Nursing Technology Systems

| November 30, 2016

Assignment: Application: Adoption of New Technology Systems

As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.

Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:

Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.
Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.
Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.
Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.
Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.

Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.

For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.

To prepare

Review the Learning Resources this week about successful implementations of EHRs.
Consider how you would present the new EHR system to the nurses to win their approval.
Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success

RESOURCES

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 15, “The Electronic Health Record and Clinical Informatics”

This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.

Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.

Retrieved from the Walden Library databases.

The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.

Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.

Retrieved from the Walden Library databases.

This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.

Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.

Retrieved from the Walden Library databases.

This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provides insights on change management, the reasons people resist change, and the ways to establish a culture that is more open to change initiatives.

Gruber, N., Darragh, J., Puccia, P. H., Kadric, D. S., & Bruce, S. (2010). Embracing change to improve performance. Long-Term Living: For the Continuing Care Professional, 59(1), 28–31.

Retrieved from the Walden Library databases.

This text describes the implementation of a new electronic health record system at a 105-bed hospital related-facility. The authors highlight five key elements that were deemed necessary for a successful EHR implementation.

Hyrkäs, K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management, 18(1), 1–3.

Retrieved from the Walden Library databases.

According to the authors, the health care field is in need of more effective leaders who understand innovation, who appreciate diversity and change, and who can foster and implement innovation and creativity. The authors describe how nurse leaders can be instrumental in embracing and disseminating innovation throughout the health care system and provide scaffolding for subsequent articles in this issue of the journal.

Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4–6, S8–S11.

Retrieved from the Walden Library databases.

The authors of this article describe the incentives and requirements for electronic health records (EHRs) outlined in the Health Information Technology for Economic and Clinical Health (HITECH) Act. The authors then provide 10 steps for health care leaders and organizations to follow when implementing EHRs.

Murphy, J. (2011). Leading from the future: Leadership makes a difference during electronic health record implementation. Frontiers of Health Services Management, 28(1), 25–30.

Retrieved from the Walden Library databases.

In this article, the author examines the causes behind the increasing complication of EHR implementations. In addition, the author explores the role of leadership in guiding successful EHR implementations.

Write a 4-page paper which includes the following:

Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.
Analyze the role of nurses as change agents in facilitating the adoption of new technology.

Evaluation Criteria for Applications and Formal Papers

Levels of Achievement

Criteria

Outstanding Performance

Excellent Performance

Competent Performance

Proficient Performance

Room for Improvement

QUALITY OF WORK SUBMITTED –

1. The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking (0-30 Points)

30 to 30 points

Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics

25 to 29 points

Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics

20 to 24 points

Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

16 to 19 points

Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.

0 to 15 points

Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.

QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0-5 Points)

5 to 5 points

A clear and comprehensive purpose statement is provided which delineates all required criteria.

5 to 5 points

A clear and comprehensive purpose statement is provided which delineates all required criteria.

4 to 4 points

Purpose of the assignment is stated, yet is brief and not descriptive.

1 to 3 points

Purpose of the assignment is vague.

0 to 0 points

No purpose statement was provided.

ASSIMILATION AND SYNTHESIS OF IDEAS

The extent to which the work reflects the student’s ability to-

1. Understand and interpret the assignment’s key concepts (0-10 Points)

10 to 10 points

Demonstrates the ability to critically appraise and intellectually explore key concepts.

9 to 9 points

Demonstrates the ability to critically appraise and intellectually explore key concepts.

8 to 8 points

Demonstrates a clear understanding of key concepts.

5 to 7 points

Shows some degree of understanding of key concepts.

0 to 4 points

Shows a lack of understanding of key concepts, deviates from topics.

ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources (0-20 Points)

20 to 20 points

Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

15 to 19 points

Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

10 to 14 points

Integrates specific information from 1 credible outside resource and 3 to 4 course resources to support major points and point of view.

3 to 9 points

Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.

0 to 2 points

Includes and integrates specific information from 0 to 1 resource to support major points and point of view.

ASSIMILATION AND SYNTHESIS OF IDEAS 3. Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, and textbook) by comparing different points of view and highlighting similarities, differences, and connections. (0-20 Points)

20 to 20 points

Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.

18 to 19 points

Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.

16 to 17 points

Summarizes information gleaned from sources to support major points, but does not synthesize.

14 to 15 points

Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.

0 to 13 points

Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.

WRITTEN EXPRESSION AND FORMATTING 1. Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. (0-5 Points)

5 to 5 points

Paragraphs and sentences follow writing standards.

5 to 5 points

Paragraphs and sentences follow writing standards.

4 to 4 points

Paragraphs and sentences follow writing standards 80% of the time.

3 to 3 points

Paragraphs and sentences follow writing standards 70% of the time.

0 to 2 points

Paragraphs and sentences follow writing standards < 70% of the time.

WRITTEN EXPRESSION AND FORMATTING 2. English writing standards: Correct grammar, mechanics, and proper punctuation (0-5 Points)

5 to 5 points

Uses correct grammar, spelling, and punctuation with no errors.

5 to 5 points

Uses correct grammar, spelling, and punctuation with no errors.

4 to 4 points

Contains a few (1-2) grammar, spelling, and punctuation errors.

3 to 3 points

Contains several (3-4) grammar, spelling, and punctuation errors. 3

0 to 2 points

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

WRITTEN EXPRESSION AND FORMATTING 3. The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list (0-5 Points)

5 to 5 points

Uses correct APA format with no errors.

5 to 5 points

Uses correct APA format with no errors.

4 to 4 points

Contains a few (1-2) APA format errors.

3 to 3 points

Contains several (3-4) APA format errors.

0 to 2 points

Contains many (≥ 5) APA format errors.

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