ADOPTION OF HER 1
The health care sector is always perfecting and evolving thepractices it employs to deliver quality care to the public ingeneral. Various factors influence this drive to progress including ashift in expectations and needs of consumers, system integration, theneed to improve the healthcare quality, financial constraints, andalso restricted human health resources. The aftereffect produced bythe progress in the healthcare information technology includesimprovement in the quality of care services, increase and reductionin competitiveness and costs respectively, enhancement in datamanagement, as well as accessibility and continuity of healthcareservices. However, some technological advances might face resistancefrom various stakeholders in the healthcare system. As a nursefacilitator who is one of the team members in charge ofimplementation of a new Electronic Health Record system in a smallhospital in upstate New York, it is important to utilize Rogers(2003) five qualities that govern individual’s attitudes towardsembracing any new technology, to ensure diffusion and successfuladoption of this system by other nurses.
Since nurses are the majority workers in a healthcare system, theyare the most users of EHR. Therefore, it is critical to have astrategic plan to prepare and engage them in the new EHR adoption andimplementation process. The ultimate goal would be not to lose anynurse due to this technology. Giving the nurses an assurance that noone would be replaced off their jobs would lessen the opposition andtension created by this fear. After the resistance is reduced, thefirst step would be to educate them what the system is all about andthe benefits it offers to them in general. The nurses are aware ofthe existence of the EHR, but they lack some details about it. Iwould take them through the operations of this system. An EHR is amedical history of a patient that has been coded electronically,which is preserved over time by a particular provider. Some of theinformation found in this system includes medications, demographics,problems, as well progress notes.
Rogers (2003) identified how the quality of relative advantageinfluences peoples` attitudes towards technology adoption. He statedthat for people to adopt a new technological innovation, they mustunderstand its benefits over the old system of doing things. I wouldprovide the necessary information about how the new EHR would makethe documentation process easy and less time consuming thus they willhave ample time to provide direct care to the residents.
Some of the benefits of EHR that I would use to convince my coworkersinclude fewer errors compared to paper records. Also, it is easier toaccess up to the minute full medical history of a patient within ablink of an eye, allowing for more systematic cooperation in allfacets of a patient’s care. Transfer of information concerning aparticular patient from one department to another also becomes easywith electronic health record system, which is an added advantage tonurses who take too much time moving from one department to anotherdistributing patients’ data. With EHR, there are minimal chancesthat patients’ files would be misplaced or lost. Provision of allthese benefits would be a great step in ensuring that the nurses arecomfortable and have no doubts with the innovation. They will realizethat the system is there to help them rather than exploit them.
Another step to consider would involve how to make nurses understandthat the EHR is consistent with their practices and values. Accordingto Rogers (2003), innovation must be compatible with the practicesand values of the adopter. I would convince them that this systemwould enhance not only their assessment sequences, but also thelinkages between patient care and the nurses’ care plan. Instead ofa nurse caring for only one patient at a time, EHR enables him or herto work in a way that benefits the entire population.
Simplicity is another quality I would consider in the process ofconvincing nurses to embrace the EHR. Rogers (2003) observed that thebelief that a particular innovation can be mastered easily influencesthe decision of the adopter. An impression that a certaintechnological innovation is hard to master might increase the nurses`resistance. To make the EHR appear simple to learn, I would encouragemy co-workers to undergo training in computer skills to make it easyfor them to learn the EHR system.
After the nurses gain computer competence, I would give them a chanceto experiment with the new system. Rogers suggested that trialabilityis an essential characteristic in ensuring that people accept a newinnovation. Recurrent and consistent experimentation on thecapabilities of the EHR system would not only allow the nurses tolessen their resistance towards this system, but also they would gainquality skills on the use of EHR.
For the nurses to embrace this system, there must be some evidencethat it works. I would gather testimonials, research results, andalso engage them in hospital tours, and conference calls with otherinstitutions in which they will get an opportunity to interact withother organizations that were successful in adopting the EHR. Thefirst people to accept this system wholeheartedly would be used asadvocates of EHR in upstate New York hospitals.
Successful implementation and adoption of EHR by nurses demands for astrategic plan that would overcome their resistance to change. Nursesmight feel that this system is a hindrance to their time managementroutines. By use of Rogers’s innovation characteristics such asrelative advantage, simplicity, visible results, compatibility, andtrialability, a nurse facilitator can make the EHR adoption asuccess. To lessen the resistance created by this innovation,training sessions, excellent communication, and presentation ofexamples and reading materials would be practiced on a daily basis.
Rogers, E. M.(2003). Diffusion of Innovations (5th ed.). New York, NY:Simon and Schuster.