersintheconductofproject management. 2. For readerswho are currently full- or part-time students, the questions can be applied to “real-life” projects they are permitted to observe and research. Many business firms and government agencies are happy to allowstudentgroupstointerviewmanagersandcollectinformationab out theirprojects.Thoughsecondhand,thisisnonethelessanexcellentwa yto learnaboutprojectmanagementpractice(andmismanagement). Assignment Selectaprojecttoinvestigate.Itshouldbea“real”project;thatis,aproj ectthat hasarealpurposeandisnotcontrivedjustsoyoucaninvestigateit.Itca nbea current project or one already completed; whichever, it must be a project for whichyoucanreadilygetinformation. Ifyouarenotcurrentlyinvolvedinaprojectasateammember,thenyou must
  • 95. find one for which you have permission to study (collect data and interview people)asan“outsider.”Theprojectshouldincludeaprojectteam(mi nimumof five people)with a project leader andbe at least 2 or 3months induration. It should alsohave a specific goal in termsof a target completiondate, a budget limit,andaspecifiedend- itemresultorproduct.Ingenerallargerprojectsafford betteropportunity toobserve theconceptsofprojectmanagement than smaller ones. Ifyouarestudyingaprojectasanoutsideritisalsoagoodideatodoitina teamwith three to six people and an appointed team leader (i.e., perform the study using a team). This, in essence, becomes your project team—a team organizedforthepurposeofstudyingaproject.Youcanthenreadilyap plymany of the planning, organizing, team building, and other procedures discussed throughout the book as practice and to see how they work. This “hands-on” experiencewithyourownteamcombinedwithwhatyoulearnfromthe project you are studying, will give you a fairly accurate picture about problems encounteredandmanagementtechniquesusedinreal- lifeprojectmanagement.
  • 96. Appendix:RelationBetweenProfessionalStandards andChaptersofthisBook TableI.1PMIProjectManagementBodiesofKnowledgeandProcess Groups PMBOKGUIDEANDTEN KNOWLEDGEAREAS CHAPTERSADDRESSINGTHESE AREAS MOST RELEVANT RELATED 1.Introduction 0,1 15,16 2.Organizationalinfluence&projectLife cycle 3,14,16 1,2,4,5,13,14– 17 3.Projectmanagementprocesses 3,13 4.Projectintegrationmanagement* 4,11 2,5,9,12,14,19 5.Projectscopemanagement* 4,5,11 2,13,19 6.Projectschedulemanagement* 6,7,11 5,13,19 7.Projectcostmanagement* 8,11 19 8.Projectqualitymanagement* 9 11,13 9.Projectresourcemanagement* 6,16 7,11,14,15,19 10.Projectcommunicationsmanagement* 11,12 13,19 11.Projectriskmanagement* 10 7,11,18,19
  • 97. 12.Projectprocurementmanagement* 3,5 11 13.Projectstakeholderengagement* 15 1,2,3,19 14.AppendixX3:Interpersonal& behavioralskills 16 *Knowledgearea ProcessGroups InitiatingProcessGroup 3,4 PlanningProcessGroup 5,6,7,8 9,10,13,19 ExecutingProcessGroup 11 13,19 MonitoringandControllingProcessGroup 11 12,13,19 ClosingProcessGroup 12 TableI.2IPMAProjectManagementCompetencies ICB-IPMACOMPETENCE BASELINE CHAPTERSADDRESSINGTHESE COMPETENCIES MOSTRELEVANT RELATED 1.Technicalcompetencies 1.01Projectmanagementsuccess 3,5,9 1.02Interestedparties 15 1,3,19 1.03Projectrequirements& objectives
