As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.To prepareReview the Learning Resources this week about successful implementations of EHRs.Consider how you would present the new EHR system to the nurses to win their approval.Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?Write a 3- to 5-page paper which includes the following:Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.Analyze the role of nurses as change agents in facilitating the adoption of new technology.Note: This is a part 2 of the first assignment that you did earlier and I have attached it to this post.


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Using the Data/Information/Knowledge/Wisdom Continuum
In nursing practices, knowledge and wisdom are fundamental. Nurses and clinicians utilize
different practical and theoretical information in carrying out their duties (Burns & Grove,
2010). Nurses require adequate new knowledge amount in the modern era in delivering
appropriate healthcare services to their clients. In nursing, generation of knowledge has been
at the forefront in order to allow the nurse professionals and experts to effectively
commission their duties. The knowledge search has a framework. It begins by outlining the
requirements of data. The knowledge extraction is from established sources. The next stage
involves information synthesizing to create connections. Proper knowledge application
results in wisdom. To determine how to undertake the studies, I would utilize the continuum
of data, information, knowledge, and wisdom. To help extract information to form the study,
I would first establish relevant data I require in answering the question from different
databases of nursing. In this case, I will use CINAHL Plus that contains nursing journals
collections to acquire data (Melnyk & Fineout-Overholt, 2011). The search words would
include nursing competency, quality-nursing, patient satisfaction, urinary retention catheters,
and functional nursing model.
Evidence-based practices refer to decision-making about the care of the patients which
are founded on the best information generated by well-developed medical studies combined
with preferences and values of patients as well as the expertise of the clinicians and nurses.
Various researches have proposed that evidence-based care of the patient can decrease the
cost of health-care, improve quality of care, and minimize the medical complications by as
much as 30% (Vestal, 2014). Evidence-based practices offer clinicians, nurses, and medics in
the intensive care units with scientifically proven and critically appraised methods and
evidence to apply for delivering quality health care to the patients. Nursing researchers have
come up with answers for professionals as well as systems of the health care with the way to
most successfully embrace evidence-based practices in their intensive care units.
Frequent urinary retention catheters use in the settings of Intensive Care Unit in the
whole universe put patients at raised risk for developments of CAUTIs. The team of infection
prevention CAUTIs helped in increasing awareness and education of staff of strategies of
nurse-led preventions. Collaboration with experts outside units of nursing enhances
communication and teamwork across disciplines with regard to retention catheters use and
care. With periodic rounding, improper care incidence was greatly minimized. Evidencebased protocols created to reduce CAUTI could not capture care practices points that
contribute to problems. Partnering with professionals outside of the unit of nursing reduces
CAUTIs. The findings of the research were consistent with the findings of literature and the
findings of the project resulted in execution across progressive care and medical-surgical
units in the institution.
The role of a nurse manager is not only about a series of skills, knowledge, and
competencies acquired from college (Major, Abderrahman, & Sweeney, 2013). In fact, being
a nurse manager is part of the socialization process that involves the process of internalization
and professional identity development. As a nurse manager in the Emergency Department, I
must, therefore, understand how professional socialization in nursing would lead to the
efficient assumption of my roles as a nurse (Melnyk & Fineout-Overholt, 2011). In nursing,
professional identity and sense of belonging facilitate socialization and Crucial conversations
in the workplace. Professionalism is a crucial nursing concept that I can only acquire through
interpersonal, individual-work-place and interaction relationship with my clients and my
colleagues in the Emergency Department and the health facility at large.
The nurses’ competencies range from gathering and trailing results data, questioning
medical practices with the aim of enhancing the care quality, and critically appraising
published research that can reinforce the continual application of modern practices and
methods in the intensive care units (Burns & Grove, 2010). APNs are anticipated to lead
teams in using evidence to put practices into place and initiate practice changes to sustain
cultures that promote evidence-based practices in the intensive care units. All competencies
in the intensive care units point towards clinicians, nurses, and medics being enthusiastically
engaged in changing care from the way things have often been performed to cares that are
deemed the most effective and research-based evidence. Evidence-based care will helps the
personnel in the intensive care unit to produce quality results (Melnyk & Fineout-Overholt,
2011). It will lead to shorter lengths of stay, fewer hospital readmissions as well as fewer
complications in the unit.
Through interactions with my patients and nurses in the Emergency Department, I
have realized that developing as a nurse manager, a sense of becoming that involves
internalization of values and personal dedication during the professional socialization process
with the patients, staff, and management at the workplace is essential (Overton & Lowry,
2013). How I view myself as a nurse manager entails professional identity and socialization
with my patients and nurses. This has enabled me to appreciate that I am a nurse who can
perform my nursing duties responsibly and skilfully (Major, Abderrahman, & Sweeney,
2013). Many emergency cases that I have handled in the Emergency Department have been
so successful with only one exception where the patient was referred to us after he had passed
on. I have learned to consult a lot with my fellow experts in the department to ensure that we
offer the best health services to the patients referred to us. Socialization has enabled me to
acquire the required knowledge and skills to accomplish my professional with professional
and valued norms through continuous consultation with the medics with more experience
than me. I have internalized values of the nursing profession that are paramount for my
professional development since they offer a ground for moral behaviors (Vestal, 2014).
Through professional socialization, I have obtained the necessary dedication in the profession
with critical thinking, and problem-solving practices needed in nursing.
