Change Initiative in Healthcare Setting

Describe a change initiative  that was implemented in a healthcare setting (your own work setting, from the literature or from the experiences of other professional nurses) that resulted in conflict, chaos or crisis (use fictitious names for people and organizations). Discuss the change initiative,  how the change was implemented, by whom, and the outcome.

In consideration of this week’s readings, describe how you as a nurse leader, would have managed the change initiative.

Expectations

Initial Post:

  • us one US source from the last 5 years, Also pick topic in a Critical care setting
  • Length: 150 – 250 Words

Change Initiative in Healthcare Setting

Title: Implementation of Electronic Health Records (EHR) in the Critical Care Setting

In a critical care setting at St. Mary’s Regional Hospital, a change initiative was launched to implement Electronic Health Records (EHR) to replace the traditional paper-based patient records system. This initiative was driven by the need for improved data accuracy, accessibility, and efficiency in patient care. The change was spearheaded by the hospital administration and IT department and was rolled out in phases over a six-month period.

The initial phase of EHR implementation was met with resistance and confusion among the nursing staff, led by Nurse Manager Sarah Thompson. Nurses were accustomed to the paper charting system and were concerned about the potential for errors and delays associated with transitioning to an electronic system.

As a nurse leader, I would have managed the change initiative differently. First, I would have involved frontline nurses like Sarah Thompson in the planning and decision-making process to gain their insights and address their concerns. Second, I would have provided comprehensive training programs for all staff, ensuring that they were comfortable with the new system before it was fully implemented. Additionally, I would have established a support system, including IT specialists and super-users, to assist nurses during the transition and troubleshoot any issues.

The outcome of the initial implementation was chaotic, resulting in decreased productivity and patient dissatisfaction. However, with proper leadership and support, these challenges could have been mitigated, allowing for a smoother transition to EHR and ultimately improving patient care in the critical

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