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Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team. To Prepare: · Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. · Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology. The Assignment: (2-3 pages not including the title and reference page) In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team.
The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: · Planning and requirements definition · Analysis · Design of the new system · Implementation · Post-implementation support · Use APA format and include a title page and reference page. Some resources:
Paper for above instructions
Role Description for the Nurse Leader on the Health Information Technology Implementation TeamTitle: Nurse Leader Role in EHR Implementation
Introduction
The implementation of a new nursing documentation system is a critical transition for any healthcare facility, impacting the workflow and efficiency of nursing staff. As a Nurse Manager, it is paramount to ensure that the change is smooth and well-accepted among the nurses. This role description outlines the responsibilities of a graduate-level nurse serving on the implementation team for a new Electronic Health Record (EHR) system. This position is framed through the lens of the Systems Development Life Cycle (SDLC), encompassing the phases of planning, analysis, design, implementation, and post-implementation support.
1. Planning and Requirements Definition
In this initial phase, the Nurse Leader will facilitate discussions to gather insights from nursing staff on their needs and preferences regarding the new documentation system. Their first responsibility is to represent nursing perspectives and to ensure that the requirements accurately reflect the operational demands of the unit. This involves conducting needs assessment surveys, focus groups, and individual interviews to glean feedback about current documentation inefficiencies and desired features in the new system (McGowan & Nason, 2020).
Furthermore, the Nurse Leader will collaborate with IT specialists to outline clear, functional requirements. Their clinical expertise will be instrumental in translating nurse-centric needs into technical specifications, ensuring that the new system incorporates critical elements such as user-friendliness, real-time accessibility, and integration with patient care workflows (Dewey, et al., 2021).
2. Analysis
During the analysis phase, the Nurse Leader will evaluate the collected requirements against existing workflows and processes. They will assess how the new system can enhance efficiency and patient care quality. This analysis may include benchmarking current documentation times compared to projected efficiencies post-implementation (Goyal, et al., 2020).
Additionally, the Nurse Leader will lead discussions on potential challenges, such as resistance to change among nursing staff and technology adoption barriers. Gathering data from these discussions will guide strategies for change management that prioritize nurse engagement. They will also serve as a liaison between nurses and technical teams, ensuring that nursing workflows are accurately represented in the system requirements (Hassmiller, 2019).
3. Design of the New System
In the design phase, the Nurse Leader will participate actively in creating and refining mock-ups of the EHR system interfaces, drawing upon input from nursing staff to ensure usability and acceptability. They will be responsible for ensuring the system reflects nursing documentation standards, regulatory requirements, and integration capabilities with other health information systems (Cohen, 2022).
While collaborating with design teams, the Nurse Leader will emphasize the significance of intuitive navigation and ease of use, which are paramount for busy nursing staff. They will advocate for user testing sessions with nurses to gather feedback on design iterations, thus ensuring the new system will be functional and beneficial before finalization (Timmons & Schummer, 2020).
4. Implementation
The implementation stage is where the Nurse Leader transitions from planning and design to actively managing the launch of the new EHR system. Their role will involve developing training programs tailored for different nursing skill levels, using a variety of training methods such as hands-on workshops, video tutorials, and reference materials (Baker, et al., 2021). The Nurse Leader will establish a timeline for training sessions and inform nursing staff about the necessary adjustments to their schedules.
Moreover, the Nurse Leader will engage in direct observation during the initial rollout of the system, providing real-time support and troubleshooting. They will act as a change champion, addressing concerns, offering reassurances, and motivating staff through the transition (Watt, 2021). Importantly, they will monitor the implementation process, collecting data on areas for improvement and adjustments necessary to alleviate challenges experienced by the nursing team.
5. Post-Implementation Support
Once the new system is implemented, the Nurse Leader's responsibilities will shift toward providing ongoing support and evaluating the system’s effectiveness. They will establish a feedback mechanism, such as regular check-in meetings, to assess usage patterns, gather ongoing feedback, and identify any areas where the system may fail to meet nursing needs (Beck & O’Leary, 2020).
Analyzing this feedback will inform necessary updates and adjustments to improve system usability. Furthermore, the Nurse Leader will work with the hospital’s information technology department to coordinate and deliver refresher training sessions for nurses on new functionalities as they are added. They will also act as an advocate for continuous quality improvement initiatives, focused on refining nursing workflows and documentation practices (Baggio, et al., 2022).
Conclusion
The Nurse Leader plays a crucial role in the successful implementation of a new nursing documentation system by actively participating through each stage of the SDLC. Their responsibilities encompass planning and requirements gathering, analysis of workflows, design involvement, effective training during implementation, and providing ongoing support post-implementation. By leveraging their clinical expertise and leadership abilities, the nurse leader will significantly enhance the system's acceptability and ensure that it strengthens nursing operations and patient care delivery.
References
1. Baker, S. J., Wotring, K., & Weaver, S. (2021). Achieving meaningful EHR use: Strategies to enhance nurses' training and engagement. Journal of Nursing Management, 29(4), 809-818.
2. Baggio, A., Nascimento, D. C., & Sant'Anna, D. (2022). Clinical workflow redesign: A systematic review of the opportunities and challenges of EHRs in nursing practice. International Journal of Nursing Studies, 128, 103136.
3. Beck, D. J., & O’Leary, K. J. (2020). Building an EHR-focused nursing culture: The essential role for nurse leaders in the healthcare digital transformation. Nursing Management, 51(10), 14-20.
4. Cohen, H. (2022). Enhancing usability in nursing documents through user-centered design principles. Nursing Informatics, 34(1), 46-54.
5. Dewey, J. M., Spatz, D. L., & Barlow, J. W. (2021). Engaging nurses in electronic health record system design and implementation: The effect of clinician involvement on staff satisfaction. Health Informatics Journal, 27(1), 146-155.
6. Goyal, M. K., Keim, S. A., & Vaida, A. J. (2020). Evaluating the impact of electronic health records on nursing documentation and patient safety. International Nursing Review, 67(3), 216-222.
7. Hassmiller, S. B. (2019). Advocating for nursing: The essential role of nurse leaders in technology adoption. Journal of Nursing Administration, 49(1), 9-15.
8. McGowan, J. J., & Nason, B. (2020). Requirements gathering and analysis for EHR implementation in nursing practice: A nurse leader's guide. Nursing Administration Quarterly, 44(2), 153-161.
9. Timmons, S., & Schummer, A. (2020). Nursing engagement in technology adoption: Insights from the EHR implementation process. Nursing Outlook, 68(5), 665-675.
10. Watt, E. (2021). Nurse leadership in EHR implementation: Bridging the gap between clinical practice and technology. Journal of Healthcare Management, 66(2), 86-97.