  • 98. 4,5 2,11,19 1.04Risk&opportunity 10 7,11,18,19 1.05Quality 9 11,13 1.06Projectorganization 14,15 13,16,19 1.07Teamwork 16 13 1.08Problemresolution 16 2,9,10 1.09Projectstructures 5,14 1,4,8,13,15 1.10Scope&deliverables 4,5 2,3,13 1.11Time&projectphases 3,4,6,7 3 1.12Resources 5,6,7 8,11,12,14,16,18,19 1.13Cost&finance 8 - 1.14Procurement&contract 3,5 11,19 1.15Changes 11 13 1.16Control&reports 11 13,19 1.17Information&documentation 9,12 1.18Communication 11,12 19 1.19Startup 3,4 16 1.20Closeout 12 2.Behavioralcompetencies 2.01Leadership 16 15,19 2.02Engagement 15,16 2.03Self-control 16
  • 99. 2.04Assertiveness 16 2.05Relaxation 16 2.06Openness 16 2.07Creativity 9,10 2.08Resultsorientation 16 2.09Efficiency 5–9,11,16 2.10Consultation 5,16 2.11Negotiation 3,16 2.12Conflict&crisis 16 2.13Reliability 5–9,16 2.14Valuesappreciation 16 2.15Ethics 16 3.Contextualcompetencies 3.01Projectorientation I,1,17 3.02Programorientation 17 1 3.03Portfolioorientation 18 1 3.04Project,program&portfolio implementation 18 17 3.05Permanentorganization 4,14,17 3.06Business 14,17–19 3.07Systems,products&technology 2,3,4 9 3.08Personnelmanagement 6,16,19 3.09Health,security,safety& environment 3 4,10
  • 100. 3.10Finance 8,11,18 3.11Legal 3,19 TableI.3APMProjectManagementKnowledgeAreas APMPQUALIFICATION37 CHAPTERSADDRESSINGTHESE KNOWLEDGEAREAS AREAS MOST RELEVANT RELATED Projectmanagementincontext 1.1Projectmanagement 1 I,17,19 1.2Programmemanagement 17 1 1.3Portfoliomanagement 18 1 1.4Projectcontext 1 2 1.5Projectsponsorship 15 19 1.6Projectoffice 17 14 Planningthestrategy 2.1Projectsuccess&benefits management 3 9 2.2Stakeholdermanagement 15 1–3,19 2.4Projectmanagementplan 4 5–10 2.5Projectriskmanagement 10 7,11,18,19
  • 101. 2.6Projectqualitymanagement 9 11,13 2.7Healthandsafety 3 4,10 Executingthestrategy 3.1Scopemanagement 4,5,11 2,13,19 3.2Scheduling 6,7 5,11,13,19 3.3Resourcemanagement 5–7 8,11,12,14,16,18, 19 3.4Budgeting&costmanagement 8 11,19 3.5Changecontrol 11 13 3.6Earnedvalueanalysis 11 3.7Informationmanagement&reporting 12 19 3.8Issuemanagement 11 Techniques 4.1Requirementsmanagement 4,5 2,11,13,19 4.3Estimating 8 4.7Configurationmanagement 8 2,11 4.7Configurationmanagement 8 2,11 Businessandcommercial 5.1Businesscase 3 5.4Procurement 3,5 11 Organisationandgovernance 6.1Projectlifecycles 3 13,17
  • 102. 6.5Handoverandcloseout 12 6.6Projectreviews 12 9,13 6.7Organizationalstructure 14 6.8Organizationalroles 15 6.9Methodsandprocedures 17 13 6.10Governanceofprojectmanagement 17,18 Peopleandtheprofession 7.1Communication 12 7.2Teamwork 16 13 7.3Leadership 16 15,19 7.4Conflictmanagement 16 7.5Negotiating 3,16 TableI.4PRINCE2Methodology:Principles,Themes,Processes PRINCE2 CHAPTERSADDRESSINGPRINCIPLES, THEMES,PROCESSES MOSTRELEVANT RELATED 1.Sevenprinciples Continuedbusiness justification 18 Learnfromexperience 17 4,13 Definedrolesand
  • 103. responsibilities 15 Managebystages 3 2,4 Managebyexception 9 Focusonproducts 4,5,9 Tailortosuittheproject environment 1 I,17 2.Seventhemes Businesscase 3 Organization 5,14 1,4,8,13,15 Quality 9 11,13 Plans 5 6–10 Risk 10 7,11,18,19 Change 11 9,13 Progress 11 11,19 3.Sevenprocesses Startingupaproject 3,4 16 Directingaproject 11 12,13,19 Initiatingaproject 3,4 Managingastage boundary 4 Controllingastage 11 Managingproductdelivery 11
