Change Theory In Health Care

According to Porter-O’Grady, 2016 et al p 324, our healthcare systems today are at the center of what is considered major change. Much of the change today is directly related to the foundational principles, concepts and associated with complexity in systems and relationships, and an understanding by nurse leader and follower; of what it takes to make meaningful change. Nurse Leaders, registered nurses, advance practice nurses, and other followers, at every level of our organizations must be increasingly aware of meaningful and sustainable changes that improves our healthcare systems (Porter-O’Grady, 2016 et al p 324).

Nurses are moving from a traditional method of performing task into the technological era. As informatics nurses recognize the need to move from the traditional to a progressive approach. There are many theorist that propose change; however, Kurt Lewin the father of psychology, introduces the theory concepts, emphasizes that the group differ from the sum of its parts. The change theory presents the three-stage model of change. The Lewins model (2011) consist of the unfreezing-change-refreeze theory. The purpose of this discussion is to examine the theories and conceptual frameworks applicable to nursing informatics, view and summarize the video, and Evaluate Applications of Theories or Conceptual Frameworks to Nursing Informatics Initiative.

Implementing a change in practice within these environments can produce anxiety or fear of failure in nurses, leading to a resistance to change. Several studies (Bozak, 2003; Lehman, 2008; Spetz, Burgess & Phibbs, 2012) expounded the need for a concise plan and clear communication between nurses and management when implementing a change of this nature. The use of Lewin’s Change Management theory can support nurses through the transitions and identify areas of strengths and resistances prior to implementing change. Without a framework for guidance, it can be difficult to keep on track.

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

Decrease in funding is another economic challenge in health care. The amount of finances coming from various sources not just the

Implementation of a computer system to replace paper documentation would require the involvement of an interdisciplinary team. This team would be comprised of several members, each with a specific job. The first member selected would be a Clinical Nurse Informaticist. This team member would be charged with giving valuable input on the software needed for nurses to properly care for and chart on their patients. With the knowledge of nursing practice and informatics, this team member would very valuable in bringing the two together in the most efficient way possible. The next team

Implementing a change project is a challenging step of the Capstone Change Project. This paper focuses on steps that must be taken to implement a change, strategies to ensure the success, involved stakeholders and their roles, educational requirements, safety issues, ethical considerations, and external or internal regulations’ effects on the process. It also include the change theory, nursing theory, and evidence based practice influences on the implementation process.

This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB). The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated.

With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this

While some people are receptive to change, others may not be so forth coming. The concept of change in itself can be terrifying because people get used to doing things a particular way, therefore, any deviation from the norm poses difficulty. Within the context of this paper, I will examine two components related to my learning goal and my clinical placement at St. Michael’s hospital. First, the knowledge component will entail a critical review of five evidenced-based scholarly journals related to change and the Electronic Medical Record (EMR), incorporating the strengths and limitations of each study. Then, I will discuss the chosen framework and its use to guide my nursing practice and achieve my learning goal. Next, I will discuss the

The complexity science provide a framework to understand the turbulence associated with transforming nursing practice with nursing electronic documentation (Davidson, 2011, P. 310). The adaptation to electronic documentation seen as a complex adaptive system we expect nurses to interact with computer systems used for the documentation, their patients (that they are documenting on), physicians, and other healthcare professionals as they transition and learn the new system.

For several decades health care has been tied to the economy and with the current downturn we see continued efforts to control and reduce over-head costs. Health care organizations in their effort to become more efficient and address changes in the industry have altered their strategic business plans. Lee & Alexander (1999) researched organizational change in hospitals and their survival, in this paper I hope to discuss their findings and add other examples to validate their conclusions.

One change that is needed to improve work flow in health care practices is the training staff members receive on new technology that the hospital plans to use (Jones). As technology improves and continues to come out with updated software versions, documentation is ideally suppose to become more efficient, decreasing in time and increasing in organization. The benefits of IHE are effortless exchange of data between healthcare organizations, easier access to patient record and information, and the cost effectiveness of integrating systems. However, this can only happen if all staff are trained and know what to do. If not then the IHE it is more of a hindrance than a help to their daily schedule. I constantly hear nurses in the ER talking about how their new data logging program is taking them more time than necessary. Making sure everyone is informed of the new software changes will allow doctors and staff to continue doing their job smoothly and decrease the amount of paperwork/documents that need to be redone.

for buy-in, enabling action, creating short-term wins, don’t let up, and making it stick). Bridges

Technology and innovation have transformed the way people function personally and professionally. In the past, writing and mailing a letter was standard but now most people send electronic messages and text messages to phones. Healthcare has been changing tremendously as well, not only are paper charts and records becoming obsolete, but now many facilities are sharing test results, visit information details, and prescribed drug lists. This move into the digital age has helped improve healthcare by cutting costs in the long-term, increasing efficiency with decreased wait times, and reducing medical errors. This evolving technology expansion, commonly referred to as nursing informatics has created many