course material

1. APA editing
Assignment: Application: Adoption of New Technology SystemsAs 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.Note: You are not required to purchase
Rogers’ book or pursue further information regarding his list of five qualities. The
information provided here is sufficient to complete this Assignment. The full reference for
Rogers’ work is provided below the due date on this page.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 RESOURCESMcGonigle, D., & Mastrian, K. G. (2015). Nursing informatics
and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett
Learning.Chapter 15, “The Electronic Health Record and Clinical Informatics”This chapter
describes the crucial parts of an electronic health record system and explores the benefits of

2. implementing one.Bates, D. W. (2010). Getting in step: Electronic health records and their
role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.Retrieved
from the Walden Library databases. The author of this editorial critically analyzes current
applications of electronic health records (EHRs) and their impact on cost, quality, and safety
of health care delivery. The author describes a study on the use of vendor-developed EHRs
in clinical practice settings, the results of which pinpointed the benefits and drawbacks of
EHRs.Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations
from the literature on successful implementation and adoption. Informatics in Primary
Care, 17(3), 153–160.Retrieved from the Walden Library databases. This article defines the
United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard
electronic health record system. The article describes the challenges associated with
implementing this new information technology and provides recommendations for
overcoming those challenges.Fickenscher, K., & Bakerman, M. (2011). Change management
in health care IT. Physician Executive, 37(2), 64–67.Retrieved from the Walden Library
databases. This article offers strategies for health care leaders to successfully implement
change programs in their organizations, especially with regard to the new standards for
electronic health records (EHRs). The article provides insights on change management, the
reasons people resist change, and the ways to establish a culture that is more open to
change initiatives.Gruber, N., Darragh, J., Puccia, P. H., Kadric, D. S., & Bruce, S. (2010).
Embracing change to improve performance. Long-Term Living: For the Continuing Care
Professional, 59(1), 28–31.Retrieved from the Walden Library databases. This text
describes the implementation of a new electronic health record system at a 105-bed
hospital related-facility. The authors highlight five key elements that were deemed
necessary for a successful EHR implementation.Hyrkäs, K., & Harvey, K. (2010). Leading
innovation and change. Journal of Nursing Management, 18(1), 1–3.Retrieved from the
Walden Library databases. According to the authors, the health care field is in need of more
effective leaders who understand innovation, who appreciate diversity and change, and who
can foster and implement innovation and creativity. The authors describe how nurse
leaders can be instrumental in embracing and disseminating innovation throughout the
health care system and provide scaffolding for subsequent articles in this issue of the
journal.Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation.
Medical Economics, 88(9), S4–6, S8–S11.Retrieved from the Walden Library databases. The
authors of this article describe the incentives and requirements for electronic health
records (EHRs) outlined in the Health Information Technology for Economic and Clinical
Health (HITECH) Act. The authors then provide 10 steps for health care leaders and
organizations to follow when implementing EHRs.Murphy, J. (2011). Leading from the
future: Leadership makes a difference during electronic health record implementation.
Frontiers of Health Services Management, 28(1), 25–30.Retrieved from the Walden Library
databases. In this article, the author examines the causes behind the increasing
complication of EHR implementations. In addition, the author explores the role of
leadership in guiding successful EHR implementations.Write a 4-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

