NURS 8210 Week 10 Information Systems and Changing Organizational Culture

NURS 8210 Week 10 Information Systems and Changing Organizational Culture

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.

Initial Post Kim Lee

I am working in Fraser Health Authority which is made up of multiple acute care facilitates. The hospital I will focus on is Ridge Meadows Hospital. FHA has implemented many strategies to improve the use of information technology in the hospital setting.  It is important for change leaders to understand the problems and seek solutions by understanding the complexities from multiple views.  According to Liaw & Gray (2010), building clinical competence in information technology requires leaders that not only understand the technology but be fully engaged in all aspects of design, education, engagement, implementation, and evaluation processes. I feel that one way technology could benefit my setting of a small intensive care unit, would be using an application for education and communication to patients that are not able to speak due to being intubated. A touch device such as an ipad with common questions, asks, or needs that could be pointed to or a yes and no section.  I could see an application that provides ways to communicate and educate patients and families is important. Currently we try to use clip boards, hold pens for patients to try and write what they need.  This sometimes works but also can be frustrating for patients that cannot say what they want.  Modrykamien (2019), explains that the longer someone is on ventilator support, the more likely weakness, emotional fatigue, isolation and lowered self esteem occurs. Providing this tool would help mitigate some of these issues with improving communication.

Barriers would include cost of supplying these devices and development, clearly creating

NURS 8210 Week 10 Information Systems and Changing Organizational Culture

NURS 8210 Week 10 Information Systems and Changing Organizational Culture

technology application that is user friendly and meets the needs of the patients, family, and staff (all end users), education and building clinical competence.

Implementing change management strategies at the beginning of the process will support a successful implementation of the new technology.  Giussi et al., (2017) identified seven steps to change management including;

  • Leadership team that represents all parts of the innovation
  • Understanding and/or creating key organizational policies, procedures, or standardizations
  • Interoperability considerations such as terminology, user friendly
  • User centred design
  • Ensuring legal and ethical requirements are met
  • Education and training on use
  • Communication and on going support
  • External regulations

Tiger Initiative is a collaborative approach to bring forward competences for all nurses in practice and education (Technology Informatics Guiding Education Reform, 2011 ). A TICC team (Tiger Informatics Competencies Collaborative) reviewed the literature and brought forward recommendations of best practice in 9 key competency areas. One area that I appreciated was provided education and training for computers as an essential component to education in nursing (Technology Informatics Guiding Education Reform, 2011). If nurses are graduating with the basic understanding of technology, then the uptake in practice would be better situated.



Giussi, M. V., Baum, A., Plazzotta, F., Muguerza, P., & González Bernaldo de Quirós,

F. (2017). Change Management Strategies: Transforming a Difficult Implementation into a Successful One. Studies in Health Technology and Informatics, 245, 813–817.

Liaw, S. T., & Gray, K. (2010). Clinical health informatics education for a 21st Century

World. Studies in Health Technology and Informatics, 151, 479–491.

Modrykamien A. M. (2019). Strategies for communicating with conscious mechanically

ventilated critically ill patients. Proceedings (Baylor University. Medical Center), 32(4), 534–537.

Technology Informatics Guiding Education Reform (TIGER). (2011). Informatics

competencies collaborative team. Retrieved from

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.

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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource