The health care system has greatly changed with noticeable reforms and restructuring taking place as a result of technological advancements and innovations. The introduction and implementation of information systems in the health care system has positively impacted on service delivery ("importance of increasing health literacy content in nursing education," 2015). As a result, new roles and responsibilities have emerged in the nursing practice as the integration of information systems continues to be adopted. Information systems have proved to be an effective management tool in the health care system (Mitchell & Hull, 2020). The new roles and responsibilities have challenged nurses to seek more education on the operation of the systems and to remain relevant in the practice. The complexity and cost of different information systems as well as the rate of change in computer technology are various factors that should be considered when evaluating the appropriate information system to implement (Lin, 2017). Nurses and nurse leaders need a sound knowledge of health care information system and understanding of nursing practice to be able to obtain the computer tools relevant to the practice (Sahay, Sundararaman, & Braa, 2017). Nursing is a critical profession in the health care system and their input cannot be ignored. Nurses interact with patients more compared to any other health care profession (Lin, 2017). Their primary goal of providing health care to patients gives them an upper hand in understanding the patients’ needs and preferences. This makes it necessary to involve nurses in the evaluation and implementation of information systems in the health care. Implementation of informatics in the health care has aided in the effective communication significantly impacting on interprofessional collaboration (Lin, 2017). As a result, better patients’ outcomes have been achieved and reduced medical and human errors. In my organization, nurses have been actively involved in the evaluation and implementation of health care systems. In the process of evaluating and implementation of these information systems nurses need to be trained and educated on a number of issues. When introducing a new information system nurses need to be trained on the navigation of the various tools. Some of the information systems are complex and requires a wide scope of ICT knowledge ("importance of increasing health literacy content in nursing education," 2015). It is therefore necessary to equip nurses with the relevant knowledge and skills to effectively and efficiently use the information systems to offer quality services. As earlier stated, nurses interact more with patients compared to other health care professionals. In organizations that offer telehealth services patients need to be conversant with the system being used by the organization. To educate patients on how navigate the system, nurses are best placed to take them through. It is therefore necessary to equip.

1. The health care system has greatly changed with noticeable
reforms and restructuring taking place as a result of
technological advancements and innovations. The introduction
and implementation of information systems in the health care
system has positively impacted on service delivery ("importance
of increasing health literacy content in nursing education,"
2015). As a result, new roles and responsibilities have emerged
in the nursing practice as the integration of information systems
continues to be adopted. Information systems have proved to be
an effective management tool in the health care system
(Mitchell & Hull, 2020). The new roles and responsibilities
have challenged nurses to seek more education on the operation
of the systems and to remain relevant in the practice. The
complexity and cost of different information systems as well as
the rate of change in computer technology are various factors
that should be considered when evaluating the appropriate
information system to implement (Lin, 2017). Nurses and nurse
leaders need a sound knowledge of health care information
system and understanding of nursing practice to be able to
obtain the computer tools relevant to the practice (Sahay,
Sundararaman, & Braa, 2017).
Nursing is a critical profession in the health care system and
their input cannot be ignored. Nurses interact with patients
more compared to any other health care profession (Lin, 2017).
Their primary goal of providing health care to patients gives
them an upper hand in understanding the patients’ needs and
preferences. This makes it necessary to involve nurses in the
evaluation and implementation of information systems in the
health care. Implementation of informatics in the health care
has aided in the effective communication significantly
impacting on interprofessional collaboration (Lin, 2017). As a
result, better patients’ outcomes have been achieved and
reduced medical and human errors. In my organization, nurses
have been actively involved in the evaluation and

