Health can be described as the state of physical or emotional well-being without necessarily the absence of a disease or any given ailments. Electronic Health Record, thereby, covers a wide scope in ensuring the electronic procedures through which the factors that lead to the health of individuals are ensured. This indicates that this practice involves the incorporation of technology such as the use of computers to ensure its implementation.
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In this research paper, therefore, one ought to undertake the role of a head nurse, and carry out the programs that will ensure the use of electronic health records system is incorporated in a facility. In addition, one ought to put his or her base of discussion in line with the Rodgers qualities that lead to the adoption of new technologies, especially in an organizational set up. This can, therefore, be discussed as follows:
How to approach the present the Electronic Health Records to the nurses to win their approval
Nurses often play a greater role in ensuring the health care delivery to the patients, who in most cases seek medical attention. This owes to the fact that they put into consideration the patients’ issues from the moment they are registered to undertake treatment in a given facility. Furthermore, they are the individuals who make sure that the patients get proper and adequate treatment up to when they are discharged from the hospital.
Therefore, one way of presenting the Electronic Health Records system to them is by critically defining the roles they are to carry out. These run from the registration of the patients, admission procedures as in the case of patients’ illnesses, writing down of the nursing procedures. Other functions of the nurses include drug admission, dosage and their storage, carrying out of the minor surgeries and dressing of wounds.
As the Head Nurse in charge, I would clearly outline to the nurses their roles, and how the incorporation of the new electronic health record system would improve their daily activities in the delivery of healthcare. However, despite the advantages that are associated with the new technology, several cases of resistance can be noticed among the nurses. These can be in the whereby they mention that they lack the knowledge and the skills to use the methods and that it may consume their time, and lead t earlier retirement or even retrenchment of their jobs.
In such a given case, as a head nurse, I will ensure that they have adequate training on the use of the newly adopted system, and assure them that the only time they would be retrenched or dismissed from their duties would be on attainment of the retirement age. Moreover, I will ensure that new goals and objectives are set forth with the introduction of the systems to ensure a quality health delivery service. Furthermore, I would also provide some room for negotiation so that we come up with a system that will be favorable to all.
Applications as per Rodger’s theory, in the health facility setup.
The theory looks into the modes via which individuals can choose to adapt into a new system of technology, basing on the qualities that they possess. These include relative advantage/the benefits, compatibility with the current practices and the values, simplicity, trialability, and the results that are observed (the observable results).
The relative advantage
In order to prepare the nurses for the implementation that is upcoming, I would ensure that the system will lay several benefits that will facilitate in the improvement of the existing one. An explanation that can be given to this is that, initially, the storage of the health records were done in a manual manner. Therefore, a lot of time would be taken to retrieve the information about the patients from the filing area, thereby leading to subsequent delays, and infectivity in the delivery of health care. Moreover, the loss of the files would be easier owing to their inadequate storage and management.
However, by the incorporation of the new technology, time taken to retrieve the information about the patients would be reduced due to their accessibility and efficient storage. This would in turn lead to faster and efficient treatment. These would also ensure that they are properly diagnosed with the diseases that they suffer from and reduce the excess costs incurred for example in the purchasing of their files.
Compatibility with the existing values and practices
In the health setup, proper values need to be ensured so that the rights of the patients are not infringed on. These can be in line with the Nightingale Promises or laws, as in this case, for the nurses. Practices such as laboratory experiments and the observational routines, for example, recording of temperature, blood pressure tests, post natal and antenatal care too should be considered. As a result, in order for the nurses to adapt to the new systems, they need to understand how the technologies would be implemented as per the values and the practices.
In the facility, several forms of resistance may arise due to the difficulty of the nurses to use the new methods as most of them may be computer illiterate. Therefore, there is need to use the simple models that they can be easily trained on and understand. An example of these may include the data entry forms like the use of Microsoft Office (Word and Excel) basically, before getting to the more complex ones. Others may include the measurements of the temperature and pressure of the patients using equipment that can easily detect the variables from one patient to the next.
TrialabilityThese can be carried out as part of the training procedures that are given to the nurses. Therefore, they can be granted some extra time to familiarize themselves with the machines, make several trials and mistakes, and eventually come to terms with the proper modes of handlement.
In most cases, these will be evident from the institutions that have successfully installed and used the systems in place, and the progresses that they have made in relation to the admission of an adequate healthcare. Thus, these can be the referral and the national hospitals from where a variety of diseases are handled.
The role of nurses as change agents in facilitating the adoption of a new technology
Nurses aid in the adoption of the new forms of technology by ensuring digitalization in the admission of healthcare. These can be in the form of the mobile clinics that reach far and wide, within and outside the country. Moreover, it gives them a wider scope to classify diseases according to the signs and symptoms thus they can relate to patients through mediums such as webcam or even Skype for those who may not be able to get to the facilities in good time.
These can therefore help to reduce the costs that can be incurred as in the case of distant travels by the patients who are critically ill, for example the aircraft ambulatory modes, and reduce more damages that would be caused to the patients by the use of roads. Additionally, several modes of treatment too can be sought out for by the nurses in line with the researches that they carry out through the internet, thereby improving the lives of individuals.
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