Implementation of EHR to Nurses
Given the fast-changing health care environment, the sector has among other things to work at leveraging the health care IT to improve quality, costs and access for patients. Nurses have a great impact on whether adoption of EHR fails or succeeds since they the change agents in the health care industry. EHR is helpful to nurses as it helps on reduction of hours for data entry. This is because nurses are able to carefully enter patient information and the needs of the nurse are given attention. Nurses have varied reaction to EHR due to the way the different nurses view the implementation and the use of EHR. This may have been catalyzed by their level of computer skills as well as exposure to electronic information. To counter any resistance, nurse should be actively involved in the entire implementation.
Implementing of EHR
According to Rogers (2004), fresh ideas diffuse overtime through communication. At first those ideas encounter some resistance as they are perceived to be uncertain or even precarious. To encounter this uncertainty, some individuals get in touch with other people who have already adopted the idea. According to this theory, the diffusion progression comprises of some few persons who first take up an innovation and introduce it to their circle of associates. This process may typically takes months or years. The nursing environment is no exception and implementation of new technology follows this theory.
To avoid a situation where EHR program lacks acceptance and active participation, the leaders must prepare the nurses for changes the organizations needs to make. A clear strategy on training the nurses should be out in place; sufficient support during implementation must be provided. The clinicians should be given time to participate in planning meetings and implementation efforts to be made. This can be done by providing resources for education that help in spreading word for on the programs and it benefits. Therefore implementing of an effective EHR should entail proper training of all its users before the program begins and ensure that there is sufficient funding for any resources that may be needed during the trainings.
For a successful implementation of a EHR program, the nurses and other stakeholders should be involved in the program. The earlier this is done; the better for the whole system. When the program is introduced early to the receiving team, it faces less resistance. For example, nurses can be engaged in designing and championing the new workflow geared by technology. This will enable them to work in synch with the IT department in translating the technology needed in their job execution. The governance in the industry need put efficient structures in place so that the nurses identify with this strategy as their own. This can be done through identifying the potential roadblocks, areas of resistance and any factors that may aid the adoption of the anticipated changes. It is worth noting that sharing EHR vision with the nurses and other key stakeholders. This is because a shared vision is well understood and shared by the entire organization as well as enabling the nurses to know what goals and objectives they are working at achieving. This leads to fronting of the patient’s safety and thus quality medicare services for the patient as well as satisfaction for patient’s family.
In a bid to implement EHR, the health care controllers should conduct an assessment of what goals and objectives are to be achieved. In addition, they should look at the current financial status as well as the technical readiness. An accurate evaluation of preparedness should be conduct so as to be design the approach that convenes the requirements of the practice. The organization should ensure that it involves nurses in the entire project. Nurses feedback should be collected prior to, during and after the implementation process. This can be done by including them in all the committees such as the selection committees, implementation teams as well as any other groups working at implementing the program.
The Role of Nurses as Change Agents in Facilitating the Adoption of EHR
The nurses are the catalyst for revolutions in the healthcare and shouldn’t sit back and wait for change to happen by itself. They should at the forefront championing the transformations they want or the changes that are needed in the sector. These can best be done when the nurses are receptive and add value to working on the change. The Informatics nurse specialists are mainly the transformation agents in facilitating the execution of clinical information system in the healthcare setting. Basing on the fact that he or she understands the issues that affect nurses, he stands in a better position to positive implementation results.
With the knowledge of the Innovation-diffusion theory, nursing informatics can develop powerful cognitive tools that facilitate the EHR diffusion among the nurses (Denisco and Barker, 2013). The organization is mandate to ensuring that the nurses have an idea of the concepts and resources that are being replaced. The nurses should be made to understand the advantage of the technology being introduced over the previous technology. This way, the organization will be able to achieve positive results.
The nurses should be at the forefront in supporting the adoption of new technology in health care. They should facilitate the flow of information about the innovation to the others users of EHR. This will lead to technology flow within the system and thus the success of the implementation process. This will be sufficient implication that the nurses have supported the innovation and risen above any resistances or differences that might have occurred at the implementation stage.
Nurses should be account of their actions and take the leadership challenge of making differences in their organizations. One should not create a barrier for their delivery by not being or not giving the best. When a nurse sees something that requires to be changed, he or she should move ahead and do it. Seizing of any opportunity to act on something within the facility leads to escalated satisfaction in the job place.
Nurses needs have the enthusiasm and drive to learn and familiarize oneself with the technological aspects being introduced. Where should consult, researches for guidance and direction on what is to be done and where. The changes introduced should be introduced into culture by nurses consistently using the introduced resources to support the impending change. Nurses have a responsibility to learn how data is secured and any consequences that may await any who violates the security of data. This should be done in manner that favors the clinicians so as to win their support in implementing EHR.
DeNisco, S., & Barker, A. M. (2013). Advanced practice nursing: Evolving roles for the transformation of the profession. Burlington, Mass: Jones & Bartlett Learning.
Lundy, K. S., & Janes, S. (2009). Community health nursing: Caring for the public’s health. Sudbury, Mass: Jones and Bartlett Publishers.
Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.