2. implementation of health care systems. In the process of
evaluating and implementation of these information systems
nurses need to be trained and educated on a number of issues.
When introducing a new information system nurses need to be
trained on the navigation of the various tools. Some of the
information systems are complex and requires a wide scope of
ICT knowledge ("importance of increasing health literacy
content in nursing education," 2015). It is therefore necessary to
equip nurses with the relevant knowledge and skills to
effectively and efficiently use the information systems to offer
quality services. As earlier stated, nurses interact more with
patients compared to other health care professionals. In
organizations that offer telehealth services patients need to be
conversant with the system being used by the organization. To
educate patients on how navigate the system, nurses are best
placed to take them through. It is therefore necessary to equip
nurses with teaching skills that will give them capacity to
educate patients ("importance of increasing health literacy
content in nursing education," 2015). Nurses too need to be
trained on how to operate health care machines that are linked
to the information systems. Innovations in technology have led
to development of health care machines and equipment that do
not necessarily require manual operation but are rather operated
from the computers ("importance of increasing health literacy
content in nursing education," 2015). In order to effectively use
equipment to offer health care services, nurses have to be
trained. Application of informatics can not be avoided in the
modern world as it has become a way of life.
References
The importance of increasing health literacy content in nursing
education. (2015).
American Research Journal of Nursing
. doi:10.21694/2379-2922.15023

3. Lin, H. (2017). Nursesʼ satisfaction with using nursing
information systems from technology acceptance model and
information systems success model perspectives.
CIN: Computers, Informatics, Nursing
,
35
(2), 91-99. doi:10.1097/cin.0000000000000293
REPLY 2
What is and/or should be nursing’s role in decision
making regarding selecting information
systems?
There are so many systems in the healthcare workplace that it
can easily be assumed that all systems work for every person. In
healthcare, these systems “aim to improve the processes of data
handling in order to extract useful information for health
planning, decision-making, and resource allocation through
different sources to provide quality services” (Yazdi-Feyzabadi,
2015). Therefore, since our nurses work closely with these
systems, our opinion should be considered when it comes to
selecting new systems or altering those in place.
In 2010, The Institute of Medicine published a report called,
The Future of Nursing: Leading Change and Advancing Health
. This report offered goals for the future of nursing. Two of the
ten recommendations states that healthcare should
“enable nurses to lead change to advance health and expand
opportunities for nurses to lead collaborative improvement
efforts” (National Academies of Sciences, Engineering and

4. Medicine, 2016). Nurses are our front-line resource to give
feedback to improve the quality of patient care. “In the past, a
common mistake has been selecting healthcare systems that
affect patient care with little or no input from providers across
the healthcare team” (Nelson & Staggers, 2014).
Examples of information systems include telehealth services,
mobile health applications, installing new EHRs technology
(electronic health records). In this case nurses can be vital in
selecting which patients can benefit from telehealth
services, which interventions are best used through telehealth
services and which are more appropriate for in-
person appointments. With mobile applications nurses can give
their opinions on how the application is operating, how it can be
improved and in which instances would be the best situation for
an application implementation. In my workplace, we have a
mobile app that we use for clocking in and out of our shift.
Using the system for almost a year now, I have found many
difficulties in its use. It requires a GPS location to log-in for
the shift and on most occasions it does not recognize my
location even if I am standing at the patient’s front door. It
also only offers the patient address under the documents tab. If
the app included the eMAR and POC we could eliminate the use
of paper each month, transferring our company closer to an all-
digital environment. These are just a few examples of how
nurses can implement change with information
systems. Establishing new systems takes time and care from an
interdisciplinary team of healthcare workers.
References
National Academies of Sciences, Engineering and Medicine
(2016) Assessing Progress on the Institute of Medicine
Report The Future of Nursing.
The National Academies Press.

5. DOI 10.17226/21838
Nelson, R., & Staggers, N. (2014).
Health Informatics: An Interprofessional Approach
(2nd ed.). Mosby.
Yazdi-Feyzabadi, V., Emami, M., & Mehrolhassani, M. H.
(2015). Health Information System in Primary Health Care: The
Challenges and Barriers from Local Providers' Perspective of an
Area in Iran.
International Journal of Preventive Medicine
,
6
, 57. DOI:
10.4103/2008-7802.160056 (Links to an external site.)
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