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  1. QUESTION

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?

 

To complete:

 

Write a 3- to 5-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.

 

Reference:

 Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.

 

Subject Computer Technology Pages 8 Style APA

Answer

Application: Adoption of New Technology Systems

Adoption of novel technologies has proven to be the sufficient way through which nurses can execute their practice in effective and efficient manner, which can ensure the delivery of quality care (Abramson et al, 2014). However, the implementation of new technologies in organizations is often met with immense resistance from employees who want to maintain the status quo. To minimize the level of resistance that the implementation of the EHRs (electronic health records) may encounter, the five qualities highlighted by Rogers (2003) can be employed in preparing the nurses for this upcoming implementation. This goal will be accomplished by making nurses aware or informed of the EHRs systems and its contribution to the organization’s and nurses’ progress.

The first step will involve making the nurses informed about the relative advantage offered by the EHRs over the old systems. According to Abramson et al (2014), employees often demonstrate minimal resistance when they are aware of the benefits of the change to themselves and to the organizations. Employees will be made to know that the EHRs and the potential to exchange health information in an electronic manner can help them offer higher quality as well as safer care, while establishing tangible enhancement for the organization. McGonigle & Mastrian (2012) assert that the EHRs assist healthcare providers manage care for patients in a better way.  These systems ensure that healthcare providers offer precise, up-to-date, and adequate information concerning patients at the care point. They also enable quick accessibility to records of patients for more coordinated and efficient care. EHRs ensure that nurses can securely share electronic information with their patients as well as other clinicians. EHRs help care providers to diagnose patients in a more effective manner, thereby minimizing medical errors and providing safer care. These systems also improve the interaction and communication between patients and care providers. Furthermore, EHRs ensure the convenience of health care and enable safer and more reliable prescription (McGonigle & Mastrian, 2012). These systems also promote legible and comprehensive documentation, as well as precise and streamlined billing and coding. They also enhance the security and privacy of patient data and enable providers to improve the work-life balance and productivity. The EHRs also enable providers to be more efficient and accomplish their business objectives. Moreover, the EHRS limit costs via decreased paperwork, enhanced safety, limited duplication of testing, and enhanced health (Bates 2010).  These benefits will be explained to the nurses, after which the compatibility between the EHRs and the organization’s practices and values will be highlighted.

As one of the qualities highlighted by Rogers (2003), the aspect of compatibility between the EHRs and the facility’s existing practices and values will be explained to the nurses. According to Roger (2003), the system adopter must comprehend how the novel innovation aligns with the organization’s current practices. In this stage, some of the organization’s core values and principle such as privacy will be emphasized. For example, the EHRs ensure the safety of information associated with patients, thereby making the system to be in line with the organization’s existing practices and values. In addition, the fact that EHRs ensure that diagnosis is executed in more effective ways, thereby reducing medical errors and providing safer care, makes these system match the available practices and values at the organization. Explaining and justifying the compatibility between the EHRs and the facility’s existing values and practices to the nurses will enable them establish a positive attitude towards the adoption of this implementation. This stage will then be followed by informing the nurses about the simplicity associated with the EHRs.

Roger (2003) asserts that the adopted of the system must have the belief that she or he can master the novel technology in an easy way. When systems are difficult to learn, adopters often demonstrate high levels of resistance. As such, the nurses will be made to know that the EHRs are easy to operate/use. Abramson et al (2014) point out that the ease of use of EHRs covers five principal areas that include patient portals, clinical support, technical support, meaningful use. And quality of care. This idea will be emphasized to the nurses to ensure that issues of anxiety and fear of the new technology are eliminated. Such an undertaking will ensure that nurses develop the right mindset about using the new system. After the successful accomplishment of this step, nurses will then be taken to the trial-ability stage.

According to Roger (2003), the adopter of the technology must have the chance to play around or handle the novel technology and explore its competencies. Abramson et al (2014) add that exposing adopters to novel technologies act as a significant step towards ensuring that they get comfortable round such systems, by getting rid of elements of anxiety. In relation to this, nurse will be allowed to try using an EHR system. Nurses will be organized in groups to allow for the sharing of ideas and opinions on how to use the system. This undertaking will also ensure that nurses can jointly employ their knowledge in exploring the capabilities associated with the EHR. Nurses who encounter problems will be required to seek help from their colleagues who know how to use the system. Besides, such nurses will also be offered adequate time to get used to the system. In this manner, nurses will manage to get rid of any element of fear or anxiety that they might have about the proposed system. Besides, they will acquire extra knowledge about the system, which might have not been explained to them.

Nurses will then be allowed to justify the benefits associated with the EHRs. Roger (2003) argues that the adopter needs to have evidence that the suggested innovation has been successful in other circumstances. In relation to this, case studies and real life experiences concerning the use and success of the EHRs will be presented to the nurses. Abramson et al (2014) state that one of the best mechanisms that can be employed in minimizing resistance to the adoption of new technology is presenting situations in which such a system has been successful. Therefore, this approach will be employed in eliminating cases of doubts among the nurses concerning the EHRs effectiveness.

By informing the nurses about the five qualities of a system proposed by Roger (2003), they will manage to wipe out any element of resistance that might be lingering on their minds. Thorough explanation of the benefits and competencies of the EHRs in relation to these five qualities will ensure that the nurses are well-informed about the new system that they have to adopt. As a result, the implementation of this system (i.e. EHRs) will be accomplished in an effective and efficient manner, making it a success.   

 

 

 

 

 

 

 

 

 

 

 

References

Abramson, L., McGinnis, S., Moore, J., & Kaushal, R. (2014). A Statewide Assessment of Electronic Health Record Adoption and Health Information Exchange among Nursing Homes. Health Services Research, 49(1pt2), 361-372.

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.

McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones & Bartlett Learning. ◦Chapter 17, “The Electronic Health Record and Clinical Informatics”

Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.

 

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