NURS 8210 Week 10 Information Systems And Changing Organizational Culture

NURS 8210 Week 10 Information Systems and Changing Organizational Culture

Information Systems and Changing Organizational Culture

The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (2011) notes that “the nursing profession is the largest segment of the nation’s health care workforce.” Nursing’s three million–plus members are known for their ability to react quickly and efficiently on the front lines of patient care. This agility is lost, however, when the nursing profession fails to evolve with the field of information technology. Have you witnessed any unintentional barriers that have excluded nurses from quickly adopting and accepting informatics systems?

Those nurses who apply strategies developed by change management experts can help expedite the adoption process by positively addressing staff concerns and implementation challenges. In this Discussion, you explore change leadership strategies through a role playing activity.

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health [Consensus report]. Retrieved from the Institute of Medicine of the National Academies website:

To prepare:

  • Review the Learning Resources, focusing on the findings of the TIGER Leadership Collaborative.
  • Consider the TIGER Nursing Informatics Competencies model from a leadership standpoint.
  • Engage in the following role play: Your practice setting has appointed you to lead the implementation of a new information technology initiative. As you plan for this undertaking, you consider the various challenges that this implementation may bring to your practice.
    • Select an information technology initiative that your practice could benefit
      NURS 8210 Week 10 Information Systems and Changing Organizational Culture

      NURS 8210 Week 10 Information Systems and Changing Organizational Culture

      from (i.e., a new information system, point-of-care service, robotics machinery, mobile devices, etc.).

    • What change management strategies might you utilize to facilitate a quick and successful implementation?
    • What potential barriers might the initiative bring to the practice? What leadership strategies could shift the culture toward a smooth transition?

By Day 3 post a cohesive response that addresses the following:

  • Briefly identify your practice setting and the information technology initiative you selected. Provide a rationale for your selection.
  • Evaluate the potential barriers to implementing your hypothetical initiative.
  • Identify the change management strategies that you would use to facilitate a successful implementation. Identify key resources that you would need to promptly overcome potential barriers.
  • Appraise the leadership strategies that you would employ to establish a culture that supports the new information technology initiative. Reference the TIGER Informatics Competencies where appropriate.

Read a selection of your colleagues’ postings.

By Day 6 respond to at least two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the Reply button below to post your response.

NURS 8210: Transforming Nursing and Healthcare Through Technology


Information Systems and Changing Organizational Culture

Culture change in organizations is impacted by the technology and informatics guiding education reform (TIGER) who suggested strategies to impact change after realizing that this one of seven pillars of change strategies frame did not reach the consensus after their 2006 summit (Ball et al., 2011, p.13). The other pillars of change strategies identified during the 2006 TIGER summit include management and leadership, education, communication and collaboration, informatic design, information technology, and policy (Ball et al., 2011, p.13). In this Discussion, we explore change leadership strategies through role-playing as we select an information technology initiative, evaluate potential barriers to its implementation, then identify change management and leadership strategies to employ.

Information Technology Initiative

The bar code medication administration (BCMA) is one of many information technologies (IT) that could support the TC2-GUI inpatient charting application at the United States (US) Combat Support Hospital (CSH) located overseas. A project was conducted in this setting regarding the TC2-GUI application, and findings showed that BCMA is one innovation that could promote evidence-based practice (EBP) and efficiency within this organization. Alotaibi and Federico (2017) presented evidence that BCMA will reduce medication errors, adverse drug reactions, and mislabeled laboratory specimen. This additional system would support the TC2-GUI application to provide efficiency, improve safety and patient outcome. Subsequently, this change would affect the end-user’s workflow and the organization’s budgeting.

