What key factor has been overlooked?

Hospital management is implementing a document management system. Research has indicated that nursing staff who will be using the system feel that they are understaffed and will not have time to enter the data. However, when questioned it was found that the nursed did not really know what the system was about. What key factor has been overlooked?
A. A proper public relations exercise was not carried out.
B. Access to a demonstration system has not been provided.
C. Management has not explained that the system must be used.
D. The end-uses have not been engaged in the entire process.

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