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Innovation diffusion (Rogers, 2003)
Innovation diffusion (Rogers, 2003)
Innovation diffusion (Rogers, 2003)
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Recommended: Innovation diffusion (Rogers, 2003)
Adoption of New Technology Systems
Presently there are many advancements taking place in healthcare within the information technology arena, which are helping to bring about a safer, more streamlined health care environment. These IT advancements are improving the quality of care, and decreasing costs. Unfortunately, there are many challenges healthcare facilities face concerning the implementation of EHRs. There must be specific strategies employed by an organization to address these issues to enable a smooth transition toward these EHR initiatives.
The following is an analysis of the roles nurses must play as proponents of change in the successful adoption of the latest Information technology. You will see examples of how nurse leaders can ensure an efficacious transition toward promoting adaptation of EHR systems. In this assignment, I will be referencing the Diffusion of Innovations theory developed by the professor of rural sociology, Everett Rogers, in 1962.
Adopting New Technology: The Nurse’s Role as Proponent of change
For a significant percentage of the workforce, change is uncomfortable and unsettling. Just when one thinks they have it all figured out, management deems it necessary to disrupt the current workflow to make way for change. Many in the workforce have a difficult time seeing the advantages of change. Resistance to change is to be expected, but organizations can soften the blow by involving stakeholders early, even before the change process begins.
The change process must begin by introducing the role of change proponents and nurse facilitators. These individuals must show true enthusiasm for the initiative, assure peers of their commitment, and possess the ability to respond to the nee...
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...cation, self-directed practice, super-users and parallel workflow can all help in the preparation process so that when the system goes live, nurses are relatively comfortable and don’t need to take 10 steps back” (Schwartz, 2012, p. 3).
When nurses are proponents of change and modernization and committed to playing an active role in the implementation of their organization’s new EHR system, high adoption rates are attainable. Nurses are an essential part of the team and play a crucial role at all stages of the systems development life cycle.
References
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2) , 64-67.
Mooney, B., & Boyle, A. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9) , 4-11.
Schwartz, A. (2012). Nurses adopt electronic health records. Science of Caring , 1-7.
This article reviews the advantages of integrating into an EHR, the various standardized nursing terminologies currently in use and acknowledged by the American Nursing Association (ANA) which are CNC, NANDA, NIC, NOC, Omaha System, PNDS and SNOMED CT. The authors make a strong and valid point in their description of these terminologies, their integration into EHRs and how they are positively impacting nursing care, research, education and clinical practice as a whole.
The NHS change model was selected due to the well-defined stages and clear guidance the model offers, with the added benefit of it being NHS focused. Consisting of the values of the NHS strives to adhere to and developed to aid with the understanding of leadership within healthcare. The NHS change model states leaders who are implementing change are required to utilise all dimensions of the change model to successfully
Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123
Consequently, I also talked to my director and clinical nurse specialist to become a super user, or go to person in our unit, which they were very receptive about it. I would get involved in the nursing informatics in our hospital to gain insight and understanding of the daily task of a nursing informatics specialist.
The U. S government passed the American Recovery Act in 2009 that established incentives and penalties to promote EHR use. From this legislation the Meaningful Use Program for EHR’s s was created. Through The Meaningful Use Program the U.S. government is able to support the adoption and use of EHR technology to enhance and revolutionize health care. The goal of the program is to increase EHR adoption, improve quality, safety, reduce disparities, and improve public health (hmsa , 2012).
According to the author, nursing practice needs to stay current with technological advances while keeping its identity as a patient focused profession. Nurses use technology to improve care from a patient?s perspective, both in quality of care and cost. At the same time, nurses must learn to balance technological knowledge with personal skills, thus providing optimum clinical care while maintaining a person-focused relationship with the patient.
The main purpose of EHRs is to mainly exchange health information electronically to help improve quality and safety for patients. Four pros of EHRs is to provide accurate and recent information of the patients, allow for quick access to the patient records, share the health information securely, and make patient records and notes legible. These four points are important and necessary because the goal overall is to improve public health. Patient information should always be updated and current. Health professionals need to easily have access to patient records to either update them or verify the information. Also, health professionals can now avoid any discrepancies with electronic records verses when records were completely on paper.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
...aving input. While we were doing our training sessions, certain parts of our system were still being assembled. It was beneficial to be able to tell nurses with concerns or ideas that we could still address and change the system before it was officially rolled out and we went “Live”. We still have updates and changes all the time. We are learning and improving with ideas coming from our nurses and firsthand experience. Having this ability seems to create satisfaction and ownership that I do not think we would have with it.
The EHR is defined as “an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization” (Fahrenholz, C. G. & Russo, R., 2013b). The Office of the National Coordinator for Health Information Technology (ONC) has published a list of required items an EHR must have to satisfy the complete EHR definition. According to the ONC, the EHR must include, for both ambulatory and inpatient systems: computerized provider order entry, demographics, a problem list, a medication list, a medication allergy list, clinical decision support, transitions of care, data portability, clinical quality measures, authentication, access control and authorization, auditable events and tamper resistance, audit reports, amendments, automatic log-off, emergency access, end-user encryption, integrity, drug-drug and drug-allergy interaction checks, vital signs, body mass index and growth charts, electronic notes, drug-formulary checks, smoking status, image results, family health history, patient list creation, patient-specific education resources, electronic prescribing, clinical information reconciliation, incorporation of lab tests and values/results, immunization information, transmission to immunization registries, transmission to public health agencies-syndromic surveillance, automated measure calculation, a safety-enhanced design, a quality management system and be able to view, download and tra...
Implementing change in the workplace is a dynamic process. Although change itself can be controlled and limited to some degree, innovation is substantially even more dynamic. This dynamic, unpredictable process introduces vulnerability, which can lead to employee frustration. Just as the scenario addresses, many individuals become motivated at the thought of change and innovation; however, the change does not occur due to resistance or other obstacles. Much of this resistance arises from the unpredictability and vulnerability of the process. Managers must be able to prevent or manage resistance by using tools and strategies to smooth the process.
The change process within any organization can prove to be difficult and very stressful, not only for the employees but also for the management team. Hayes (2014), highlights seven core activities that must take place in order for change to be effective: recognizing the need for change, diagnosing the change and formulating a future state, planning the desired change, implementing the strategies, sustaining the implemented change, managing all those involved and learning from the change. Individually, these steps are comprised of key actions and decisions that must be properly addressed in order to move on to the next step. This paper is going to examine how change managers manage the implementation of change and strategies used
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.