EHR System


Successfulimplementation of EHR requires the support of majority of theinstitution’s members. The meeting with nurses within the next oneweek will be important for me to get the support of other nurses.With the undercurrent of resistance among some nurses, the meetingwill be an important aspect of the success of the new technologysystem. Therefore, this paper will provide a discussion of how I willprepare for the meeting. Specifically, the discussion will highlighthow the five qualities outlined by Rodgers (2003) in his theory ofdiffusion of innovations.

Inorder to get the support of the nurses, I will explain the advantagesor the importance of the new technology system by considering thefive qualities of that make innovations spread as outlined by Rodgers(2003). The new EHR should be presented in a way that wins theapproval of the nurses by explaining that the five qualities thatmake diffusion of innovation successful. The five qualities ofdiffusion of innovation include: relative advantage compatibilitywith existing values and practices simplicity and ease of usetrialability and observable results.

Themost important part of the meeting will be the discussion of the fivequalities that make innovation to diffuse. According to the theory ofdiffusion of innovations by Rodgers (2003), individuals are notpersuaded to change instead, change is seen as an aspect ofevolution and reinvention of behaviours, services or products inorder to adapt to the needs of specific individuals or groups. Thepeople do not change, but innovations do. Using this theory, fivequalities of diffusion of innovation are identified.

Thefirst quality of diffusion of innovation is relative advantage. Thisrefers to the level of perception that an innovation receives fromparticular users compared to an idea that supersedes it. Relativeadvantage is measured in terms of economic advantage, convenience,satisfaction or prestige. Nurses should therefore be made tounderstand that the EHR system has relative advantage over manualhealth records. Once they understand that they can save time andstore a large number of data without losing them, they can supportthe innovation (Olhede and Peterson, 2000).

Secondly,compatibility with existing values refers to the perception of nursesconcerning the consistency of the technology with the existing valuesand practices within the hospital. In the meeting, it will benecessary to explain that the electronic health records system isconsistent with the values of the nursing practice because it ensuresthat nurses never lose data of their patients, which is a value inthe hospital. Therefore, nurses need to understand that the newsystem will help them store the data safely and remain relevant tothe values required of them (Olhede and Peterson, 2000). This winsthe support of the majority of nurses who uphold the values of thehospital.

Thethird quality is simplicity. This refers to the perception of usersof technology regarding the ease of use and understanding. Themeeting will be used to convince the nurses that the new technologyis simple to understand and use in order to win their approval(Ruotsalainen and Manning, 2007). The nurses will not be ready toembrace a technology that requires new skills (Mendelson, 2004).Therefore, they should be made to understand that EHR does not neednew skills to understand.

Thefourth quality is trialability. This refers to the degree to whichusers of new technology can be experimented easily. Nurses willrequire a new technology which can be experimented easily withoutsignificant risks. Therefore, they will be convinced in the meetingthat the system is easily trialable.

Lastly,observable results refer to the ease of experiencing results from aninnovation. Nurses tend to resist the technology if they do not seeits results easily. The nurses should therefore be made to see theresults of the new technology in order to win their support andapproval of the new technology (Wolf, 2011).

Nurseshave important roles to play as change agents in adoption of the newtechnology (Mason-Whitehead, 2008). The conversations between peersare important aspects that enable an innovation to develop.Therefore, the nurses will be made to support the new technologysystem by engaging them in a peer-to-peer discussion in the meetingthat yields an understanding of the importance of the EHR system asan innovative technology.

Accordingto Rodgers (2003), it is also important to consider various usersegments in order to enhance successful diffusion of innovation. Themeeting will therefore be used for the nurses to understand that theEHR system is specifically important for the nurse’s segment inadministering healthcare to patients. The attitude of the nursestowards the adoption of EHR system places them in specific segment.Some of the segments include innovators, early adopters, earlymajorities, late majorities and laggards. The meeting will be used toidentify these segments among the nurses in order to sell theinnovative ideas to them. Innovators and early adopters will be usedto express the necessity of adopting the new innovation to othermembers including laggards.


Mason-Whitehead,E. (2008). Keyconcepts in nursing.Los Angeles: SAGE.

Mendelson,D. (2004). HealthConnect and the duty of care: A dilemma for medicalpractitioners. Journalof law and medicine12(1), 69–79

Olhede,T. and Peterson, H.E. (2000). Archiving of care related informationin XML-format. Studiesin health technology and informatics,77,642–646

Rogers,E.M. (2003). Diffusionof innovations(5th ed.). New York: NY: Free Press.

Ruotsalainen,P. and Manning, B. (2007). A notary archive model for securepreservation and distribution of electrically signed patientdocuments. InternationalJournal of Medical Informatics,76(5),449-453.

Wolf,J.A. (2011). Organizationdevelopment in healthcare: Conversations on research and strategies.Bingley: Emerald Group.