Crucial conversations enable nurse managers in learning particular staff behaviours they
function with (Overton & Lowry, 2013). This assists the nurse managers to comprehend the
weaknesses and strengths of the staff they work together with. Therefore, the nurses’ leaders
can adjust suitably house all the members of the staff. Crucial conversations allow nurse
managers to obtain the best and full potentials of other nurses. Crucial conversations allow
nurse leaders to create comprehension of different scenarios in their working environments. It
creates a favorable and conducive atmosphere for all staff members to cooperate and
collaborate as a team. Teamwork allows the health care institution to accomplish its
objectives as well as goals since the majority of decisions are team-based. Each department
member participates in the running and decision-making of the facility (Major, Abderrahman,
& Sweeney, 2013). This assists the nursing manager in easy execution of the policies and
objectives of the facility because each staff member embraces goals and objectives because
they were engaged in their formulation.
The model emphasized getting the greatest task amount performed with the least costs
in training or time. The functional nursing model ensures healthcare quality that in turn
affects the satisfaction of patients. Patient satisfaction affects the positive behaviors of
patients like loyalty (Major, Abderrahman, & Sweeney, 2013). The interaction role allows
nurses to achieve all the needs of the patients during their allocated shifts. The model ensures
that in the current environment of health care such as hospitals, professions like nurses,
doctors are being driven to examine more cost-efficient techniques to offer quality care for
the patients.
Burns, N., & Grove, S. K. (2010). Understanding Nursing Research-eBook: Building an
Evidence-Based Practice. Elsevier Health Sciences.
Major, K., Abderrahman, E. A., & Sweeney, J. I. (2013).“Crucial conversations” in the
workplace. American Journal of Nursing, (4), 66.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing &
healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Overton, A. R., & Lowry, A. C. (2013). Conflict management: difficult conversations with
difficult people. Clinics in colon and rectal surgery, 26(4), 259-64.
Vestal, K. (2014).Delivering Bad News the Right Way. Nurse Leader, 12(1), 14–15.
Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level
critical and analytic thinking.-Excellent 27 (27%) – 30 (30%)
Assignment exceeds expectations. All topics are addressed with a minimum of 75%
containing exceptional breadth and depth about each of the assignment topics.
Good 24 (24%) – 26 (26%)
Assignment meets expectations. All topics are addressed with a minimum of 50%
containing good breadth and depth about each of the assignment topics.
Fair 21 (21%) – 23 (23%)
Assignment meets most of the expectations. One required topic is either not addressed
or inadequately addressed.
Poor 0 (0%) – 20 (20%)
Assignment superficially meets some of the expectations. Two or more required topics
are either not addressed or inadequately addressed.
Quality of Work Submitted:
The purpose of the paper is clear.-Excellent 5 (5%) – 5 (5%)
A clear and comprehensive purpose statement is provided which delineates all required
Good 4 (4%) – 4 (4%)
Purpose of the assignment is stated, yet is brief and not descriptive.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Purpose of the assignment is vague or off topic.
Poor 0 (0%) – 3 (3%)
No purpose statement was provided.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:
Understand and interpret the assignment’s key concepts.-Excellent 9 (9%) – 10 (10%)
Demonstrates the ability to critically appraise and intellectually explore key concepts.
Good 8 (8%) – 8 (8%)
Demonstrates a clear understanding of key concepts.
Fair 7 (7%) – 7 (7%)
Shows some degree of understanding of key concepts.
Poor 0 (0%) – 6 (6%)
Shows a lack of understanding of key concepts, deviates from topics.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:
Apply and integrate material in course resources (i.e. video, required readings, and
textbook) and credible outside resources.-Excellent 18 (18%) – 20 (20%)
Demonstrates and applies exceptional support of major points and integrates 2 or more
credible outside sources, in addition to 2-3 course resources to suppport point of view.
Good 16 (16%) – 17 (17%)
Integrates specific information from 1 credible outside resource and 2-3 course
resources to support major points and point of view.
Fair 14 (14%) – 15 (15%)
Minimally includes and integrates specific information from 2-3 resources to support
major points and point of view.
Poor 0 (0%) – 13 (13%)
Includes and integrates specific information from 0 to 1 resoruce to support major points
and point of view.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:
Synthesize (combines various components or different ideas into a new whole) material in
course resources (i.e. video, required readings, textbook) and outside, credible resources by
comparing different points of view and highlighting similarities, differences, and
connections.-Excellent 18 (18%) – 20 (20%)
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned
from sources to support major points presented. Applies meaning to the field of
advanced nursing practice.
Good 16 (16%) – 17 (17%)
Summarizes information gleaned from sources to support major points, but does not
Fair 14 (14%) – 15 (15%)
Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas
unclear and/or underdeveloped.
Poor 0 (0%) – 13 (13%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
Written Expression and Formatting
Paragraph and Sentence Structure: Paragraphs make clear points that support well
developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly
structured and carefully focused–neither long and rambling nor short and lacking
substance.-Excellent 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and
Good 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and
clarity 80% of the time.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and
clarity 60%- 79% of the time.
Poor 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and
clarity < 60% of the time. Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation-Excellent 5 (5%) - 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. Good 4 (4%) - 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. Fair 3.5 (3.5%) - 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. Poor 0 (0%) - 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.-Excellent 5 (5%) - 5 (5%) Uses correct APA format with no errors. Good 4 (4%) - 4 (4%) Contains a few (1-2) APA format errors. Fair 3.5 (3.5%) - 3.5 (3.5%) Contains several (3-4) APA format errors. Poor 0 (0%) - 3 (3%) Contains many (≥ 5) APA format errors. Total Points: 100 ... Purchase answer to see full attachment