Health information technology (HIT) can change the way nurses deliver health services to patients, for example, nurses are moving from paper-based medical records to electronic health records (EHR) systems. The change in technology can be overwhelming for many nurses and therefore create a resistance towards the implementation of a new system. Everett Roger’s created the theory of diffusion of innovation which uses five characteristics of innovation (relative advantage, compatibility with values and practices, simplicity, trialability, and observability) to help reduce resistance towards implementation of a new system (Lee, 2004). The purpose of this paper is to explain how to use Rogers’ theory of diffusion of innovation as a foundation …show more content…
Besides, the new technology being user-friendly, the individual must believe the system should make the job easier. As a nurse facilitator, I need to assess the nurses’ technology skills and support any nurses who need training. For example, voice date entry can be used to enter information when nurses are not comfortable with computers (McGonigle & Mastrian, 2015). After technology skills have been assessing, I can convince nurses that using a new EHR system is the best way innovation in the health care system and that this technology can make the job easier by having faster and easier access to patient’s medical problems, allergies, medications, progress notes, and follow up appointments. According to Cliff (2012), “HIT is transforming the way health-related information is gathered, stored, shared and used.... HIT will revolutionize the entire American health care system, making it more efficient, more effective and more focused on meeting the needs of patients” (p. 302). By convincing nurses how easy it is to use and by offering training and technical support services to those who need help, I can make the new EHR user-friendly and help facilitate the adoption of the new …show more content…
As a nurse facilitator, I can convince nurses that the new EHR system is good for our organization by giving them the opportunity to test the system and learn from it. By giving the opportunity to end users to train during prelive and postlive activities, the informatics nurse specialist can ensure that the new EHR system meets the needs of the end users (McGonigle & Mastrian, 2015).Teaching the nurses how to use the system during training activities can help reduce their resistance towards the implementation of a new
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.
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
However, to fully benefit from implementing the recommendations as outlined by the American Recovery and Reinvestment Act of 2009 (ARRA), one would need to consider some barriers that could impact the success of computerization in the health care setting. Acceptance by the senior nurses is one hurdle that the organization has to address. The resistance lies more in the lack of computer skills of the seasoned nurses. Thus, this drawback calls for providing adequate training to the nurses that would require more Information Technology (IT) staff, which consequently would impose additional cost to the hospitals. One other concern with the EHR would be maintaining the privacy and security of patient information. McGonigle and Mastrian (2015) aptly cited “Network accessibility and network availability are necessary evils that pose security risks. ... As the cloud expands, so do the concerns over security and privacy. In an ideal world, everyone would understand the potential threats to network security” (p.
McBride, S., Delaney, J., & Tietze, M. (2012). Health Information Technology and Nursing. American Journal of Nursing, 112(8). Retrieved from http://www.nursingcenter.com/lnc/pdf?AID=1402619&an=00152258-201301000-00010&Journal_ID=&Issue_ID=
“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
Ajami, S., & Bagheri-Tadi, T. (2013). Barriers for Adopting Electronic Health Records (EHRs) by Physicians. Acta Informatica Medica, 21(2), 129–134. doi: 10.5455/aim.2013.21.129-134
As the trusted caregivers and patient advocates, nurses can influence patients to learn and use the electronic health information for their health management. ANA supports and encourages nurses to use personal electronic health record to manage and improve their own health. The nurses will then have the first-hand knowledge of the process and able to share such experience with their patients to promote the patients’ involvement in their health management. Nurses can serve as role models for patients and empower them with knowledge about the EMR and its benefits. The more patients know about the EMR, the more likely they will participate in the system and to take an active part in managing their own health. To determine the success of the implemented system with respect to this assumption, the number of enrolled nurses and their patients, who are also enrolled in the MyChart portal, are collected to establish a baseline data (group 1). The number of non-enrolled nurses and their patients who are enrolled in the system are collected as well (group 2). These two sets of data are then compared to the data sets collected over a three-month period to determine whether the nurses’ first-hand experience in the use of EMRs and role modeling help patients to accept and use EMR to improve their health management. If there are more patients enrolled and used the system in the first group than in the second group after the three-month period, then the system is successful in its strive to promote patients’ participation in their healthcare management. The system implementation and the nurse-to-patient education process need to be re-evaluated if the patient number of enrollment in the first group is lower than in the second group at the end of the three-month time
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.
Nursing Informatics is a nursing field that involves record keeping and focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care. This field is primarily administrative but plays a part in patient care and quality of health care. There are other types of nurses, but many people focus on the nurses who perform the medical treatments with the doctors. This is evident in many films, TV shows, and in other popular media outlets. However, many people do not know what nursing informatics is nor pay attention to that side of nursing which involves the documentation of records and other miscellaneous items, use of advances in technology to improve
Many new technologies are being used in health organizations across the nations, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 The Centers for Medicaid and Medicare Services (CMS), instituted a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
Though the benefits of IT are numerous, successful adoption into healthcare has been difficult. The Medicare Payment Advisory Commission (2004) states, “barriers include the cost and complexity of IT implementation, which necessitates significant work process and cultural changes” (p. 158). These challenges, sadly, have resulted in a series of ineffective systems.
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
Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely provide better preventive care than were healthcare professionals who did not. (page 116). From 2004, EHR has initiated, even the major priority of President Obama’s agenda is EHR (Madison & Stagger, 2011). Health care administration considers EHR as the introduction of advanced technology which can improve patient satisfaction are can increase the financial incentives of the healthcare organization. Studies have pointed out that the federal policy is proposed to transform all medical records into EHR (Hebda & Calderone, 2010).
Over the past decade, technological advances have paved the way for nurses to provide, quality, safe, standardized and individualized patient care (Saba & McCormick, 2015). The use of the Electronic Health Records (EHR) to manage patient data is quickly becoming widespread in the healthcare industry. The emerging use of the Electronic Health Record, is transforming how nurses care for patients. By creating and implementing an electronic, comprehensive, standardized method of recording patient data, nurses can facilitate and coordinate patient care with members of the multidisciplinary healthcare team. The use of the Electronic Health Record will promote positive
William Goossen’s theory can be applied in nursing practice to develop nursing informatics skills and knowledge, as well as develop technological system competencies among nurses to collect, process, retrieve and communicate pertinent information across health care organizations (Goossen, 2000). This theory is highly applicable in addressing matters related to electronic health records, which are currently characterized with issues of privacy and confidentiality in relation to storage, retrieval and reproduction of patient health information. The model also provides broad applicability in guiding research at any clinical setting and contributes to the discipline of nursing by simplifying and enhancing documentation and storage of patient’s health information and by allowing better utilization of nursing resources (Elkind, 2009).