Barriers to Implementation and Change Strategies

The above human and financial barriers are the major categories of barriers in implementing HIT recognized by Khalifa (2013), who added other potential barriers such as professional, technical, organization, and legal and regulatory barriers. As one major barrier, human beliefs, behaviors, and attitudes the users may have difficulty changing if they are not aware of the importance and benefits of BCMA, they may also lack knowledge and experience of a computer with its applications. The suggested solution includes teaching and training and providing awareness of the importance and benefits of the new system (Khalifa, 2013). Provide training to fulfill the TIGER informatics competencies, including the basic computer, information literacy, and information management competencies (TIGER, 2011). As another barrier, financial challenges related to money and funding could be initial cost, high cost to operate and maintain the system, or lack of feasibility study showing its benefits versus cost; some solutions could be allocating the proper funding and funding and conducting a feasibility study (Khalifa, 2013)



Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal38(12), 1173–1180.

Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). Springer-Verlag.

Khalifa, M. (2013). Barriers to health information systems and electronic medical records implementation. A field study of Saudi Arabian hospitals. Procedia Computer Science21, 335-342.

T.I.G.E.R. Technology Informatics Guiding Education Reform. (2011). Informatics competencies collaborative team.

The TIGER initiative was developed to bring together nursing stakeholders to brainstorm on issues that matter in the profession. TIGER addresses actions such as medication delivery of healthcare and H.I.T. (TIGER, 2011). According to TIGER initiatives, nursing stakeholders who commit to implementing improvement plans should stick to the plans to develop them as agreed.

I.T. initiative

To implement a successful information system, some steps need to be followed. The initial step would be creating a solid team to work on the project. Through forming, storming, norming, and performing, and a dynamic team can be created. The multidisciplinary team members (including I.T.) will initially get to know one another, familiarizing themselves with the project’s goal. Interprofessional collaboration practice models can be used to assist in building high-performing teams (Chaney, 2021). An effective team is one that also displays effective communication. One has clear objectives, and every member has a clear understanding of the said objectives (Kim et al., 2019). Input from end-users is very important as they can provide pointers to a successful system.

In the computer patient records system (C.P.R.S.) I noticed that there is no availability in recording continuous bladder irrigation (C.B.I.) input and output.

Change management for successful implementation

To be successful in this project, I would have to act as a mediator between end-users, management, and I.T. developers. Internal mediation is then carried out with organization leaders and nurse managers. Computer literacy is essential; therefore, a few employees will be trained as superusers to help educate fellow staff members on using the systems and troubleshooting issues should they arise. The superusers will, in turn, provide feedback and will be the change agents for implementation. Members of the help desk will be trained as well in case their services are needed. In addition, external contractors can be hired to act as backup services to the system; therefore, there should always be someone available to help.

Potential barriers

Not every employee accepts change; to ease this, it is important to include and keep stakeholder members well informed on the progress of the implementation. Effective communication is vital, let everyone be heard and ideas acted on.  Security is important in H.I.T. All barriers to breaches should be set in place. The superusers would continue to track the progress of the system. Keep communication transparent. Costs and estimates are some factors that I would need to investigate since funding is equally important. Any proposed changes should be rectified promptly. I.T. also informed me that C.P.R.S. has no more space to accommodate a flow sheet, so I must rethink and currently am in the process.


Chaney, A. (2021). Building your team and talent. Journal of the American Association of Nurse Practitioners, 33 (10), 761-762. doi: 10.1097/JXX.0000000000000649.

Kim, L. Y., Giannitrapani, K. F., Huynh, A. K., Ganz, D. A., Hamilton, A. B., Yano, E. M., Rubenstein, L. V., & Stockdale, S. E. (2019). What makes team communication effective: a qualitative analysis of interprofessional primary care team members’ perspectives. In Journal of Interprofessional Care (Vol. 33, Issue 6, pp. 836–838).

T.I.G.E.R. Information Technology Guiding Education Reform. (2011). Informatics Competencies collaborative team. Retrieved from

Umstead, C. N., Unertl, K. M., Lorenzi, N. M., & Novak, L. L. (2021). Enabling adoption and use of new health information technology during implementation: Roles and strategies for internal and external support personnel. Journal of the American Medical Informatics Association28(7), 1543–1547.