  • 104. Closingaproject 12 ReviewQuestions 1. Lookatwebsites,newspapers,magazines,or television forexamplesof projects. Surprisingly, a great number of newsworthy topics relate to currentandfutureprojects,ortotheoutcomeofpastprojects.Preparea listofthesetopics. 2. Preparealistofactivitiesthatarenotprojects.Whatdistinguishesthe m from project activities? Which activities are difficult to classify as projectsornon-projects? 3. Because this is an introductory chapter, not verymuch has been said about why projects must be managed differently from ordinary “operations,” andwhat constitutes projectmanagement—the subject of this book. Now is a good time to speculate about these:Why do you thinkprojects andnon-projectsneed tobemanageddifferently?What doyouthinkaresomeadditionalorspecialconsiderationsnecessaryfo r managingprojects? CaseI.1TheDenverAirport15
  • 105. WhentheDenverAirportprojectwasinitiatedin1989,theplanned4- year timeframe seemed adequate. However, despite abundant political backing and adequate funding, the project suffered a 16-month delay and a $1.5 billioncostoverrun.TheNTCPmodelcanbeusedinretrospecttoexpla in therootcauseofmuchoftheproject’sunsatisfactoryperformance.Wi th20- 20hindsight onemayargue that a relatively simpleNTCPanalysis of the projectanditssub- projectsatanearlystage(andadjustingthemanagement styleaccordingly)mighthavesignificantlyimprovedperformance. Toenableaircraftturnaroundaroundinlessthan30minutesasrequest ed by United Airlines, one of the airport’s largest tenants, an automated baggage sorting andhandling systemwasnecessary to improve efficiency over the traditional manual handling system. In December 1991 BAE AutomaticSystemswascontractedtodesignandimplementtheautom ated systeminanestimated2.5-yeartimeframe. By August 1994 the system was 11 months late and was severely hamperingairportoperations.Managementdecidedtobuildanaltern ative, more traditional baggage system as a backup at an additional
  • 106. $50million cost, and only United would use the BAE system for its own terminal concourse.InJanuary1995afull- scalepracticerunoftheBAEsystemwas successfully executed, and in February 1995 the airport was opened—16 monthslate. Building the airportwasmostly a typical large construction project; in terms of NTCP it would be classified as follows: Novelty— Platform; Technology—Low-tech; Complexity—Array; Pace— Fast/Competitive. The snagintheprojectwasthatoneelement—theautomaticbaggage- handling system:itwasnewtechnologyand,thus,riskierthantherestoftheproje ct, ariskthatwasnotconsidered.Thesystemwasthefirstof itskind(ithad beenusedbeforeonlyonamuchsmallerscale)andrequiredseveraldes ign cyclesandintensivetesting.Itthereforeshouldhavebeenconsidered“ High- tech” andmanaged accordingly. As discussed later in the book, high-risk projectsneed tobemanageddifferently fromlow- riskprojects.TheNTCP profilesofthetotalprojectandthebaggage- handlingsystemareillustrated inFigureI.6. FigureI.6“Diamond”profilesfortheDenverAirportandfortheBagga ge-HandlingSystem.
  • 107. Source:ShenharA.andDvirD.ReinventingProjectManagement:Th eDiamondApproachto SuccessfulGrowthandInnovation.Cambridge,MA:HarvardBusine ssSchoolPress;2007. QuestionsAbouttheCase 1. In what ways should High-tech projects bemanaged differently from Low-techones? 2. BAEAutomaticSystemsisareputablehigh- technologycorporationand wasfamiliarwithbuildingautomatedbaggage- handlingsystems.What might have convinced them to accept a schedule of 2.5 years for designingandconstructionofthebaggage-handlingsystem? 3. If an NTCP analysis had been done and the profile of the baggage- handlingsystemidentified,whatshouldtheprojectmanagerhavedon e tohelpensureprojectsuccess? 4. ExplainhowtheNTCPmodelmakesprovisionfor144differenttypeso f projects. Endnotes