Question

Carlos, a new professional nurse graduate, has been asked to participate in the hospital-wide initiative to use an electronic medical record (EMR). Carlos understands that nurses and physicians at his institution have resisted technologic advances; it has taken 10 years to progress to the point of implementing the EMR with computerized physician order entry. Some work has been completed by the committee to gain buy-in, in an attempt to reduce resistance and reluctance, and plans are now needed to effectively manage conflict after implementation.

Questions

1.​What strategies can Carlos and the EMR implementation team employ to address conflict management before the implementation date?

2.​What strategies can Carlos and the EMR implementation team use to address conflict after implementation?

3.​What conflict-handling techniques will be of particular importance during the implementation

answer aleast 5-6 lines

Answer 1

1. Strategies before implementation

• Develop a detailed strategic plan for the process to be followed.
• It is a team work that can be commited only by the collaboration of care providers, IT vendors, consultants, staff, physicians etc. We have to treat the consultants as partners
• Since the primary importance should be provided to the patient, decisons that are made should benefit them.
• It is very challenging to complete the task within the time bound. There fore timeline slips can be kept thereby creating a realistic paln and implementation of the same
• Since the system is new to every one ample training, should be given to improve efficiency

2. Strategies after impllementation

• It is very difficult enter the entire documents to the system. For this a proper format for data entry has to be accomplished and training should be given for the same
• It is a problem in settings such as emergency department, intensive care units. For these an IT assistant with thorough knowledge regarding the data entry can be placed for easy work
• The privacy of the pateint information is very crucial to be maintained. For these resons the acess should be limited only for those who are the immediate care providers and they should be made responsible for the data privacy
• It is very difficult to exchange the information among different health systems inorder to get a complete picture of the patients health. A common profile for a patient make it possible to enter the details.
• The training is time consuming and may make the staff reluctant to use programs. A social app can be formulated that helps to provide training in an online / off line basis and clarify their doubts.

3. conflict handling techniques

• The implementation should be started with strong leadership
• Focus should always be on the outcome
• It must be based on the clinical setting
• It should maintain a careful workflow
• It should test the working for its effectiveness at regular intervals
• Proper training on updation