Respond  to your colleagues using one or more of the following approaches: Ask a probing question, substantiated with additional background information, evidence or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. Validate an idea with your own experience and additional research. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. Successful Implementation of Electronic Health Information Technology Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions? This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system. In this Discussion, you are asked to consider the role of nurses in the SDLC process. To prepare: Review the steps of the systems development life cycle. Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system. Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses? Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system? DISCUSSION 1- Successful Implementation of Electronic Health Information Technology Organizations are constantly updating their systems and resources. It is imperative that nurses are incorporated with the decision in making the healthy information technology decisions. According to Nurse leaders discussion the nurse's role in driving technology decisions (2010), nurses' decisions about clinical technologies should be guided by two overarching goals, establishing safe and efficient care, and measuring nurses' impact in keep patients safe (p. 8). Having the nurses review and support and idea of a new technology helps the organization make the right investment for its patients. The dynamic system development method has th.

1. Respond
to your colleagues using one or more of the following
approaches:
Ask a probing question, substantiated with additional
background information, evidence or research.
Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden
Library.
Validate an idea with your own experience and additional
research.
Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional
insights or contrasting perspectives based on readings and
evidence.
Successful Implementation of Electronic Health Information
Technology
Since the inception of the HITECH Act, health organizations
have faced increased pressure to update their health information
technology (HIT) resources. As discussed last week, many
believe that the increased use of electronic health records and
the quick and efficient communication afforded by HIT can lead
to improved quality of patient care. Yet there are significant
costs associated with implementing such systems. What can
organizations do to ensure that the correct system is selected
and that the system will be appropriate for those required to use
it? Who should be involved in those decisions?
This week introduces the systems development life cycle and
discusses how it can guide an organization through the
complexities of adopting a new HIT system. In this Discussion,
you are asked to consider the role of nurses in the SDLC
process.

2. To prepare:
Review the steps of the systems development life cycle.
Think about your own organization, or one with which you are
familiar, and the steps the organization goes through when
purchasing and implementing a new HIT system.
Consider what a nurse could contribute to decisions made at
each stage when planning for new health information
technology. What might be the consequences of not involving
nurses?
Reflect on your own experiences with your organization
selecting and implementing new technology. As an end user, do
you feel you had any input in the selection or and planning of
the new HIT system?
DISCUSSION 1- Successful Implementation of Electronic
Health Information Technology
Organizations are constantly updating their systems and
resources. It is imperative that nurses are incorporated with the
decision in making the healthy information technology
decisions. According to Nurse leaders discussion the nurse's
role in driving technology decisions (2010), nurses' decisions
about clinical technologies should be guided by two overarching
goals, establishing safe and efficient care, and measuring
nurses' impact in keep patients safe (p. 8). Having the nurses
review and support and idea of a new technology helps the
organization make the right investment for its patients.
The dynamic system development method has three phases, the
pre-project, the pro-life life cycle, and post project (McGonigle
& Mastrian, 2015, p. 179). According to McGonigle & Mastrian
(2015), the systems development life cycle has five steps
feasibility, business studies, functional model iteration, design

3. and build iteration, and implementation (p. 180).
In the first step, the feasibility is brought together with the
potential risks. "In step one, the deliverables are a feasibilities
report, project plan, and a risk log" (McGonigle & Mastrian,
2015, p. 179). Nurses should be involved with this step of the
process because they will know if this project, or technology, is
even worth the effort.
According to Nurse leaders discussion the nurse's role in
driving technology decisions (2010), "clinicians must help drive
the selection of clinical technologies (p. 8). Nurses will be able
to know if something will be useful in everyday use or if it will
cause more of a hassle. Not involving nurses can cause the
waste of resources and money spent on the organization.
In step two, the business side begins. The business side of this
process brings together the stakeholders and the processes that
are needed for this new HIT system. Having the nurses involved
in this to use the MoSCoW approach. According to McGonigle
& Mastrian (2015), MoSCoW stands for "Must have, Should
Have, Could Have, and Would Have" (p. 180). Nurses should be
able to answer each of the MoSCoW approach sections and
prioritize between the "must have" and the "should have"
requirements.
Nurse leaders discussion the nurse's role in driving technology
decisions (2010) stated, that nurses should take part in site
visits to hospitals using the proposed technology and should be
prepared to critique a system. The nurses should be able to
recognize and appreciate the money being spent for the
organization to help the workflow for nurses. Acknowledging
the cost of the new program with help nurses be more
appreciative. Not having nurses involved in this stage could
waste time and money on issues and priorities that are not

4. important to the organization.
The third step is the most important step for nurses to be
involved in. The third step is known as functional model
iteration (McGonigle & Mastrian, 2015, p. 181). This step
involves translating the requirements into a functional model
with a functioning prototype that can be evaluated by its users
(McGonigle & Mastrian, 2015, p. 181). It is important for the
nurses to be able to use and test out the new technology to see if
it meets the requirements for the organization. "Some of the
greatest success stories occur when staff nurses are given great
latitude in driving technology decisions" (Nurse leaders
discussion the nurse's role in driving technology decisions,
2010, p. 9). Not having nurses included in this stage could
potentially have requirements that are not necessary tested.
Thus, continuing to waste time and money to bring a new
technology to an organization that will not help the nursing
staff.
The final step is also known as the implementation, deliverables
are the system, documentation, and trained users (McGonigle &
Mastrian, 2015, p. 181). This step includes training the users of
the newly approved system and all of its satisfied requirements.
This step stresses the importance of its impact on the business
and organization. Having nursing involved in all of the systems
development life cycles promotes nurses awareness to its
implementation. If nurses help design and enhance the
technology being purchased they will be less reluctant to the
change. "Nurse leaders are clear about selecting technologies
based on their ability to enable practice, not help clinicians
accomplish tasks" (Nurse leaders discussion the nurse's role in
driving technology decisions, 2010, p. 9). Not having the nurses
involved in this step will lead to a miss communication and
reluctant learners. The "post project" phase is when the team
verifies that the system is working properly (McGonigle &
Mastrian, 2015, p. 182). Having nurses involved in this phase

