Respond to your colleague by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.
At least 2 references in each peer responses!
The Systems Development Life Cycle (SDLC) is a systematic method of delivering efficient and useful information systems (ISs) that fit with the strategic business plan of an organization. (McGonigle & Mastrian, 2017). According to Dr. Kevin Johnson, the four stages of SDLC are planning, design, implementation, maintenance/evaluation. (Laureate Education, 2018).There are potential consequences for not involving nurses in each stage of the SDLC during the purchase and implementation of a new health information technology system. Since nurses play a vital role in nursing care, it is noteworthy to include them from the beginning until the end of the SDLC. A lack of involvement will not only lead to resistance to change but will promote chaos during the implementation phase.
Before the planning phase, McGonigle & Mastrian (2017) related the importance of understanding the problem and the solution. Nurses have opinions about their previous user encounters in different hospitals. Ideas gain from them is equally vital. The human interfaces for each of these technologies are varied and can even differ among different brands or versions of the same device. (McGonigle & Mastrian, 2017). For example, in entering data in the EHR, we used the computer keyboard in the corrections. Yet, advanced facilities utilize touched screens and smartphones.
According to Stephanie Reel, a Project plan serves as a foundation of the essential milestones that we need to achieve in having a successful information system solution. (Laureate Education, 2018). In planning, nurses can also contribute their opinion on what they think can eliminate time-consuming tasks. For example, reducing paper documents if documentation is already in the EHR. It promotes efficient patient care and less staff exhaustion with paper works.
Knowledge sharing within the respective areas of expertise ensures that the system works for an entire organization. (McGonigle & Mastrian, 2017).
In the design phase, system designers should engage nurses in ongoing testing and refining of the system. Nurses help to affirm and confirm if the new system in place will be useful. Involving future users helps the process of the change to go smoothly.
A key to a successful implementation of health information technology (health IT) is to identify the impact of a clinical and administrative workflow. (Agency for Healthcare Research and Quality, n.d.b). According to Dr. John Glasser, the struggle in the implementation phase is on how the users will accept change. (Laureate Education, 2018). Nurses are leaders and patient advocates, so involving them in the new system that has workflows can promote good Governance and better adherence to change. According to Dr. Kevin Johnson, as long as there is proper alignment between the governance structure and expectation, there can still be a success despite reluctant participants. In evaluating the implementation and maintenance phase, nurses can identify and report to the nurse executive the problems in the system that affect the functionality and applicability of the technology.
In my healthcare organization, we don’t have a new health information technology system available. Also, we don’t have an onsite Nurse Informaticist. We reached the online IT representative through the phone. During my first EHR experience in this facility, I encountered issues logging in due to encryptions. There are settings that colleagues taught me how to alter to get into the system. I believe that we shouldn’t modify security settings because encryptions make the patients file safe from theft. In this scenario, the nurse is essential in the decision-making process of the system, whether it’s new or old. It is not just for patients’ safety but also for the facility’s protection.