3. 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. Evaluation
Criteria for Applications and Formal Papers Levels of AchievementCriteriaOutstanding
PerformanceExcellent PerformanceCompetent PerformanceProficient PerformanceRoom
for ImprovementQUALITY OF WORK SUBMITTED – 1. The extent to which work meets the
assigned criteria and work reflects graduate level critical and analytic thinking (0-30
Points) 30 to 30 pointsAssignment exceeds expectations. All topics are addressed with a
minimum of 75% containing exceptional breadth and depth about each of the assignment
topics 25 to 29 pointsAssignment exceeds expectations. All topics are addressed with a
minimum of 75% containing exceptional breadth and depth about each of the assignment
topics 20 to 24 pointsAssignment meets expectations. All topics are addressed with a
minimum of 50% containing good breadth and depth about each of the assignment topics.
16 to 19 pointsAssignment meets most of the expectations. One required topic is either not
addressed or inadequately addressed. 0 to 15 pointsAssignment superficially meets some of
the expectations. Two or more required topics are either not addressed or inadequately
addressed.QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0-5 Points) 5 to 5
pointsA clear and comprehensive purpose statement is provided which delineates all
required criteria. 5 to 5 pointsA clear and comprehensive purpose statement is provided
which delineates all required criteria. 4 to 4 pointsPurpose of the assignment is stated, yet
is brief and not descriptive. 1 to 3 pointsPurpose of the assignment is vague. 0 to 0 pointsNo
purpose statement was provided.ASSIMILATION AND SYNTHESIS OF IDEAS The extent to
which the work reflects the student’s ability to- 1. Understand and interpret the
assignment’s key concepts (0-10 Points) 10 to 10 pointsDemonstrates the ability to
critically appraise and intellectually explore key concepts. 9 to 9 pointsDemonstrates the
ability to critically appraise and intellectually explore key concepts. 8 to 8
pointsDemonstrates a clear understanding of key concepts. 5 to 7 pointsShows some degree
of understanding of key concepts. 0 to 4 pointsShows a lack of understanding of key
concepts, deviates from topics. ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and
integrate material in course resources (i.e. video, required readings, and textbook) and
credible outside resources (0-20 Points) 20 to 20 pointsDemonstrates and applies
exceptional support of major points and integrates 2 or more credible outside sources, in
addition to 3-4 course resources to support point of view. 15 to 19 pointsDemonstrates and
applies exceptional support of major points and integrates 2 or more credible outside
sources, in addition to 3-4 course resources to support point of view. 10 to 14
pointsIntegrates specific information from 1 credible outside resource and 3 to 4 course
resources to support major points and point of view. 3 to 9 pointsMinimally includes and
integrates specific information from 2-3 resources to support major points and point of
view. 0 to 2 pointsIncludes and integrates specific information from 0 to 1 resource to
support major points and point of view.ASSIMILATION AND SYNTHESIS OF IDEAS 3.
Synthesize (combines various components or different ideas into a new whole) material in
course resources (i.e. video, required readings, and textbook) by comparing different points
of view and highlighting similarities, differences, and connections. (0-20 Points) 20 to 20
pointsSynthesizes and justifies (defends, explains, validates, confirms) information gleaned

4. from sources to support major points presented. Applies meaning to the field of advanced
nursing practice. 18 to 19 pointsSynthesizes and justifies (defends, explains, validates,
confirms) information gleaned from sources to support major points presented. Applies
meaning to the field of advanced nursing practice. 16 to 17 pointsSummarizes information
gleaned from sources to support major points, but does not synthesize. 14 to 15
pointsIdentifies but does not interpret or apply concepts, and/or strategies correctly; ideas
unclear and/or underdeveloped. 0 to 13 pointsRarely or does not interpret, apply, and
synthesize concepts, and/or strategies.WRITTEN EXPRESSION AND FORMATTING 1.
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. (0-5 Points) 5 to 5 pointsParagraphs and sentences follow writing standards. 5
to 5 pointsParagraphs and sentences follow writing standards. 4 to 4 pointsParagraphs and
sentences follow writing standards 80% of the time. 3 to 3 pointsParagraphs and sentences
follow writing standards 70% of the time. 0 to 2 pointsParagraphs and sentences follow
writing standards < 70% of the time. WRITTEN EXPRESSION AND FORMATTING 2. English
writing standards: Correct grammar, mechanics, and proper punctuation (0-5 Points) 5 to 5
pointsUses correct grammar, spelling, and punctuation with no errors. 5 to 5 pointsUses
correct grammar, spelling, and punctuation with no errors. 4 to 4 pointsContains a few (1-2)
grammar, spelling, and punctuation errors. 3 to 3 pointsContains several (3-4) grammar,
spelling, and punctuation errors. 3 0 to 2 pointsContains many (≥ 5) grammar, spelling, and
punctuation errors that interfere with the reader’s understanding.WRITTEN EXPRESSION
AND FORMATTING 3. 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 (0-5 Points) 5 to 5 pointsUses correct APA format with no errors. 5 to 5
pointsUses correct APA format with no errors. 4 to 4 pointsContains a few (1-2) APA format
errors. 3 to 3 pointsContains several (3-4) APA format errors. 0 to 2 pointsContains many (≥
5) APA format errors.