5. will help recognize any glitches or system errors that need to be
fixed. Not performing audits or survey by the nurses will only
have nurse become more reluctant and defiant to the new
system. The goal of the system is to help promote an easier
workflow.
In conlcusion, having nurses included in the implementation of
any new system within the organizaiton will help the
organization as whole. Nurses will be using the system the most
to help with patient care and documenting appropriately.
Continuing to help support the nurses and having their best
interest within the organization will develop and implement the
best system.
References:
McGonigle
, D., &
Mastrian
, K. (2015). Systems Development Life Cycle: Nursing
Informatics and Organizational Decision Making. In D.
McGonigle
, & K.
Mastrian
,
Nursing Informatics and the foundation of knowledge
(3rd ed., pp. 173-185). Burlington, MA: Jones and Bartlett
Learning.
Nurse leaders discussion the nurse's role in driving technology

6. decisions. (2010).
Virginia Nu
Discussion 2: Successful Implementation of Electronic Health
Information Technology
An organization should never underestimate the importance of
the involvement of all key stakeholders from beginning to the
end of the system development life cycle (SDLC) (McGonigle &
Mastrian, 2012). Nurses play a vital role in the success of an
implementation of a new Health Information Technology (HIT)
system, and efforts should be made to maintain their
involvement throughout the process. The majority of nurses
have positive attitudes towards HIT, and most negative attitudes
come from poor system design or a slow or malfunctioning
system (Huryk, 2010). Nurse leaders set the stage for a
successful implementation by providing a positive and nurturing
environment for the staff (Huryk, 2010).
For successful adoption of a new HIT system the nurse must
feel that the system has value and will be helpful in their daily
workflow (Hsiao, Chang, & Chen, 2011). Countless aspects
influence this perceived usefulness including management
support, compatibility, and information quality (Hsiao et al.,
2011). The role of nurses is critical as the providers of bedside
care and managers of patient health information. Sustainment
may fail without the initial buy-in, continued support, and
involvement of nurses in the adoption process. Nursing
feedback is essential to consider when conducting all stages of
the SDLC process, to improve training, functionality, and
adoption by all staff members. Although the process is trying,
most nurses prefer the electronic system to paper after time and
are willing to get involved with the process and promote usage.
The first step of assessing the systems needs carries the
obligation of identifying all the needs of the facility; no one
knows this better than the nurse providing care for the patients.
In this phase, an analysis of every area of the hospital, clinical

7. and non-clinical, is completed to assess the services they
provide and identify gaps that may exist in the current system as
compared to the planned system. The nurses give invaluable
information and can help avoid costly errors and potential
change requests in the future. This process also addresses step
two, analyzing specifications for the system. If the facility has
a need for a particular system, program or interface that exists
or needs to be built, these should be identified at this point.
Designing, developing, and testing the system is the next step in
the SDLC process. Although some electronic health records
(EHRs) have more flexibility than others, the nurse can help
identify any issue that may exist in the present system to ensure
prevention in the new system. A good example is in the system
we are presently implementing. The ADT system does not
allow for a transfer to another facility within our system and to
move a patient to another campus, a discharge must occur. This
process will create a new encounter number, requiring
duplication of all documentation (i.e., admission history). If it
was not for the workflow process review and the help of our
nursing and ancillary staff this issue may not have been
addressed.
During the implementation process the nurses are invaluable.
Nurses are our trainers for both physician and staff and our
super users. Without the assistance of the nursing staff and
their support, the implementation process would not be
successful. This process also encompasses the next SDLC step
which is support the system operations and users. The nurses
work closely with the physicians, staff members, and the
informatics department to support one another during and after
the implementation process. One potential issue that could
occur without the assistance of the nursing staff is the
participation of computerized physician order entry (CPOE) by
the physicians. The nursing staff support will assist the
physicians in this process as they do today in many other areas.
Evaluating the system is the last step and we do this process
prior to and after the implementation. The subject matter

8. experts, nurses from specialized areas, run test scripts after the
interfaces are built to ensure they are working correctly. These
nurses become experts on the system and excellent resources for
their coworkers and the implementation team. These nurses
continue the role of the super user and assist with maintaining
the system with upgrades and changes in the future. Problems,
issues, and questions arise at every point in an implementation
process and the nurse is frequently our first resource for reliable
information.
References
Hsiao, J., Chang, H., & Chen, R. (2011). A study of factors
affecting acceptance of hospital information systems: A nursing
perspective.
Journal of Nursing Research
,
19
(2), 150-160. http://dx.doi.org/10.1097/JNR.0b013e31821cbb25
Huryk, L. A. (2010). Factors influencing nurses’ attitudes
towards healthcare information technology.
Journal of Nursing Management
,
18
(5), 606-612. http://dx.doi.org/10.1111/j.1365-
2834.2010.01084.x
McGonigle, D., & Mastrian, K. (2015). Systems development
life cycle: Nursing informatics and organizational decision
making. In D. McGonigle & K. Mastrian (Eds.),
Nursing informatics and the foundation of knowledge
(3rd ed., pp. 173-185). Burlington, MA: Jones & Bartlett
Learning.