Question

Nurse Jim Chen has been the nurse manager of the primary care clinics within a large health care organization for over 10 years. Jim is considered an excellent communicator and is well regarded by the physicians, nurses, and auxiliary staff. The health care system has been converting the acute care areas to electronic health care records (EHR) and is now ready to introduce them to the outpatient clinics. Jim has been appointed a “champion” of EHR for the clinics, and is charged with gathering a committee for implementation. He knows that members of the staff have differing views on the EHR, but most view it as a necessary change. However, some of the older staff feel very threatened (that jobs must be in danger), because they are uncomfortable with computers and new technology and have limited keyboarding skills.

• 1.What are some of the issues that Jim must plan for?
• 2.What theory or model might be useful?
• 3.Who should be involved in the committee to plan this change?
• 4.What might be Jim's first step in planning for this innovation?
• 5.How might he or the committee prevent or decrease resistance of other staff?

Answer 1

1. some of the issues that Jim must plan for are -

- convincing the staff who are fiding it difficult to use EHR .

- methods to implement easy working environment for all

- training programs

2. Only one theory is helpful here that is use of advance technology is the need of time . When this EHR is inteoduced among the staffs and physicians it may seem difficult but with proper training it becomes easy . The adavantages are more because it can increase the quality care and help clinicians to identify and stratify chronically ill patients . The use of data and analytics help us to work upon a large range 9f people in less time . The communication skill of Jim will be helpful in convincing staffs .

3. A project manager , application analyst , Application developer and quality assurance test engineer are needed in the committee to plan this change.

4. The first step of Jim should be construction of whole map of needed things and people who are involved . It starts from  forming a committee to monitor development of EHR , the place where the whole system is made with the effort of other staffs too .

5. Training must be given to prevent or decrease resistance of other staff with the help of committee .