A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
American Nurses Association - The Critical Nature of Early Nursing Involvement for Intr... Page 1 of 13 The Critical Nature of Early Nursing Involvement for Introducing New Technologies Heather N. Weckman, MS, CNL, RN-BC Sandra K. Janzen, MS, RN, NEA-BC, FAAN Abstract This article emphasizes the crucial role of early nursing involvement whenever a new technology, such as a Bar Code Medication Administration (BCMA) system, is introduced in a patient care setting. The authors of this article describe how nurses participated on interdisciplinary teams during the design, planning, implementation, and evaluation phases of BCMA point-of-care technology at their facility. They illustrate the benefits of early nursing involvement in all phases of introducing BCMA technology, and the problems that can arise in the absence of this early nursing involvement, using real-life examples of lessons learned during the initial implementation and further expansion of the BCMA system at their facility. Citation: Weckman, H., Janzen, S., (May 31, 2009) "The Critical Nature of Early Nursing Involvement for Introducing New Technologies" OJIN: The Online Journal of Issues in Nursing, Vol. 14, No. 2, Manuscript 2. Available: www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents//Vol1 -Involvement-and-Technology.aspx Key words: Bar Code Medication Administration, BCMA, technology implementation, nursing involvement in technology implementation, patient safety, interdisciplinary team Technology specialists are experts in the field of technology; they understand the mechanics of a new technology. In the same way, nurses are experts in the field of nursing; they understand the dynamic flow of patient care and the frequent interactions needed between numerous healthcare providers while providing nursing care. It is important both for nurses to understand a new technology, and for technology engineers to understand how the equipment and software will need to interface with the facility’s existing systems. In this article we consider technology to include both the hardware (equipment) and the related software of a given technology, Involving nurses who work at the point of care in all phases of introducing a new technology facilitates a smooth transition to using the new technology and increases nurses’ buy-in of the system (Hunt, Sproat, & Kitzmiller, 2004). The Standish Group (1995) has noted that without user involvement the chance of failure increases dramatically. Kramer and Schmalenberg (2008) have observed that nurses will and do adopt new technologies if they have had the opportunity to provide input into the planning and implementation processes by conducting trials of various types of equipment in different clinical settings, and also the evaluation process by which they can confirm whether changes designed to improve the work environment have been effective. The authors of this article will describe efforts to promote early nurse involvement when introducing a new technology, specifically the Bar Code Medication Administration (BCMA) system. After describing the context in which they worked to introduce this technology and the BCMA system, they will share their early attempts to introduce a BCMA system and then describe how this implementation process was facilitated by active nurse involvement in the later planning phase, as well as in the implementation and evaluation phrases. http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJ... 7/10/2009 American Nurses Association - The Critical Nature of Early Nursing Involvement for Intr... Page 2 of 13 The Context for Introducing Bar Code Medication Administration Technology Our experience in introducing a BCMA system took place in the James A. Haley Veterans’ Hospital, a 569-bed Magnet hospital. In 1998, the Department of Veterans Affairs embraced the Patient Safety Goal of reducing adverse events by 50% in five years. To support this goal, the Veterans Health Administration (VHA) began implementing the BCMA system nationwide. This technology was first introduced at our f
Pages to are hidden for
"The Critical Nature of Early Nursing Involvement for Introducing New Technologies"Please download to view full document