Successful implementatin of electronic health infomation technology

Successful implementatin of electronic health infomation technology

Successful implementatin of electronic health infomation technology
Nurses are the front line of patient care. They know what all is involved to ensure their safety and give them quality care. Medical technology is created to make a nurses life easier and improve patient safety. Since the nurse is the one that knows what it takes to care for a patient better than anyone else, it is obvious that the need to have their input on new technology is of utmost importance. Technologists have never walked in the shoes of a nurse. They have no idea what all is involved in a usual 12 hour shift, therefore, have no place to decide what will and will not make a nurses day easier and their patient’s safer. In an article discussing the need for nurses to be involved in the implementation of new technology, it states, “When nurses can participate in testing, evaluation, design, and selection, the technology acquired is likely to be more user friendly and thus have a greater positive impact on care”(Fitzpatrick et al., 2010, p. 8).

The first stage in the systems development life cycle (SDLC) is feasibility. This is where the group decides whether implementing this new technology is something that the hospital has the means to adopt (McGonigle&Mastrian, 2012). Also, it assesses whether or not the new technology will indeed be a contributing factor to patient safety and nurse efficiency. Obviously, having the say of nurses on whether or not they believe the new technology would be of help to them is extremely important. If the nurses are not on board with the program, success is almost impossible.

Next, the stage proceeding feasibility is analysis. With analysis, the group looks at the current process and practice and determines whether or not the need for this new technology is necessary (McGonigle&Mastrian, 2012). Nurses are the ones who are actually performing the interventions and they are going to be the best deciding factors on whether a change in the system will be of help. Fitzpatrick et al write, “Nothing is more powerful than frontline staff being on the inside track in a technology decision” (Fitzpatrick et al., 2010, p. 9).

After analysis, the next step in the cycle is design. McGonigle and Mastrian explain this step as, “the deign phase focuses on high- and low-level design and interface and data design. At the high-level phase, the team establishes what programs are needed and ascertains how they are going to interact. At the low end phase, they explore how the individual programs are actually going to work” (McGonigle&Mastrian, 2012, p. 206). With this stage, the technologists and the nurses are going to have to work very close together to decide how to create this technology in a way in which it will be easily adaptable for all nurses. Multiple opinions from different nurses will be key to designing the perfect technology for the task at hand since they know what exactly is needed to improve the process. Nurses need to have the ability to be given a say in new technology, as they will not only think of themselves, they will think of the patient and their needs (Fitzpatrick et al., 2010).

Then, once the new technology is designed, implementing the new software is the next step. Here, the design is placed into a system with a programming code (McGonigle&Mastrian, 2012). Even though most of this phase is completed by the technologist, nurses still need to be involved to ensure that the right programming language is chosen. The nurses must ensure that this new technology can be easily adaptable for all nurses.

The testing phase involves multiple different kinds of test, from breaking it down into small pieces to testing it as a whole (McGonigle&Mastrian, 2012). Obviously, nurses will need to be involved during this process to analyze the ability of the technology to do what it was created to do. If it does not perform in the way in which it was designed to perform, then the nurses can assist with deciding which changes need to be made to fix the issues.

Finally, the last step in the cycle is maintenance. After the tests have been completed, the technology must be maintained to ensure that it is doing everything it was created to do every single day. Nurses will be the staff members who are using this technology and it is important that they have a voice whenever something goes wrong. When a system first comes out, it is never perfect and the users are the ones that will be able to assist with smoothing out any imperfections.

It has been noted that the use of nurses throughout the entire process of new technology implementation is of utmost importance. Fitzpatrick et al write, “Some of the greatest success stories occur when staff nurses are given great latitude in driving technology decisions” (Fitzpatrick et al., 2010, p. 9). Without nurse input, implementation is likely to fail. In order to best serve the patient by creating new technology, collecting the opinions of the people who are taking care of these patients is key.

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