SIMPATH BSN 421 Assignment 1 Organizational and Systems Leadership: Developing a Change Project – Part I

Organizational and Systems Leadership

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SIMPATH_BSN421

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Developing a Change Project – Part I

Technological advances raise the level of patient satisfaction and improve the performance of healthcare organizations. As the healthcare system adjusts to new challenges, project changes are necessary. One change project that can positively impact healthcare organizations is nursing informatics (Liao et al., 2020). Nursing informatics integrates nursing with information and communication technology to support and enhance the healthcare services offered to clients.

Change Project Topic: Implementation of Nursing Informatics

Problem Identification

Many healthcare facilities utilize outdated, incompatible systems that hinder data exchange, complicating effective patient management and obstructing numerous other clinical process improvements (Ye, 2022). These outdated systems may even force nurses to expend unnecessary additional time in data entry or system navigation. This system delay, in the best scenario, causes the information flow to the patient and worsens patient outcomes (Ye, 2022). The proposed new information systems have high resistance to change, as staff associate with legacy systems and have low confidence in new information systems.

Stakeholders Identification

Internal Stakeholders

Nursing Staff: The main focus user group of nursing informatics systems is the nursing staff. However, the challenges include the reluctance to adopt new technology, the challenges of adapting to the new systems, and the inability to learn to support and improve the technology.
IT Department: The role of informatics in the execution and administration of the informatics systems is of great significance and needs the cooperation of the IT department. They understand how to build, administer, and troubleshoot the systems (North et al., 2022). However, as an unfortunate by-product, they may have to work harder and face system problems because they are putting effort into developing their own personal systems, which may indirectly reduce the overall systems’ efficiencies.
Hospital Management: Hospital management is responsible for the budgeting and planning of informatics projects. The positive aspect is that management provides essential project leadership and sponsorship. This positive contribution ensures that the project supports the organization’s objectives. Among the negative aspects, especially in the implementation of the project, are management’s other priorities and limitations in project funding (North et al., 2022).

External Stakeholders

Technology Vendors: System developers procure the requisite software and hardware and provide support services for the information systems. Positively, they bring appropriate technology and expertise, which are usually out of reach for non-profit organizations. (Mather et al., 2019). Negatively, non-profit organizations will have to depend on the reliability and responsiveness of the vendor. If one of them fails to perform, then the system will not perform as it is supposed to.
Patients: Healthcare patients are the end-users of the healthcare informatics systems. A positive effect of the systems being implemented may be an improvement in the coordination of care along with positive health outcomes (Mather et al., 2019). A negative impact may be the patient’s concern with the sharing of their data. Additionally, when a new system is implemented, it may cause disruptions to the patient’s care.
Regulatory Bodies: Healthcare quality and regulatory bodies require that informatics systems meet their prescribed standards (Mather et al., 2019). These quality and regulatory bodies highlight both positive and negative effects, though possibly differing in significance. On the positive side, the quality and regulatory bodies prescribe standards that ensure compliance with best practices and quality. On the negative side, adherence to the standards set by quality and regulatory bodies may result in increased costs and/or project time.

Importance of the Stakeholders

Stakeholder participation is needed in change projects in nursing informatics. Several stakeholders directly involved in the use and management of the system include healthcare managers, IT, and administrative staff. Their participation indicates that system changes will be utilized and that the system is capable of improving patient outcomes and organizational effectiveness (Laurisz et al., 2023). In order for changes to be effective and the system to remain effective in the long run, the needs of these stakeholders and their concerns must be addressed.

Impacts on the Change Project

Positive

Patient data is both more accurate and more readily available.
Designed to improve patient care, this also works to improve the quality of clinical decisions.
Automation of several related tasks allows the clinician to spend more time with the patient (Booth et al., 2021).
Allows for assessment of patient trends and the effectiveness of various treatment modalities.
Helps to better define the routine costs and the beneficiaries of the services.

Negative

An important negative aspect is the long duration for training staff in order to make necessary adjustments to changes in New Systems.
Improper handling occurs if there is inadequate training.
Possible staff resistance to change who are used to different working techniques.
Challenges in transition and in overcoming resistance to change (Booth et al., 2021)
Challenges in the integration of New Systems with the IT environment and the business processes.

Conclusion

The incorporation of nursing informatics is a significant advancement in the enhancement of professional qualifications in nursing, the improvement of nursing services, and the utilization of data for evidence-based decision-making. Nursing informatics brings a number of challenges, including training, resistance, and issues related to systems integration. To ensure project success, the interests and concerns of involved parties or stakeholders are to be satisfactorily addressed.

References

Booth, R. G., Strudwick, G., McBride, S., O’Connor, S., & Solano López, A. L. (2021). How the nursing profession should adapt for a digital future. BMJ, 373(1190). https://doi.org/10.1136/bmj.n1190

Laurisz, N., Ćwiklicki, M., Żabiński, M., Canestrino, R., & Magliocca, P. (2023). The stakeholders’ involvement in healthcare 4.0 services provision: The perspective of co-creation. International Journal of Environmental Research and Public Health, 20(3), 2416. https://doi.org/10.3390/ijerph20032416

Liao, M.-C., Chiu, J.-E., & Tsai, C.-M. (2020). The effect of implementation of a nursing information system. CIN: Computers, Informatics, Nursing, 38(10), 515–523. https://doi.org/10.1097/cin.0000000000000593

Mather, C., Cummings, E., & Gale, F. (2019). Nurses as stakeholders in the adoption of mobile technology in Australian health care environments: Interview study. JMIR Nursing, 2(1), e14279. https://doi.org/10.2196/14279

North, N., Brysiewicz, P., & Coetzee, M. (2022). Nursing stakeholder identification guidelines for human resources for health and health workforce development: A scoping review. International Nursing Review, 69(3). https://doi.org/10.1111/inr.12772

Ye, J. (2022). Design and development of an informatics-driven implementation research framework for primary care studies. AMIA Annual Symposium Proceedings, 2021, 1208–1214. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861697/