Question

Assess barriers to the adoption for specific health information technologies and design a study to measure their impact on workflow within an Advanced Nursing Practice context.

Based upon any clinical setting where you have experience or interested in analyzing examine how a particular technology is being utilitized (for example an EHR, or CPOE, or CDS within an EHR, or even a bar code reader). Within a Donebidian context: describe the structure (e.g., clinical/organizational setting), the process of how it is used and works (multiple steps like access, sign-on, interface), and how you would measure the outcomes to determine the effectiveness of the technology.

Following this assessment see if you can think of any barriers to the use of the technology and what can be improved (including the technology itself).

Answer 1

BARRIERS FACED BY UNDERDEVELOPED COUNTRIES IN

ESTABLISHMENT AND PROMOTION OF HIT
Presently health information system infrastructure is
deficient in resources to meet the demands and needs of
increasing population in developing countries. Health care
systems of developing countries have major barriers like
poverty and lack of technological sophistication. The basic
difficulties or barriers in using information technologies
include poor or inadequate infrastructure, insufficient access to the hardware and inadequate or poor resources allocation. By eliminating these barriers population health status can be improved in developing countries.
The authors have identified following barriers in
establishment and promotion of HIT in under developed
countries. These barriers are divided into six groups i.e. ICT
Infrastructure, cost and time, national policies toward HIT,
social and cultural, educational, organizational, and ethical
barriers.

A. Barriers Related To Infrastructure

Poor or Inadequate Infrastructure

Provision of Computer Hardware and Software

Poor Internet Availability

Lack of Professional Human Resource Workforce nd
Lack of Trainings to Produce this Workforce

B. Cost and Time Barriers

C. National Policies towards HIT

D. Social and Cultural Barriers

E. Educational Barriers

F. Organizational Barriers

Fixed and implicit percentage of the total budget of hospitalshould be allocated for the health informatics or health / IT department. Good collaboration is strongly required between health informatics personnel and professional group for a better understanding. So a group of people should be trained in both the fields of informatics and health. Thus they can act as a bridge between these two professions.
The government, ministry of health or other stakeholders
might impose the important measures for adaption of healthtechnology to promote HIT. New flexible methods for
implementations should be adapted. Phase adaption is
recommended. Initially the existing system and new
technology should be run side by side. Hundred percent
changes in the system track sometimes lead to failure